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1. Description of traditional methods Traditional methods of fertility control include breastfeeding, abstinence during breastfeeding, withdrawal, sex without intercourse, periodic abstinence including various cultural practices as well as the calendar or rhythm method ; , and polygamy Howie, 1989 ; . These methods vary in effectiveness. The effectiveness of coitus interruptus withdrawal ; , for example, can be as high as 96% when performed consistently and correctly. Typical use, however, is much less effective 81% ; . Breastfeeding can provide 98% protection from pregnancy if the woman is still amenorrheic and fully breastfeeding and if the infant is under 6 months of age Hatcher, 1998 ; . 2. Trends in traditional method use Most of traditional method use in the Kenyan Demographic and Health Surveys is periodic abstinence 5.3% of all women ; . Withdrawal is the second most reported traditional method, but fewer women 0.4% ; use it. The percent of women using traditional methods declined from 8.5% of all women in the KDHS1989 to 5.2% of all women in the KDHS-1993. Subsequently, the percentages using traditional methods rebounded to 6.3% of all women in the KDHS-1998. The gain in traditional methods came from a decline in the percentage of nonusers. Traditional methods constitute a large but decreasing portion of the total method mix of contraceptive methods. In 1989, 36.6% of all users relied on traditional methods, but in 1998, only 21.1% did so KDHS-1989 and KDHS-1998 ; . If this trend continues, along with continued fertility decline trends, there will be around 519, 000 traditional method users in 2003. On the other hand, if fertility decline slows, but more users rely on long-term methods , there will be a slower increase in the number of traditional users. Both scenarios are presented in Table IX-1.

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