Fertility and Contraceptive Adoption and Discontinuation in Rural Kenya
After a long period of slow progress, the recent uptake of contraceptive use in Kenya has been dramatic. This report describes adoption of a method and method switching and discontinuation among a cohort of married women aged 25-34 in two contrasting rural areas. A retrospective "fertility diar...
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| Veröffentlicht in: | Studies in family planning 1992-07, Vol.23 (4), p.257-267 |
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| creator | Ferguson, Alan G. |
| description | After a long period of slow progress, the recent uptake of contraceptive use in Kenya has been dramatic. This report describes adoption of a method and method switching and discontinuation among a cohort of married women aged 25-34 in two contrasting rural areas. A retrospective "fertility diary" completed by each woman provided information on spousal separation, reproductive status, and contraceptive use over a period of 46-48 months. Contraceptive prevalence rose rapidly over the period in both areas, with significant net adoption of injectables in both areas and of IUDs in one only. Method discontinuation was concentrated among users of pills, barrier methods, and "natural" methods, and only one-third of all discontinuations were voluntary. The wide differences between the two rural areas in contraceptive prevalence were not totally reflected in recent fertility levels, and the contribution of other proximate determinants of fertility, particularly postpartum amenorrhea and spousal separation, are discussed. |
| doi_str_mv | 10.2307/1966887 |
| format | Article |
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This report describes adoption of a method and method switching and discontinuation among a cohort of married women aged 25-34 in two contrasting rural areas. A retrospective "fertility diary" completed by each woman provided information on spousal separation, reproductive status, and contraceptive use over a period of 46-48 months. Contraceptive prevalence rose rapidly over the period in both areas, with significant net adoption of injectables in both areas and of IUDs in one only. Method discontinuation was concentrated among users of pills, barrier methods, and "natural" methods, and only one-third of all discontinuations were voluntary. The wide differences between the two rural areas in contraceptive prevalence were not totally reflected in recent fertility levels, and the contribution of other proximate determinants of fertility, particularly postpartum amenorrhea and spousal separation, are discussed.</description><subject>Adult</subject><subject>Amenorrhea</subject><subject>Birth control</subject><subject>Birth intervals</subject><subject>Causes of</subject><subject>Contraception</subject><subject>Contraception - methods</subject><subject>Contraception - utilization</subject><subject>Contraception Behavior</subject><subject>Contraceptives</subject><subject>Family planning</subject><subject>Female</subject><subject>Fertility</subject><subject>Gender equality</subject><subject>Humans</subject><subject>Injectable contraceptives</subject><subject>Intrauterine devices</subject><subject>Kenya</subject><subject>Marriage</subject><subject>Oral contraceptives</subject><subject>Parity</subject><subject>Patient Acceptance of Health Care</subject><subject>Patient Dropouts - psychology</subject><subject>Population</subject><subject>Pregnancy</subject><subject>Retrospective Studies</subject><subject>Rural areas</subject><subject>Rural Population</subject><subject>Seasons</subject><subject>Social aspects</subject><subject>Social research</subject><subject>Use</subject><subject>Women</subject><subject>Women - psychology</subject><issn>0039-3665</issn><issn>1728-4465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkVtrGzEQhUVJSd205BcElqS0L9lmdJcejdtcSCBQmmcha7VhzVpypd1S__vKWUMgEPIkofNpzswchI4xfCcU5AXWQigl36EZlkTVjAl-gGYAVNdUCP4Bfcx5BQBaAByiQ8ww4VrN0NWlT0PXd8O2sqGpFjEMyTq_Gbq_vpo3sVxieJJ-dNkVtQujfXrrQvVrTLavbn3Y2k_ofWv77D_vzyP0cPnz9-K6vru_ulnM72rHuB5qQWnDQSiNG74E6VrSLgmhClSZAnuNmbMOiG0op1hI2jDfttYJDc56qSk9Ql-nupsU_4w-D2Zd-vJ9b4OPYzaSkuIh5Zsgl0xjUPhNEDOiNQFVwNMX4CqOKZRpDdZcEMUkFOjsVYgClDoC7zzPJ-rR9t50YbdY_29wse_9ozdlY4t7M999YCB5wb9NuEsx5-Rbs0nd2qatwWB28Zt9_IU82duPy7Vvnrkp76J_mfRVHmJ6tcx_kFuwqQ</recordid><startdate>19920701</startdate><enddate>19920701</enddate><creator>Ferguson, Alan G.</creator><general>The Population Council</general><general>John Wiley & Sons, Inc</general><general>Population Council</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>HFIND</scope><scope>IZSXY</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>7QJ</scope><scope>7ST</scope><scope>7U3</scope><scope>7U4</scope><scope>7U6</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>C1K</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>WZK</scope><scope>SOI</scope><scope>7X8</scope></search><sort><creationdate>19920701</creationdate><title>Fertility and Contraceptive Adoption and Discontinuation in Rural Kenya</title><author>Ferguson, Alan G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-633d506891d5b07cf2fb2238082301e914cac02ad3531673d4effac690cae7933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adult</topic><topic>Amenorrhea</topic><topic>Birth control</topic><topic>Birth intervals</topic><topic>Causes of</topic><topic>Contraception</topic><topic>Contraception - 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Academic</collection><jtitle>Studies in family planning</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferguson, Alan G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fertility and Contraceptive Adoption and Discontinuation in Rural Kenya</atitle><jtitle>Studies in family planning</jtitle><addtitle>Stud Fam Plann</addtitle><date>1992-07-01</date><risdate>1992</risdate><volume>23</volume><issue>4</issue><spage>257</spage><epage>267</epage><pages>257-267</pages><issn>0039-3665</issn><eissn>1728-4465</eissn><coden>SFPLA3</coden><abstract>After a long period of slow progress, the recent uptake of contraceptive use in Kenya has been dramatic. This report describes adoption of a method and method switching and discontinuation among a cohort of married women aged 25-34 in two contrasting rural areas. A retrospective "fertility diary" completed by each woman provided information on spousal separation, reproductive status, and contraceptive use over a period of 46-48 months. Contraceptive prevalence rose rapidly over the period in both areas, with significant net adoption of injectables in both areas and of IUDs in one only. Method discontinuation was concentrated among users of pills, barrier methods, and "natural" methods, and only one-third of all discontinuations were voluntary. The wide differences between the two rural areas in contraceptive prevalence were not totally reflected in recent fertility levels, and the contribution of other proximate determinants of fertility, particularly postpartum amenorrhea and spousal separation, are discussed.</abstract><cop>United States</cop><pub>The Population Council</pub><pmid>1412598</pmid><doi>10.2307/1966887</doi><tpages>11</tpages></addata></record> |
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| identifier | ISSN: 0039-3665 |
| ispartof | Studies in family planning, 1992-07, Vol.23 (4), p.257-267 |
| issn | 0039-3665 1728-4465 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_73263377 |
| source | MEDLINE; Sociological Abstracts; Periodicals Index Online; Applied Social Sciences Index & Abstracts (ASSIA); Jstor Complete Legacy |
| subjects | Adult Amenorrhea Birth control Birth intervals Causes of Contraception Contraception - methods Contraception - utilization Contraception Behavior Contraceptives Family planning Female Fertility Gender equality Humans Injectable contraceptives Intrauterine devices Kenya Marriage Oral contraceptives Parity Patient Acceptance of Health Care Patient Dropouts - psychology Population Pregnancy Retrospective Studies Rural areas Rural Population Seasons Social aspects Social research Use Women Women - psychology |
| title | Fertility and Contraceptive Adoption and Discontinuation in Rural Kenya |
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