Knowledge, Utilisation and Associated Factors of Family Planning in the Extended Postpartum Period, in Karongi...

Postpartum family planning (PPFP) plays a crucial role in maternal and child health. Unintended and mistimed pregnancies are significant global public health issues and are linked to higher rates of maternal, newborn, and child morbidity and mortality. This study assessed the knowledge and utilisation of PPFP and associated factors among women in the extended postpartum period in Karongi district, Rwanda.

A cross-sectional study was conducted in four health facilities. Data were collected from 413 postpartum mothers using a validated questionnaire administered through face-to-face interviews. Descriptive statistics and logistic regression analysis identified factors associated with PPFP utilisation. Significance was at P< 0.05.

Most of the women (63.9%) demonstrated good knowledge of postpartum contraceptives; implants were the most commonly used method (52%). Factors significantly associated with PPFP utilisation included knowledge of contraceptives [AOR=2.8; 95% CI (1.16-6.85)], intentions to have another child [AOR=0.2; 95% CI (0.07,0.65)], Partner support [AOR=7.93; 95% CI (2.52,24.73], and women's involvement in decision-making [AOR=4.2; 95% CI (1.41,12.71)].

Contraceptive knowledge, reproductive intentions, partner support, and women's involvement in FP decision making have a positive impact on postpartum family planning uptake. Expanding education and awareness campaigns, ensuring husband participation, and empowering women in decision-making could enhance PPFP utilisation.