| dc.description.abstract | Abstract
This study was necessitated by the lack of baseline information regarding some factors
associated with contraception since most information obtained is either out dated, is on subsets
of the population or not tested critically examined in previous studies. This study was aimed at
providing information regarding contraceptive usage based on a selected background
characteristics as well as reproduction characteristics. Age group, marital status, religion and
education level were the background characteristics selected whereas reproduction
characteristics involved age at first pregnancy, parity, early pregnancy loss as well as stillbirths.
Women of reproductive ages 15- 49 years from the major urban areas of Kenya- Nairobi,
Mombasa and Kisumu were observed with data from the Kenya Urban Reproductive Health
Initiative survey of 2010 to provide baseline information. A bivariate analysis was carried out for
each of the variables with respect to contraceptive usage. Significant variables that made it to the
logistic regression model were seven- still births did not. This model was later compared with
other models to ensure that the best model was fit. This was done using stepwise selection of
variables procedure. The binary logistic model fit revealed that current contraceptive usage is
high (68%). Women who had their first pregnancies after the age of 20 years were more likely
users of contraceptives when compared with those who had them in their teenage. Women with
five children had increased odds of contraceptive usage than those without (OR=15, p=O.OOO).
Early pregnancy loss sufferers had a reduced odds of contraceptive usage compared with those
never had (OR=O.77, p=0.04). There is need to breakdown early pregnancy loss to examine it as
miscarriages and abortions separately and their effect on contraceptive usage. The need to
examine how early pregnancy loss and stillbirths differed in terms of contraceptive usage within
the larger. There is need to examine parity controlled for desire for more children with respect to
contraceptive usage. | en_US |
