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The Role of Quality Health Services and Discussion about Birth Spacing in Postpartum Contraceptive Use in Sindh, Pakistan: A Multilevel Analysis

Journal Article
(Published October, 2015)
Tappis, H. (Author),
Kazi, A. (Author),
Hameed, W. (Author),
Dahar, Z. (Author),
Ali, A. (Author),
Agha, S. (Author)
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Data from a 2014 cross-sectional survey of 6,200 mothers in 503 communities in Sindh, Pakistan revealed only 27% of women, giving birth in two years before the study, reported using contraceptives with no difference between urban and rural women. Women delivering at a health facility had 1.4 times higher odds of contraceptive use than women who delivered at home. Those receiving information about birth spacing from a doctor or relatives/friends had 1.81 and 1.38 times higher odds of contraceptive use than those who did not. Communities where women received quality antenatal care and discussed birth spacing were significantly associated with contraceptive use. Community-wide poverty lowered contraceptive use.
Citation: 
Tappis H, Kazi A, Hameed W, Dahar Z, Ali A, Agha S (2015) The Role of Quality Health Services and Discussion about Birth Spacing in Postpartum Contraceptive Use in Sindh, Pakistan: A Multilevel Analysis. PLoS ONE 10(10)