Meeting postpartum women’s family planning needs through integrated family planning and immunization services: Results of a cluster-randomized controlled trial in Rwanda

This study demonstrated that integrating contraceptive services into infant immunization services was effective, acceptable and feasible without negatively affecting immunization uptake in the study region in Rwanda. Yet, unmet contraceptive need remained high, and a substantial number of women six months or more postpartum were awaiting return of menses before initiating a method. The authors recommend more effort to educate women about postpartum return to fertility and to encourage effective contraception use for those desiring to space or limit pregnancy.