DETERMINANTS OF NON-ADOPTION OF CONTRACEPTION AT DELIVERY AMONG MOTHERS ATTENDING THE VACCINATION SERVICES AT THE UNIVERSITY HOSPITAL CENTER OF KAMENGE
DOI:
https://doi.org/10.71105/aq3b1p96Keywords:
contraception, childbirth, determinants, family planning, CHUKAbstract
Background: The adoption of contraceptives at childbirth is an effective strategy for improving maternal reproductive health, as well as for fertility control. Despite ongoing efforts, the rate of modern contraceptive use in Burundi is only 23% among women of childbearing age, and the rate of those adopting it at childbirth is less than 10%. Objectives: To assess the rate of contraceptive adoption at childbirth and identify the determinants of non-adoption among women in the city of Bujumbura. Methodology: Quantitative data was collected from 202 mothers who attended vaccination services at the Kamenge University Hospital Center (CHUK) over five days, from December 2 to 6, 2024. Analysis was conducted using binomial regression. Results: The rate of adoption of modern contraceptives at childbirth was 40.6%. Women who were Protestant, those whose marital status was other than union, and those from households where the head is self-employed had a higher risk of non-adoption. Conversely, the presence of an influential person unfavorable to contraception had the opposite effect. Conclusion: Despite direct contact with health services, the adoption of contraception at delivery remains limited by socio- cultural and normative barriers, as well as the socio-economic structure of households. Interventions should address unfavorable social norms regarding contraception, enhance women's autonomy, and ensure sustainable funding for family planning services.
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Les données de l’étude sont disponibles sur demande raisonnable auprès de l’auteur correspondant. Elles ont été collectées à l’aide de KoBoCollect et sont conservées de manière sécurisée dans un fichier anonymisé, conformément aux principes éthiques approuvés par les autorités sanitaires du Burundi.
