Association of Partner Support and Partner Communication with Provider Prescribed Contraceptive Method Use among Heterosexual Couples in Kisumu, Kenya

Virginia Mason, Fredrick Otieno, Finch Odhiambo, Olivia R. Sappenfield, Supriya D. Mehta


We explored partner support and communication factors associated with provider prescribed contraceptive (PPC) use to inform contraception interventions among heterosexual couples in Kenya. From April 2014 through September 2016, 252 community recruited couples in Kisumu, Kenya, were enrolled. Men and women were surveyed separately and asked about communication regarding sexual/reproductive health and relationship characteristics. PPC use was defined as female reported use of pills, injection, implant, IUD, or tubal ligation. Multivariable Poisson regression with robust variance estimate was used to identify factors associated with PPC. In multivariable modeling, women who reported discussing the future of their relationship with their partner were 2.46 (95% CI: 1.13-5.36) times more likely, and men who reported discussing condom use were 0.83 (95% CI: 0.72-0.95) time less likely, to report PPC use. These findings call for greater attention to involving male partners, incorporating communication skills, and relationship characteristics into interventions in our and similar settings. (Afr J Reprod Health 2020; 24[2]: 40-47).

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Kenya Exceeds Contraceptive Use Target | FIGO. n.d.

Retrieved February 23, 2019, from

Olakunde BO, Sam-Agudu NA, Patel TY, Hunt AT,

Buffington AM, Phebus TD, Onwasigwe E and Ezeanolue EE. Uptake of permanent contraception among women in sub-Saharan Africa: a literature review of barriers and facilitators. Contraception 2019; 99(4): 205-211. doi: 10.1016/j.contraception.2018.12.007

Nii-Amoo Dodoo F. Men Matter: Additive and

interactive gendered preferences and reproductive health behavior in Kenya. Demography 1998; 35(2), 229-242.

Ezeanolue EE, Iwelunmor J, Asaolu I, Obiefune MC,

Ezeanolue C, Osuji A, Ogidi A, Hunt A, Patel D, Yang W and Ehiri J. Impact of male partner’s awareness and support for contraceptives on female intent to use contraceptives in southeast Nigeria. BMC Public Health 2015; 15(1), 879–884.

Mohammed A, Woldeyohannes D, Feleke A and

Megabiaw B. Determinants of modern contraceptive utilization among married women in reproductive age group in North Shoa Zone, Amhara Region, Ethiopia. Reproductive Health 2014; 11(13), doi:

Prata N, Bell S, Fraser A, Carvalho A, Neves I and Nieto-

Andrade B. Partner support for family planning and modern contraceptive use in Luanda, Angola. African Journal of Reproductive Health 2017; 21(2), 35-48. Retrieved from

Yadav K, Singh B and Goswami K. Agreement and

concordance regarding reproductive intentions and contraception between husbands and wives in rural Ballabgarh, India. Indian J Community Med 2010; 35(1), 19-23. Retrieved from;year=2010;volume=35;issue=1;spage=19;epage=23;aulast=Yadav

Tumlinson K, Speizer I, Davis J, Fotso JC, Kuria P and

Archer L. Partner Communication, Discordant Fertility Goals, and Contraceptive Use in Urban Kenya. African Journal of Reproductive Health / La Revue Africaine De La Santé Reproductive 2013; 17(3), 79-90. Retrieved from

World Contraception Day Celebration at Kisumu County

– Global Reproductive Health at Duke. n.d. Retrieved June 9, 2019, from

Kenya Demographic and Health Survey (Rep.). 2015.

Retrieved from

Mehta SD, Nordgren RK, Agingu W, Otieno F, Odongo

W, Odhiambo F and Bailey R. Sexual quality of life and association with HIV and STIs among a cohort of heterosexual couples in Kenya. Journal of Sexual Medicine 2018; 15(10), 1446–1455.

Yue K, O’Donnell C and Sparks P. The effect of spousal

communication on contraceptive us in Central Terai, Nepal. Patient Education and Counseling 2010; 81 (3), 402-408.

Anguzu R., Twekeyo R, Sekandi J., Zalwango V,

Muhumuza C, Tusiime S and Serwadda D. Knowledge and attitudes towards use of long acting reversible contraceptives among women of reproductive age in Lubaga division, Kampala district, Uganda. BMC Research Notes 2014; 7 (153), doi:

Beson P, Appiah R and Adomah-Afari A. Modern

contraceptive use among reproductive-aged women in Ghana: Prevalence, predictors, and policy implications. BMC Women's Health 2018; 18(157). 6-8. doi:

Frances Osei I, Harding Mayhew S, Biekro L,

Collumbien M and ECAF Team. Fertility Decisions and Contraceptive Use at Different Stages of Relationships: Windows of Risk Among Men and Women in Accra. International Perspective on Sexual Health 2014; 40 (3), 135-143.

Shakya HB, Dasgupta A, Ghule M, Battala M, Saggurti

N, Donta B, Nair S and Raj A. Spousal discordance on reports of contraceptive communication, contraceptive use, and ideal family size in rural India: A cross-sectional study. BMC Women's Health 2018; 18 doi:

Shattuck D, Kerner B, Gilles K, Hartmann M, Ng’ombe

T and Guest G. Encouraging Contraceptive Uptake by Motivating Men to Communicate About Family Planning: The Malawi Male Project. American Journal of Public Health 2011; 101 (6), 1089-95. Retrieved from


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