The study aimed to investigate how to improve access to family planning and address the unmet contraceptive need in postpartum women by determining contraceptive implant uptake predictors in the immediate postpartum period.

A descriptive cross-sectional study was conducted among women who had given birth up to 6 d earlier at the Riley Mother and Baby Hospital, part of the Moi Teaching and Referral Hospital in Kenya. Participants were systematically sampled and data collected using pre-tested interviewer-administered questionnaires. Statistical analyses were performed to determine associations between variables.

The study comprised 353 women. More than 76% had received secondary education or above; 9% were HIV-positive. Most had heard of the contraceptive implant, and almost half had ever used it before their current pregnancy. Older women had reached their desired family size, those who had planned for the current pregnancy, those who had used the implant before, and those who were HIV-positive were more likely to agree to use the contraceptive implant.

Older age, family size achievement, previous use of the same method, HIV positivity, and planned pregnancy positively predicted contraceptive implant uptake.