Table 1

Service delivery outcomes and participant characteristics according to postpartum long-acting reversible contraceptive choice in Kigali, Rwanda, August 2017–October 2018 (among n=12 068 women who received our intervention and delivered at a study health facility)

ParameterPP implant
(n=1252)
PPIUD
(n=3372)
PP LARC promotions
 Promotions received per client (n) (mean, SD)*1.1 (0.4)1.1 (0.3)
 Insertions per month (n) (mean, SD)83.5 (51.9)224.8 (75.3)
LARC uptake 10.4%27.9%
LARC insertion timing
 Before leaving hospital53%91%
 ≤6 weeks PP47%9%
LARC recipients' demographics
 Age (mean, SD)27.0 (5.6)28.3 (6.0)
 Parity (mean, SD)2.3 (1.3)2.4 (1.5)
Insertion outcomes
 Women’s self-reported pain during insertion† (mean, SD)2.0 (2.6)1.8 (1.0)
 Women’s self-reported anxiety during insertion† (mean, SD)2.1 (2.6)1.7 (0.9)
 Provider self-reported ease-of-insertion‡ (mean, SD)9.9 (0.7)9.2 (1.0)
  • Continuous measures were normally distributed.

  • *Women who had already received a postpartum family planning method were not systematically counselled again (women who had received a method but expressed interest in receiving a different method could receive additional counselling on request but were not included in this calculation).

  • †Assessed on a 10-point Likert scale where 1=no anxiety/pain and 10=maximum anxiety/pain.

  • ‡Assessed on a 10-point Likert scale where 1=least amount of ease-of-insertion and 10=most ease.

  • LARC, long-acting reversible contraception; PP, postpartum; PPIUD, postpartum intrauterine device.