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World Health Organization. 2008. Integrated health services—What and why? Retrieved from Geneva: xxxx://xxx.xxx.xxx/healthsystems/technical_brief_final.pdf World Health Organization. (2011). UNFPA and World Bank (2010) Trends in Maternal Mortality: 1990–2008; Estimates developed by the WHO, UNICEF: UNFPA and World Bank. Available: xxxx://xxxxxxxxx.xxx. int/publications/2010/9789241500265_eng. pdf. World Health Organization. (2014). Alliance for Health Policy and Systems Research. Retrieved from xxxx://xxx.xxx.xxx/alliance-hpsr/en/ World Health Organization. (2015). Togo: WHO statistical profile. Retrieved from Geneva: xxxx://xxx.xxx.xxx/gho/countries/tgo.pdf?ua=1 The health benefits of spacing births greater than 24 months apart and the use of postpartum family planning have been well established. Using the 2013/14 Togo Demographic and Health Survey (DHS) data, we examine the association of modern contraceptive use for women who gave birth within 24 months of the DHS survey and four health service use indicators – antenatal care, institutional delivery, postpartum care, and immunization of the last child in addition to socio-demographic factors. Factors which were found to be associated with modern contraceptive use in postpartum women in Togo included having their last birth in a health facility, having a postnatal check within two months of birth, the youngest child having received the first DPT vaccine, wanting to space children more than two years from last birth or not have more children, not living in the Savanes region, husband’s desire for number of children agreeing with the woman’s, and increasing breastfeeding duration. These findings highlight the need for programming which specifically strengthens the integration of contraception into reproductive and immunization services in Togo.
