Factors associated with utilisation of long term family planing among women of reproductive age 15-49 years in Kamwenge District-Uganda.
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Introduction Uganda is one of the countries in the world that still has a high rate of total fertility currently standing at 5.4% mainly due to a very low contraceptive prevalence rate of 30%. Long term family planning methods are believed to have the highest potential in reducing the unintended pregnancies with a 99% effective strategy to reverse undesirable maternal consequences. In Kamwenge district utilization of long-term family planning methods use among women aged 15 49 is low. Objectives The study aimed at determining the proportion of women using long term family planning methods and associated factors in addition to exploring barriers and experiences of use of these methods in Kamwenge district. Methods: This was a cross section study conducted among 211 women of reproductive age in Kamwenge district using both quantitative and qualitative data collection methods. Pretested semi-structured questionnaire was used to collect quantitative data while in-depth and key Informant interview guides were used to collect qualitative data. Quantitative data was analyzed using STATA 13.0 to generate the frequencies, percentages and proportions for prevalence of utilization. Modified Poisson regression analysis was done at univariate, bivariate and multivariable levels to generate proportions, prevalence ratios, 95% confidence interval and p values which were presented in tabular format. Results A total of 211 women were interviewed, majority 47.9% (101/211) were aged 25-34 years, 50.71% (107/211) lived in rural areas and 64.5% (136/211) were in a relationship. The findings showed that 24 % (51/211) of women used LTFP. Barriers associated with utilization of LTFP methods were marital status (in relationship) PR=1.28; 95% CI (1.06-1.54) P-value <0.009, marital status (married) at PR=1.31 95%CI 1.01-1.68 P-value 0.039 decision making (woman herself) at PR=0.78 95% CI 0.65-0.93, p-value 0.006, and place of residence (rural) PR=0.80 95%CI 0.69-0.93 P-value 0.004 Conclusion Utilization of LTFP methods was low in Kamwenge district. Marital status (marrieds and in relationship/cohabiting) were positively associated to use of LTFP, residence (rural) and the decision maker in the home (myself) were negative factors associated with LTFP use. This study suggests a need to strengthen women education about LTFP methods to increase use and integrating husbands in decision making