Determinants Impacting the Use of Family Planning Services in Fort Portal Regional Referral Hospital, Kabarole District, Western Uganda

Emmanuel Kirule Ssegawa
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Abstract

This study aimed to explore the factors influencing the utilization of family planning services among women of reproductive age at Fort Portal Regional Referral Hospital in Kabarole, Uganda. Employing a descriptive cross-sectional hospital-based design and a simple random sampling technique, 174 women in the reproductive age group were included in the study. Self-administered questionnaires were utilized for data collection, which was then coded, entered, and analyzed using IBM SPSS version 20. The results were presented in frequency and percentage charts and tables, accompanied by Pvalues, odds ratios, and their respective confidence intervals where relevant. The findings revealed that 44.91% of participants at Fort Portal Regional Referral Hospital in Western Uganda used contraceptives. Among them, 66.7% discussed contraceptives with their partners, while 51.1% opted for a specific contraceptive method during their last sexual encounter prior to the study. Interestingly, 35.1% considered condoms to be the most effective form of contraception, followed by implanon and oral pills at 14.9% and 14.4%, respectively. Safe days/withdrawal and injectable contraceptives were perceived as the least effective at 10.9% each. Accessibility and availability were cited as primary reasons for contraceptive choice by 21.8% of respondents, followed by safety with fewer side effects (16.1%), ease of use (6.3%), and affordability (5.2%). Household size, with the majority having 1-5 members (36.8%), and the number of children under five in the family (45.4% with 1-5 children) were notable demographic factors influencing family planning choices. However, the study highlighted a low level of family planning utilization (44.9%) among women at Fort Portal Regional Referral Hospital, predominantly favoring male condoms (40.7%). This utilization was significantly affected by socio-demographic factors such as marital status, place of residence, occupation, and income levels. Furthermore, the type, duration, frequency, availability, accessibility, affordability, and perceived side effects or effectiveness of contraceptives significantly influenced the likelihood of family planning utilization. Keywords: associated factors, utilisation, family planning, women
影响乌干达西部卡巴罗莱区波特尔堡地区转诊医院使用计划生育服务的决定因素
本研究旨在探讨影响乌干达卡巴罗莱波特尔堡地区转诊医院育龄妇女利用计划生育服务的因素。研究采用了医院横断面描述性设计和简单随机抽样技术,共纳入了 174 名育龄妇女。研究采用自填式问卷收集数据,然后使用 IBM SPSS 20 版对数据进行编码、输入和分析。研究结果以频率和百分比图表的形式呈现,并附有相关的 P 值、几率比和各自的置信区间。研究结果表明,在乌干达西部的波特尔堡地区转诊医院,44.91% 的参与者使用避孕药具。其中,66.7%的人与伴侣讨论过避孕措施,51.1%的人在研究前的最后一次性接触中选择了特定的避孕方法。有趣的是,35.1% 的人认为避孕套是最有效的避孕方法,其次是安非他酮和口服避孕药,分别占 14.9% 和 14.4%。安全日/体外射精和注射避孕药被认为是最不有效的,各占 10.9%。21.8%的受访者认为可获得性和可用性是选择避孕药具的主要原因,其次是安全且副作用较少(16.1%)、易于使用(6.3%)和经济实惠(5.2%)。家庭规模(1-5 人的家庭占大多数,占 36.8%)和家庭中 5 岁以下儿童的数量(45.4% 的家庭有 1-5 名儿童)是影响计划生育选择的显著人口因素。然而,研究结果表明,波尔图堡地区转诊医院的妇女计划生育使用率较低(44.9%),主要是使用男用避孕套(40.7%)。这种利用率明显受到社会人口因素的影响,如婚姻状况、居住地、职业和收入水平。此外,避孕药具的类型、持续时间、频率、可用性、可获得性、可负担性、副作用或有效性也对计划生育利用的可能性有很大影响。关键词:相关因素、利用率、计划生育、妇女
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