Factors Affecting the Use of Contraceptive Methods Among Childbearing Women Attending Obstetric and Gynecology Clinics in Kiryandongo District Hospital, Kiryandongo, Uganda

TABLE OF CONTENTS DECLARATION......................................................................................................................................... II

APPROVAL ............................................................................................................................................... III

DEDICATION............................................................................................................................................ IV

ACKNOWLEDGENT ................................................................................................................................ V

LIST OF TABLES ..................................................................................................................................... IX

LIST OF FIGURES .................................................................................................................................... X

LIST OF ABBREVIATIONS ................................................................................................................... XI

OPERATIONAL DEFINITIONS ........................................................................................................... XII

ABSTRACT .............................................................................................................................................. XIII

CHAPTER ONE ......................................................................................................................................... 1

INTRODUCTION ....................................................................................................................................... 1

1.1 Background ................................................................................................................................... 1

1.1.1 Conceptual Framework ............................................................................................................. 3

1.2 STATEMENT OF THE PROBLEM .......................................................................................... 4

1.3 RESEARCH OBJECTIVES ........................................................................................................ 5

1.3.1 General objective ....................................................................................................................... 5

1.3.2 Specific objectives ...................................................................................................................... 5

1.4 RESEARCH QUESTIONS .......................................................................................................... 5

1.5 SIGNIFICANCE OF THE STUDY ............................................................................................. 5

CHAPTER TWO ........................................................................................................................................ 6

LITERATURE REVIEW .......................................................................................................................... 6

2.1 THE LEVEL OF AWARENESS AND KNOWLEDGE ABOUT CONTRACEPTION USE AMONG CHILDBEARING WOMEN. ............................................................................................ 6

2.2 DEMOGRAPHIC FACTORS INFLUENCING CONTRACEPTIVE USE AMONG CHILDBEARING WOMEN. ............................................................................................................ 7

VII

2.3 PYSCHOSOCIAL FACTORS INFLUENCING CONTRACEPTIVE USE AMONG CHILDBEARING WOMEN. ............................................................................................................ 8

CHAPTER THREE .................................................................................................................................. 10

METHODOLOGY ................................................................................................................................... 10

3.1 STUDY DESIGN ......................................................................................................................... 10

3.2 STUDY AREA ............................................................................................................................. 10

3.3 STUDY POPULATION ............................................................................................................. 10

3.4 SAMPLE SIZE ESTIMATION ................................................................................................. 10

3.5 SAMPLING METHOD .............................................................................................................. 10

3.6 INCLUSION AND EXCLUSION CRITERIA ......................................................................... 11

3.6.1 INCLUSION CRITERIA. ....................................................................................................... 11

3.6.2 EXCLUSION CRITERIA. ...................................................................................................... 11

3.7 TOOLS FOR DATA COLLECTION ....................................................................................... 11

3.8 DATA QUALITY CONTROL .................................................................................................. 11

3.9 DATA ANALYSIS AND PRESENTATION ............................................................................ 11

3.10 ETHICAL CONSIDERATION ............................................................................................... 11

3.10.1 INSTITUTIONAL CONSENT ............................................................................................. 11

3.10.2 INFORMED CONSENT ....................................................................................................... 11

3.10.3 CONFIDENTIALITY AND ANONYMITY ....................................................................... 12

3.11 STUDY LIMITATIONS AND DELIMITATIONS ............................................................... 12

CHAPTER FOUR ..................................................................................................................................... 13

RESULTS .................................................................................................................................................. 13

4.1 Demographic Parameters. .............................................................................................................. 13

4.2 LEVEL OF AWARENESS AND KNOWLEDGE ASSESSMENT ....................................... 16

4.3 ATTITUDE, PRACTICE AND OTHER QUESTIONS ON THE USE OF CONTRACEPTION. ........................................................................................................................ 17

VIII

4.5 PSYCHOSOCIAL FACTORS ................................................................................................... 21

CHAPTER FIVE ...................................................................................................................................... 22

DISCUSSION, CONCLUSION AND RECOMMENDATION ............................................................ 22

5.1 DISCUSION .................................................................................................................................... 22

5.2 CONCLUSION ........................................................................................................................... 25

5.3 RECOMMENDATION .............................................................................................................. 26

REFERENCES .......................................................................................................................................... 27

APPENDIX I: MORGAN’S TABLE ...................................................................................................... 29

APPENDIX II:   PARTICIPANT CONSENT FORM .......................................................................... 30

CONSENT FORM .................................................................................................................................... 30

APPENDIX III: QUESTIONNAIRE ...................................................................................................... 31

APPENDIX IV: MAP OF UGANDA ...................................................................................................... 35

APPENDIX V: MAP OF KIRYANDONGO. ......................................................................................... 36

ABSTRACT BACKGROUND: Of the16.7 million undesired pregnancies occurring annually in 35 countries, 15 million could have been prevented with the optimal use of modern methods of contraception. (Bellizzi et al., 2015). In Uganda; 28 percent of currently married women and 32% sexually active unmarried women have an unmet need for family planning services (Uganda Demographic and Health Survey 2016). This study aimed at assessing the factors affecting contraceptive use among women attending obstetrics and gynecology clinics in kiryandongo hospital.

METHODOLOGY: This was a descriptive cross sectional study, the study population was women attending obstetrics and gynecology clinics in Kiryandongo hospital, and a total sample size of 100 women was used. A convenience sampling technique was used.

RESULTS: Out of the women that participated in the research, 84% of women had knowledge about family planning, 68% of these women were using contraceptives and the commonest family planning method was injectable (54%). The major reason for not using contraception was partner’s disapproval (28%), others included; religious (11%) and cultural disapproval (10%), fear of side effects (13%), wrong perception that it led to some disease conditions (25%), some wanted to have more children (13%) and others their partners do not support it (28%). The distance of the family planning clinic was far for majority of the women (70%) as they incurred a lot of costs to reach the facility. The women had good psychosocial beliefs as 42% strongly disagreed with having children as a sign of respect and 48% disagreed with having many children as guarantee for generational continuity. Some weaknesses were observed with family planning services as majority of the women (42%) mentioned poor client handling, (25%) mentioned shortage of skilled man power, poor outreach and awareness to the community (18%).