Pattern and Predictors of Post-partum Contraception in a Slum Population of a District of Odisha, India: A Cross Sectional Study

Abstract Objective: To assess the prevalence, pattern and predictors of post-partum contraceptive use amongst married women in a slum population of Cuttack, Odisha, India. Materials and Methods: A cross-sectional study was conducted amongst post-partum women residing in a slum of Cuttack city, Odisha, between September 2022 and August 2023. Data were collected using a pre-tested, semi-structured questionnaire through house-to-house visits. Results: Only 29.5% reported contraceptive use. The most common method was condoms (10.1%), followed by post-partum intrauterine contraceptive devices (9.3%). Other methods were less commonly used. Factors significantly associated with contraceptive uptake included higher husband’s education level, female employment status, antenatal care at a government facility, institutional delivery in a government hospital and contraceptive counselling during delivery. Conclusion: Despite government initiatives, Post-partum contraception (PPC) uptake remains suboptimal in slums. Strengthening facility-based counselling, promoting male involvement and involving the private sectors can enhance contraceptive use.