Naanyu Violet, Baliddawa Joyce, Peca Emily, Karfakis Julie, Nyagoha Nancy, Koech Beatrice
Department of Behavioral Sciences, School of Medicine, College of Health Sciences, Moi University Eldoret, Kenya.
Afr J Reprod Health. 2013 Sep;17(3):44-53.
Postpartum family planning (FP) in Kenya is low due to inadequate sensitization and awareness among women, particularly in rural areas. This paper identifies most widely used types of FP, intent and unmet needs among women, FP counseling and barriers to FP uptake. Focus group discussions with providers, traditional birth attendants (TBAs) and mothers, as well as in-depth interviews identify key themes including preferred postpartum FP, limits to existing FP counseling and barriers to FP uptake. Postpartum FP is common including injectable contraceptives, oral contraceptives, coils, condoms, and calendar methods. FP counseling is provided by peers, friends, TBAs and formal health providers. FP practices are associated with family support, literacy, access to FP information, side effects, costs and religion. In conclusion, changes in service provision and education could encourage increase in postpartum FP use in Kenya.
由于女性，尤其是农村地区女性的宣传和意识不足，肯尼亚的产后计划生育率较低。本文确定了最广泛使用的计划生育类型、女性的意愿和未满足的需求、计划生育咨询以及采用计划生育的障碍。与提供者、传统助产士（TBAs）和母亲进行的焦点小组讨论以及深入访谈确定了关键主题，包括首选的产后计划生育方法、现有计划生育咨询的局限性以及采用计划生育的障碍。产后计划生育很常见，包括注射用避孕药、口服避孕药、宫内节育器、避孕套和安全期避孕法。计划生育咨询由同龄人、朋友、传统助产士和正规医疗服务提供者提供。计划生育做法与家庭支持、识字率、获取计划生育信息、副作用、成本和宗教信仰有关。总之，服务提供和教育方面的变化可能会促使肯尼亚产后计划生育使用率上升。
