Table of Contents
DECLARATION ............................................................................................................................. i
APPROVAL ................................................................................................................................... ii
ACKNOWLEDGEMENT.............................................................................................................iii
DEDICATION............................................................................................................................... iv
Table of Contents............................................................................................................................ v
LIST OF FIGURES AND TABLES............................................................................................. vii
LIST OF ABBREVIATIONS......................................................................................................viii
ABSTRACT................................................................................................................................... ix
CHAPTER ONE: INTRODUCTION............................................................................................ 1
1.0 Introduction ........................................................................................................................... 1
1.1 Problem statement................................................................................................................. 2
1.2 Objectives of the study.......................................................................................................... 3
1.2.1 General objective................................................................................................................ 3
1.2.2 Specific objective ............................................................................................................... 3
1.3 Research questions................................................................................................................ 3
1.4 Justification of the study ....................................................................................................... 3
1.5: Study scope .......................................................................................................................... 4
1.5.1: Geographical scope ........................................................................................................... 4
1.5.2: Content scope .................................................................................................................... 4
1.5.3: Time scope ........................................................................................................................ 4
1.6 Conceptual framework of factors influencing use of LACMs.............................................. 5
CHAPTER TWO: LITERATURE REVIEW................................................................................. 6
2.1 Overview ............................................................................................................................... 6
2.2 Factors influencing use of Long Acting Contraceptive Use ................................................. 6
CHAPTER THREE: METHODOLOGY ....................................................................................... 9
3.1 Study design .......................................................................................................................... 9
3.2 Study area.............................................................................................................................. 9
3.3 Study population ................................................................................................................... 9
3.3.1. Inclusion criteria................................................................................................................ 9
3.3.2. Exclusion criteria............................................................................................................... 9
vi
3.4. Sample size determination ................................................................................................... 9
3.5 Sampling technique ............................................................................................................... 9
3.6. Data collection methods..................................................................................................... 10
3.7. Data Processing and analysis ............................................................................................. 10
3.8 Quality control..................................................................................................................... 10
3.9. Ethical considerations ........................................................................................................ 10
3.10 Study Limitations.............................................................................................................. 10
CHAPTER FOUR......................................................................................................................... 11
RESULTS ..................................................................................................................................... 11
4.1 Demographic characteristics of respondents....................................................................... 11
4.2 Current contraceptive methods used ................................................................................... 12
4.3 Prevalence of long acting contraceptive methods (LACM)................................................ 13
4.4 Factors influencing utilization of long acting contraceptive methods ................................ 14
4.4.1 Relationship between demographic characteristics and use of LACM............................ 14
4.4.2 Relationship of LACM use and current number of children............................................ 15
4.4.3 Relationship of LACM use and discussion of FP with partner........................................ 15
CHAPTER FIVE .......................................................................................................................... 16
DISCUSSION, CONCLUSION AND RECOMMENDATIONS................................................ 16
5.1 Discussion ........................................................................................................................... 16
5.1.1 Prevalence of LACM use among women attending MCH clinic at JRRH...................... 16
5.1.2 Factors influencing use of LACM.................................................................................... 16
5.2 Conclusion........................................................................................................................... 17
5.3 Recommendation................................................................................................................. 17
APPENDICES .............................................................................................................................. 23
Appendix i: Consent form......................................................................................................... 23
Appendix ii: Questionnaire ....................................................................................................... 24
Appendix iii: Map of Uganda showing location of Jinja district .............................................. 28
ABSTRACT Background: Unintended pregnancy remains an alarming global public health concern with its subsequent socioeconomic impact on individuals, families, and the society. Over time the use of long acting contraceptive methods (LACMs) has not kept pace with that of short-acting methods such as oral contraceptives (pills) and injectable and reasons for their low uptake are not well known. Thus, the purpose of this study was to identify the level of utilization of LACM among women attending MCH clinic at Jinja regional referral hospital (JRRH) and factors that may influence the utilization of such contraceptive methods. Methods: A descriptive cross-sectional study design was used. A pretested questionnaire was used to collect data from 52 respondents. Collected data was entered into IBM SPSS 25.0 for data analysis. Chi square test was done to determine factors associated with use of LACM. Results were presented in tables and charts. Results: The mean age of the respondents was 27.6±4.8 (SD) years. The prevalence of LACM was 26.9%. Factors associated with use of LACMs were; the mother’s age ≥30 years and a current number of children ≥4. i.e (X2=11.47; p=0.001) and (X2=37.66; P=