Dainah Wanja Kariuki, Rosemary Kawira Kithuci, Caroline Kerubo Nyariki


Introduction: The unmet need for postpartum family planning (PPFP) during the first year after delivery in Kenya is unacceptably high at 68 percent. This exposes the postpartum mothers to high risk of unwanted and unintended pregnancies. The risk is even greater among the first time mothers who do not know what to expect after their first delivery. This paper presents the analysis of determinants of intention to use contraceptives in postpartum period among first time mothers in Nairobi.

Methods: A cross-sectional study was conducted in Pumwani Maternity Hospital, Nairobi in 2010. The study site was purposively selected. All (204) first time mothers who met the eligibility criteria were included in the study during the period of data collection. A researcher-administered questionnaire was used for data collection. Stata version 9 was used for data analysis, with Chi-square and Logistic regression model used for association and regression analysis.

Findings: It was found that education and marital status were predictors of these women’s intentions to uptake contraceptives after delivery.

Conclusion: Family planning programmes should give high priority to the first time mothers in order to encourage them uptake contraceptives as early as possible during their postpartum period.


Post-partum family planning; Unmet need; First time mothers; Determinants

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