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Open AccessArticle

Long-Acting Reversible Contraception Uptake and Associated Factors among Women of Reproductive Age in Rural Kenya

1
Jhpiego Corporation, An Affiliate of Johns Hopkins University, Nairobi 00800, Kenya
2
Jhpiego Corporation, An Affiliate of Johns Hopkins University, Baltimore, MD 21231, USA
3
Department of Health Sciences, Global Health, University Medical Centre Groningen/University of Groningen, 9713 GZ Groningen, The Netherlands
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Department of Obstetrics & Gynecology, Leeuwarden Medical Centre, 8934 AD Leeuwarden, The Netherlands
5
Department of Biomedical Sciences and Technology, Maseno University, Private Bag, Maseno 40105, Kenya
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(9), 1543; https://doi.org/10.3390/ijerph16091543
Received: 9 March 2019 / Revised: 18 April 2019 / Accepted: 24 April 2019 / Published: 1 May 2019
(This article belongs to the Special Issue Women's Reproductive and Maternal Health)
In the last two decades, the use of short-acting methods of contraception has driven the increase of contraceptive use in Kenya. We assessed the factors associated with uptake of long-acting reversible contraception by women seeking family planning services in public health facilities in Kakamega County, Kenya. A mixed methods cross-sectional study through client exit surveys among 423 women seeking family planning services was done at 12 public health facilities in Kakamega County. Twelve in-depth interviews with health care providers from the study facilities further explored practices in provision of long-acting reversible contraception (LARC). Among women initiating contraceptive use, LARC method utilization was 20.6%. Women’s tertiary education level, Protestant Christian religion, age at first birth, and having no desire for more children were significantly associated with utilization of LARC. Structural factors including shortage of human resource, provider bias and lack of adequate skills on provision of services were identified as key barriers to uptake of long-acting reversible contraception services. View Full-Text
Keywords: family planning; long-acting reversible contraception; factors; uptake; discontinuation family planning; long-acting reversible contraception; factors; uptake; discontinuation
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Ontiri, S.; Ndirangu, G.; Kabue, M.; Biesma, R.; Stekelenburg, J.; Ouma, C. Long-Acting Reversible Contraception Uptake and Associated Factors among Women of Reproductive Age in Rural Kenya. Int. J. Environ. Res. Public Health 2019, 16, 1543.

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