Vincent K Mukthar


Background:  The use of postpartum contraception is gold standard in achieving fertility objectives through limitation of numbers of births and proper child spacing. The Kenya Demographic Health Survey 2008 established that about 50% of all non-first births in Kenya are spaced within 24 months apart exposing women and their infants to increased risk for poor maternal and perinatal outcomes. Therefore, this study aimed to determine the influence of male partner/spouse involvement in the uptake of postpartum contraception in Kenya..

Design:  Data from the nationwide and representative Kenya Demographic and Health Survey, conducted in 2014, were analyzed. The Demographic and Health Survey utilizes a two stage stratified sampling technique.

Findings:  This study establishes that the uptake of postpartum contraceptives in Kenya is at 55.2%. This study also finds that male partner/spouse involvement in reproductive health is essential in uptake of postpartum contraception. The male partner/spouse involvement in reproductive health attributes that are predictive of uptake of postpartum contraception are; inclusion/exclusion in decision-making (having a say) in postpartum contraception (OR 0.78, 95% CI 0.58- 0.99), being consulted frequently (OR 4.63, 95% CI 3.18- 6.27), their approval/disapproval of postpartum contraceptives (OR 0.31, 95% CI 0.22- 0.43) and male partner/spouse attendance of antenatal clinic (OR 1.22, 95% CI 0.92- 1.61).

This study also deduces that the there are a couples of maternal characteristic that are significantly associated with the uptake of postpartum contraception  namely; education level, wealth status, age, location of residence, parity, antenatal attendance and place of delivery.

Conclusion/recommendation: This study concludes that the uptake of postpartum contraception in Kenya is less than optimum. This study also establishes that male partner/spouse involvement in reproductive health is essential in uptake of postpartum contraception.

This study recommends that programs should focus on health initiatives or interventions that are male-friendly and encourage male partners/spouses to get involved in reproductive health issues especially postpartum contraception


Postpartum contraception, Male partner/spouse Involvement

Full Text:



Abraha, Teklehaymanot Huluf, Berhe Beyene Gebrezgiabher, Berihu Gidey Aregawi, et al.

(2018) Predictors of Postpartum Contraceptive Use in Rural Tigray Region, Northern Ethiopia: A Multilevel Analysis. BMC Public Health 18(1)., accessed March 3, 2022.

Bolarinwa, Obasanjo Afolabi, Effiong Fortune, Richard Gyan Aboagye, et al.

(2021) Health Facility Delivery among Women of Reproductive Age in Nigeria: Does Age at First Birth Matter? Susan A. Bartels, ed. PLOS ONE 16(11): e0259250.

Coomson, Jonathan Ian, and Abubakar Manu (2019) Determinants of Modern Contraceptive Use among Postpartum Women in Two Health Facilities in Urban Ghana: A Cross-Sectional Study. Contraception and Reproductive Medicine 4(1)., accessed March 9, 2022.

Demie, Takele Gezahegn, Tigist Demissew, Tufa Kolola Huluka, Derara Workineh, and Helen G Libanos (2018) Postpartum Family Planning Utilization among Postpartum Women in Public Health Institutions of Debre Berhan Town, Ethiopia. Journal of Women’s Health Care 7(2)., accessed March 2, 2022.

Dev, Rubee, Pamela Kohler, Molly Feder, et al. (2019) A Systematic Review and Meta-Analysis of Postpartum Contraceptive Use among Women in Low- and Middle-Income Countries. Reproductive Health 16(1)., accessed March 3, 2022.

Eliason, Sebastian Kofi, Ansumana Sandy Bockarie, and Cecilia Eliason (2018) Postpartum Fertility Behaviours and Contraceptive Use among Women in Rural Ghana. Contraception and Reproductive Medicine 3(1)., accessed March 9, 2022.

Eqtait, Faeda Ayed, and Lubna Abushaikha (2019) Male Involvement in Family Planning: An Integrative Review. Open Journal of Nursing 9(3): 294–302.

Harrington, Elizabeth K., Erin E. McCoy, Alison L. Drake, et al. (2019) Engaging Men in an mHealth Approach to Support Postpartum Family Planning among Couples in Kenya: A Qualitative Study. Reproductive Health 16(1)., accessed March 9, 2022.

Hernandez, Julie H., Saleh Babazadeh, Philip A. Anglewicz, and Pierre Z. Akilimali (2022) As Long as (I Think) My Husband Agrees…: Role of Perceived Partner Approval in Contraceptive Use among Couples Living in Military Camps in Kinshasa, DRC. Reproductive Health 19(1)., accessed March 9, 2022.

Kenya National Bureau of Statistics (2019) 2019 Kenya Population and Housing Census Report- Volume 2.

