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Table 2 Contraceptive use and need for postpartum family planning

From: A systematic review and meta-analysis of postpartum contraceptive use among women in low- and middle-income countries

Country, Year published [Reference]

N

mCPR (95% CI)

Share of modern contraceptive method-mix used postpartum (%)Φ

Fertility intention & Unmet need (%)

Low mCPR (< 20%)

 Ethiopia, 2015 [43]

899

10.3

Injectables (77.1), IUD (16.6)

OCP (3.1), Implant (2.1), Condom (1.1)

Desire to space (7.1), Desire to limit (3.1), Unmet need (10.2)e

 Kenya, 2013 [42]

671

–

Injectables (36.4), Implant (30.1)

LNG-IUS (16.2), POP (14.7), IUD (2.6)

Desire to limit (25.5)

Unmet need (42.3)f

Moderate mCPR (20–40%)

 Niger, 2013 [51]

673

25.0

Among lactating womena

Modern methods (25.0)b

Sterilizations (23.0)

–

 Ghana, 2017 [54]

 

25.5

Injectables (41.6), OCPs (15.1)

Condoms (15.1), Implants (9.4)

IUDs (9.4), Sterilization (9.4)

–

 21 LMIC, 2015 [16]

–

27.0

Short-acting methods (51.0–96.0)b

Desire to space (37.0), Desire to limit (25.0), Unmet need (62.0)e

 Nigeria, 2005 [41]

256

29.7

Condoms (42.1), IUCD (35.5)

Pills (9.2), Injectables (9.2), Sterilization (4.0)

Unmet need (59.4)e

 27 countries, 2001 [9]

 

30.0

Pills (mainly in 0–6 months)b

Desire to space (39.1), Desire to limit (25.5), Unmet need (64.6% across countries)e

 Tanzania, 2015 [50]

5284

34.0

Injectables (35.3), Condoms (29.4)

OCP (20.6), Dual method (14.7)

Desire to space (11.0), Desire to limit (27.0), Unmet need (38.0)e

 India, 2014 [48]

1049

33.6

Condoms (80.3), OCP (11.5)

IUD (5.1), Sterilization (2.5), ECP (0.6)

–

 Nigeria, 2013 [63]

108c

35.4

Condoms (51.4), IUD (31.5), OCP (11.4), Injectables (5.7)

–

 India, 2016 [13]

117

36.0f

IUCD (28.6), POP (14.2), Injectables (7.1)

Unmet need (25.6)f

 Kenya, 2011 [17]

2264

36.0

–

Unmet need (59.0)e

High mCPR (> 40%)

 Indonesia, 2010 [38]

1528

40.5

Injectables (52.6), Implants (28.7)

IUD (9.5), OCPs (5.3), Sterilization (3.9)

Unmet need (41.0)e

 Nigeria, 2018 [53]

 

41.6

Injectables (34.8), OCPs (21.2), IUDs (11.3), Condoms (6.8), Sterilization (3.0)

–

 Kenya, 2011 [17]

2994

43.2

Injectables (48.0), Pills (22.0)

Condoms (6.0)

Desire to limit (32.2)

 India, 2016 [14]

178

44.0

IUD, POP, Injectablesb

–

 Nigeria, 2016 [62]

2924

47.6g

Injectables (45.9), IUDs (36.8), OCP (12.7)

–

 Ethiopia, 2017 [11]

590

48.0 (43.9–52.2)

Injectables (59.7), Implants (24.7)

Pills (12.0)

Desire to space (67.1), Desire to limit (14.7)

 Ethiopia, 2015 [10]

703

48.4 (44.5–52.1)

Injectables (68.5), OCPs (16.8)

Desire to space (51.1), Desire to limit (46.1)

 Kenya, 2015 [35]

3579

49.0- in 6 months

60.0- in 12 months

(Injectables, Pills)b, Condoms (6.0)

Desire to limit (32.1)

 Malawi, 2014 [36]

634

–

Methods planned a

Implant (67.0), Condom (42.0), Injectables (38.0)

Desire to limit (97.0)

 Indonesia, 2017 [49]

 

50

Injectables (71.2), OCPs (8.8)

IUDs (5.9), Implants (3.5)

Sterilization (5.3)

Unmet need (47)

 Kenya, 2017 [55]

955

59

Injectables (64.4), Implants (16.9)

OCPs (10.2), IUDs (3.4), Condoms (3.4), Sterilization (1.7)

Unmet need (34)

 Sri Lanka, 2017 [56]

1112

64.5

Condoms (30.9), IUDs (27.2)

Injectables (23.3), OCPs (0.8)

–

 Ethiopia, 2017 [59]

605

68.1 (64.4–71.8)

Injectables (58.8), Implants (31.8)

Pills (4.9), IUDs (3.4), Sterilization (0.1)

 

 Kenya, 2007 [58]

319d

72.0e

Condoms (65.0)a, OCPs (31.0) Injectables (44.0), Switched methods (25)

–

5 LMIC, 2015 [8]

36, 687

Zambia (73.5), India (65.5), Pakistan (4.0)

OCP or injectables (> 90), LARC (3.0–10.0)b

Unmet need (25.0–96.0)e

 Ethiopia, 2018 [60]

 

80.3 (74.5–83.1)#

Injectables (34.2), OCPs (22.2)

Implants (27.3), IUDs (7), Condoms (2.1)

 

 Egypt, 2018 [45]

1500

80.7

–

Unmet need (16.3)

  1. Note: CI confidence interval, ECP emergency contraceptive pill, IUD intrauterine device, mCPR modern contraceptive prevalence rate, LAM lactational amenorrhea method, LNG IUS Levonorgestrel intrauterine system, LMIC low –and middle-income countries, OCP oral contraceptive pill, POP progesterone only pills
  2. aMutually not exclusive bDisaggregated data not available cContraceptive prevalence rate
  3. d% may not add up to 100% as we only report methods in the review that were included in the study ‘-‘Indicates no data available
  4. eProspective definition (women not using modern contraceptives but wanting to space or limit pregnancy)
  5. fRetrospective definition (women did not plan to become pregnant with prior pregnancy but did not use modern contraceptives)
  6. gPostnatal counseling group; hHIV-1 seropositive women; i Hormonal contraceptive users; j Pre-counseling group; k Breastfeeding group