Epidemiology International Journal (EIJ)
ISSN: 2639-2038
Research Article
Factors Affecting Utilization of Contraceptives among Women
Aged 15-24 Years Attending Fort Portal Regional Referral
Hospital, Fort Portal City, Uganda
Abstract
Background: Fertility regulation and pregnancy prevention among young women is one of the most important health care issues of the twenty-first century. This is because more than 16 million adolescent girls give birth every year worldwide and an additional 5 million have abortions and Sub Saharan Africa accounts for 50% of these births. As a result, the need for specially tailored child spacing programs for young women has come to the fore of reproductive health services.
Methods: Hospital-based cross-sectional study was conducted among women aged 15-24 years attending FRRH prevention from January to March 2021. Data were collected using structured researcher administered questionnaires. Descriptive analysis was used to present frequency and percentage of the main findings. The association between independent variables and determinants of contraceptive use was calculated using Pearson’s Chi square and p-values less than 0.05 were considered as statistically significant.
Results: A total of 418 young women aged 15-24 years participated in the study with a 100% response rate. Majority 76.6% were in age category 20-24 years, had attained secondary education 82.5%, were married 62.4%), had a single child 66.3%. Majority of the women felt that their income was not enough 84.2% even though 41.4% were employed. The prevalence of contraceptive use was 95.2%. Age of the women and the contraceptive of choice p=0.001, level of education and contraceptive methods p=0.001, marital status and contraceptive methods p=0.001, discussion with partner and contraceptive uptake p = 0.001, partner’s approval to family planning p = 0.001 and finally contraceptive method with religion p=0.001 were all significant factors of contraceptive use and when all confounders were controlled in a logistic regression model, the factors that remained significant were: The age of women, Level of education, Employment status, discussion with husband/partner on number of children to have and need to have another child. Conclusion: The prevalence of contraceptive use among women aged 15-24 years attending FRRH is higher than the national prevalence and surpasses the national set targets. This is significantly determined by age of the woman, level of education, income levels through employment and opinion of their partners
Keywords: Age of Women; Level of Education; Employment Status; Family Planning
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