The effect of integration of family planning education with infant vaccination visits on the uptake of postpartum family planning in Ile-Ife, Nigeria

Figures & data

Figure 1. Family planning education and vaccination integration model.

Table 1. Sociodemographic, reproductive and sexual characteristics of postpartum women attending immunisation clinics in the OAUTHC.

Characteristics	Frequency	Percentage (%)
Age (years) (n = 563)
< 25	77	13.7
25–29	174	30.9
30–34	177	31.4
35–39	103	18.3
≥40	32	5.7
Marital status (n=672)
Married	659	98.1
Single/Widowed	13	1.9
Educational status (n=670)
No formal education/Primary	30	4.5
Secondary	189	28.2
Tertiary	451	67.3
Occupation (n=715)
Professional/top civil servant/politicians/business women	41	5.7
Middle-level bureaucrat/technicians/skilled artisans/well-to-do traders	289	40.4
Unskilled workers and those in general whose income are at or below the minimum wage	223	31.2
Unemployed	162	22.7
Religion (n=655)
Pentecostal	439	67.0
Catholic	115	17.6
Islam	101	15.4
Ethnicity (n=652)
Yoruba	581	89.1
Igbo	42	6.4
Others	29	4.4
Median (IQR) parity
2 (1–3)
Resumption of sexual intercourse following last childbirth (n=648)
Yes	419	64.7
No	229	35.3
Desire to get pregnant again/have another baby (n=642)
Yes	466	72.6
No	176	27.4
How soon women who desire to have another child want to get pregnant again (n=408)
Within 24 months	36	8.8
≥24 months	372	91.2

Table 2. FP awareness and uptake amongst postpartum women attending immunisation clinics in the OAUTHC.

Characteristics	Frequency	Percentage (%)
FP awareness (n=680)
Yes	671	98.7
No	9	1.3
Source of information on FP (n=671)^a
Hospital/health worker	512	76.3
Radio/television	326	48.6
Friends/relatives	138	20.6
Internet	94	14.0
Poster/handbills	48	7.2
ANC attendance in last pregnancy (n=685)
Yes	670	97.8
No	15	2.2
FP education during ANC visits in last pregnancy (n=658)
Yes	553	84.0
No	105	16.0
Previous use of modern contraceptive (n=715)
Yes	465	65.0
No	250	35.0
Current modern contraceptive use (n=715)
Yes	437	61.1
No	278	38.9
Reason for non-current contraceptive use (n=278)
No reason	122	43.9
Husband has not consented	40	14.4
Perceived side effects	27	9.7
Personal aversion for contraception	25	9.0
Thinks contraception can make next pregnancy difficult	18	6.5
Not yet ready for contraception	12	4.3
Does not think pregnancy is possible immediate postpartum	9	3.2
Religion forbids contraception	7	2.5
Husband is not around, so no need for contraception	6	2.2
Yet to resume menses	5	1.8
Yet to resume sexual intercourse	4	1.4
Thinks contraception is expensive	2	0.7
Time constraint	1	0.4
Desire for contraception to delay/space pregnancy amongst non-current contraceptive users (n=278)
Yes	223	80.2
No	55	19.8
Preferred contraceptive of non-current contraceptive users who desire contraception (n=223)^a
Condoms	165	74.0
IUCD	73	32.7
Implant	73	32.7
Injectable	61	27.4
Pills	32	14.3
Tubal ligation	6	2.7

FP: Family planning; ANC: Antenatal clinic. ^aMultiple responses by some respondents, hence n > 671 and 223 respectively.

Table 3. Univariable and multivariable logistic regression of the relationship between sociodemographic and sexual characteristics, history of antenatal care, previous contraceptive use and current use of contraceptive.

Variable	Univariable			Multivariable
	COR	95% CI	p-value	AOR	95% CI	p Value
Religion
Islam	1.00	Ref	Ref	1.00	Ref	Ref
Pentecostal	0.92	0.59–1.45	0.728	3.89	0.83–18.26	0.085
Catholic	1.13	0.64–1.97	0.676	1.63	0.25–10.70	0.609
Parity
1	1.00	Ref	Ref	1.00	Ref	Ref
≥2	3.18	1.08–9.32	0.035a	3.43	0.90–13.10	0.071
Resumption of sexual intercourse following last childbirth
No	1.00	Ref	Ref	1.00	Ref	Ref
Yes	3.64	2.59–5.12	<0.001^a	4.16	1.22–14.14	0.022^a
Previous use of modern contraceptive
No	1.00	Ref	Ref	1.00	Ref	Ref
Yes	9.32	6.55–13.27	<0.001^a	7.38	1.96–27.75	0.003^a
Age (years)
<25	1.00	Ref	Ref
25–29	1.36	0.79–2.35	0.263
30–34	1.47	0.85–2.53	0.164
35–39	1.43	0.78–2.60	0.248
≥40	0.94	0.41–2.16	0.892
Marital status
Married	1.00	Ref	Ref
Single/Widowed	0.26	0.08–0.86	0.027^a
Educational status
No formal education/Primary	1.00	Ref	Ref
Secondary	1.36	0.63–2.95	0.432
Tertiary	1.95	0.93–4.09	0.078
Ethnicity
Others	1.00	Ref	Ref
Yoruba	1.39	0.66–2.95	0.387
Igbo	1.08	0.42–2.81	0.869
Desire to get pregnant again/have another baby
No	1.00	Ref	Ref
Yes	0.89	0.62–1.28	0.530
ANC attendance in last pregnancy
No	1.00	Ref	Ref
Yes	1.53	0.55–4.26	0.418
FP education during ANC visits in last pregnancy
No	1.00	Ref	Ref
Yes	1.09	0.71–1.67	0.707

ANC: Antenatal care; COR: Crude Odds Ratio; AOR: Adjusted Odds Ratio; CI: Confidence Interval; FP: Family planning. ^aStatistical significance