Kibira, Simon P. S., Celia Karp, Shannon N. Wood, et al. (2020) Covert Use of Contraception in Three Sub-Saharan African Countries: A Qualitative Exploration of Motivations and Challenges. BMC Public Health 20(1)., accessed March 9, 2022.

KNBS, and ICF International (2014) KDHS Key Findings. KNBS and ICF: Rockville, Maryland, USA.

Kotsadam, Andreas, and Gudrun Østby (2019) Armed Conflict and Maternal Mortality: A Micro-Level Analysis of Sub-Saharan Africa, 1989–2013. Social Science & Medicine 239: 112526.

Kriel, Yolandie, Cecilia Milford, Joanna Cordero, et al.(2019) Male Partner Influence on Family Planning and Contraceptive Use: Perspectives from Community Members and Healthcare Providers in KwaZulu-Natal, South Africa. Reproductive Health 16(1)., accessed March 9, 2022.

Mehare, Tsegaye, Birhanie Mekuriaw, Zelalem Belayneh, and Yewbmirt Sharew (2020) Postpartum Contraceptive Use and Its Determinants in Ethiopia: A Systematic Review and Meta-Analysis. International Journal of Reproductive Medicine 2020: 1–14.

Moore, Zhuzhi, Anne Pfitzer, Rehana Gubin, et al.(2015) Missed Opportunities for Family Planning: An Analysis of Pregnancy Risk and Contraceptive Method Use among Postpartum Women in 21 Low- and Middle-Income Countries. Contraception 92(1): 31–39.

Mselle, Lilian T, Karen Marie Moland, Abu Mvungi, Bjorg Evjen-Olsen, and Thecla W Kohi (2013) Why Give Birth in Health Facility? Users’ and Providers’ Accounts of Poor Quality of Birth Care in Tanzania. BMC Health Services Research 13(1)., accessed November 15, 2021.

Odeny, Beryne, Christine J. McGrath, Agnes Langat, et al.(2019)Male Partner Antenatal Clinic Attendance Is Associated with Increased Uptake of Maternal Health Services and Infant BCG Immunization: A National Survey in Kenya. BMC Pregnancy and Childbirth 19(1)., accessed March 9, 2022.

Omona, Kizito, Emmanuel Ssekyeru, Peter Kirya, et al.(2021) Contraceptive Uptake Among Postpartum Mothers 15–49 Years of Age in Kalisizo Hospital, Kyotera District, Central Uganda. Cognizance Journal of Multidisciplinary Studies 1(3): 58–69.

Otobo, D., A. Aouta, E. Otsyina, and H. Tatere (2022) The Unmet Need for Abortion Law Reforms and Modern Contraceptive Uptake in Nigeria, Kenya, Ghana and Ethiopia: A Systematic Review. International Journal of Clinical Obstetrics and Gynaecology 6(1): 42–47.

Rwabilimbo, Martin M., Bilikisu R. Elewonibi, Mashavu H. Yussuf, et al.(2021) Initiation of Postpartum Modern Contraceptive Methods: Evidence from Tanzania Demographic and Health Survey. Srinivas Goli, ed. PLOS ONE 16(3): e0249017.

Sserwanja, Quraish, David Mukunya, Prossy Nabachenje, et al.(2022) Continuum of Care for Maternal Health in Uganda: A National Cross-Sectional Study. Masamine Jimba, ed. PLOS ONE 17(2): e0264190.

Tenaw, Shegaw Geze, Fantaye Chemir, Bitew Tefera Zewudie, et al. (2022) Unintended Pregnancy and Associated Factors Among Women Attending Antenatal Care in Public Hospitals During COVID-19 Pandemic, Southwest Ethiopia: A Cross-Sectional Study. Open Access Journal of Contraception Volume 13: 9–16.

Tessema, Gizachew Assefa, Tensae Tadesse Mekonnen, Zelalem Birhanu Mengesha, and Katherine Tumlinson (2018) Association between Skilled Maternal Healthcare and Postpartum Contraceptive Use in Ethiopia. BMC Pregnancy and Childbirth 18(1)., accessed March 9, 2022.

UN (2020) United Nation- World Population Prospects. World Population Prospects. Kenya Population Growth Rate 1950-2022. Retrieved 2022-03-02.

Willcox, Merlin L., Vincent Mubangizi, Silvia Natukunda, et al.(2021) Couples’ Decision-Making on Post-Partum Family Planning and Antenatal Counselling in Uganda: A Qualitative Study. Catherine S. Todd, ed. PLOS ONE 16(5): e0251190.


  • There are currently no refbacks.

Copyright (c) 2022 Vincent K Dr. Mukthar

© Numid Publishers        ISSN:  2518-8631