dc.description.abstract | 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 | en_US |