{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T19:01:21Z","timestamp":1791140481373,"version":"4.1.0"},"reference-count":70,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Center for International Reproductive Health Training at University of Michigan"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Postpartum women worldwide, despite wishing to delay or avoid pregnancies, often resume sexual activity without family planning, contributing to 121 million unintended pregnancies annually, particularly in sub-Saharan Africa. Postpartum family planning (PPFP) can prevent 71% of unintended pregnancies and reduce maternal and neonatal morbidity and mortality. However, uptake in Uganda is low, at 35%, and data on its use are scarce. Sociocultural barriers, limited access to quality healthcare, and systemic inequities further hinder uptake.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To assess the level of utilization of PPFP and the contributing factors among postpartum women attending health facilities in a rural district of Northern Uganda.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A descriptive cross-sectional study was conducted among 483 women within 12-month postpartum, recruited from 5 randomly selected health facilities between October and November 2022. Quantitative data were collected using interviewer-administered questionnaires. Data were analyzed using STATA version 17.0, with descriptive statistics and multivariate logistic regression performed at a 95% confidence interval (CI) to identify predictors of PPFP utilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The utilization of PPFP was 41.61% (95% CI: 37.17\u201346.15). Independent predictors or contributing factors to PPFP utilization included education level (primary\u2014adjusted prevalence ratio (APR): 0.753; 95% CI: 0.641\u20130.883;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009&lt;0.001), partner\u2019s age (APR: 1.203; 95% CI: 1.004\u20131.443;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.05), parity (APR: 0.755; 95% CI: 0.635\u20130.897;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.001), uncertainty about timing for next pregnancy (APR: 1.994; 95% CI: 1.09\u20133.646;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.03), and advice from friends about PPFP methods (APR: 1.358; 95% CI: 1.171\u20131.575;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009&lt;0.001).\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057251374890","type":"journal-article","created":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T10:00:42Z","timestamp":1758362442000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Utilization of postpartum family planning and associated factors among postpartum women attending five healthcare facilities in a rural district in Northern Uganda"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1130-1880","authenticated-orcid":false,"given":"Emmanuel","family":"Madira","sequence":"first","affiliation":[{"name":"Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Grace","family":"Auma","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0481-2220","authenticated-orcid":false,"given":"Amir","family":"Kabunga","sequence":"additional","affiliation":[{"name":"Department of Psychology and Community Psychotherapy, Faculty of Medicine, Lira University, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Goretti","family":"Asiimwe","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Acobi","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth","family":"Namukwana","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald","family":"Izaruku","sequence":"additional","affiliation":[{"name":"Department of Commerce and Business Management, Faculty of Management Science, Lira University, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicky Caroline","family":"Acayo","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter Paul","family":"Opio","sequence":"additional","affiliation":[{"name":"Department of Commerce and Business Management, Faculty of Management Science, Lira University, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dokotum Okaka","family":"Opio","sequence":"additional","affiliation":[{"name":"Department of Administration, Lira University, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,20]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.4103\/njcp.njcp_76_20"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(20)30315-6"},{"key":"e_1_3_3_4_2","doi-asserted-by":"crossref","unstructured":"Adjorlolo PK Akorli VV Adjorlolo S et al. 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