Factors associated with postpartum contraception in Togo, West Africa
), Blake McGee(2), Roger Rochat(3), Kenneth Hepburn(4), Monique Hennink(5), Lynn Sibley(6),
(1) Lillian Carter Center for Global Health and Social Responsibility, Nell Hodgson Woodruff School of Nursing, Emory University
(2) Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, USA
(3) Rollins School of Public Health, Emory University, USA
(4) Nell Hodgson Woodruff School of Nursing, Emory University, USA
(5) Rollins School of Public Health, Emory University, USA
(6) Lillian Carter Center for Global Health and Social Responsibility, Nell Hodgson Woodruff School of Nursing, Emory University, USA
Corresponding Author
Abstract
The health benefits of postpartum contraception are well established. Using 2013/14 Togo Demographic and Health Survey (DHS) data, we examine the association between contraceptive use among women who gave birth within 24 months of the DHS and four health service use indicators – antenatal care, institutional delivery, postpartum care, and immunization of the last child – in addition to socio-demographic factors. Factors associated with postpartum contraceptive use in Togo included having their last birth in a health facility, having a postnatal check within two months of birth, youngest child receiving the first diphtheria-pertussis-tetanus vaccine, wanting to space children more than two years from last birth or not have more children, living outside the Savanes region, husband’s desire for number of children agreeing with the woman’s, and increasing breastfeeding duration. These findings highlight the need for programming which strengthens the integration of contraception into reproductive and immunization services in Togo. (Afr J Reprod Health 2022; 26[2]: 26-37).
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