Assessment of Factors Affecting Family Planning Service Utilisation Among Women of Reproductive Age In Jinja Municipality

TABLE OF CONTENTS

Declaration....................................................................................................................................................ii

Approval ......................................................................................................................................................iii

Dedication....................................................................................................................................................iv

Acknowledgement ........................................................................................................................................v

Table of Contents.........................................................................................................................................vi

List of Tables.............................................................................................................................................viii

List of Figures............................................................................................................................................viii

Listof Abbreviations ....................................................................................................................................ix

Abstract.........................................................................................................................................................x

CHAPTER ONE...........................................................................................................................................1

BACKGROUND OF THE STUDY .............................................................................................................1

1.1 Introduction.............................................................................................................................................1

1.2 Problem Statement..................................................................................................................................4

1.3 Study Objectives.....................................................................................................................................4

1.3.1 General objectives................................................................................................................................4

1.3.2 Specific objectives...............................................................................................................................4

1.4 Research question .................................................................................................................................4

1.4.1 Hypothesis............................................................................................................................................4

1.5 Justification of the Study ........................................................................................................................4

1.6. Conceptual framework...........................................................................................................................5

CHAPTER TWO: LITERATURE REVIEW...............................................................................................6

2.0 Introduction.............................................................................................................................................6

2.1 Awareness of family planning methods..................................................................................................6

2.2 Factors Hindering Access to FP services................................................................................................7

2.2.1 Physical Accessibility of FP Services Centers.....................................................................................8

2.2.2 Availability of FP Services..................................................................................................................8

2.2.3 Affordability of FP Services................................................................................................................8

2.2.4 Acceptability of FP Services................................................................................................................9

2.3. Social-economic and demographic factors..........................................................................................10

2.3.1 Spousal Attitudes...............................................................................................................................10

2.3.2 Spousal Communication ....................................................................................................................11

2.3.3 Number of Living Children................................................................................................................11

2.3.4 Education level...................................................................................................................................13

2.3.5 Religious influence ............................................................................................................................13

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2.3.6 Polygamy ...........................................................................................................................................14

CHAPTER THREE ....................................................................................................................................15

RESEARCH METHODOLOGY................................................................................................................15

3.1 Introduction...........................................................................................................................................15

3.2: Study area ............................................................................................................................................15

3.3: Study design.........................................................................................................................................15

3.4: Study population..................................................................................................................................15

3.5: Sample size ..........................................................................................................................................15

3.6: Sampling method .................................................................................................................................15

3.7: Data collection method ........................................................................................................................15

3.8: Inclusion criteria ..................................................................................................................................16

3.9: Exclusion criteria .................................................................................................................................16

3.10: Data analysis......................................................................................................................................16

3.11: Ethical consideration..........................................................................................................................16

CHAPTER FOUR.......................................................................................................................................17

FINDINGS..................................................................................................................................................17

4.1 Introduction...........................................................................................................................................17

4.2 Social demographic characteristics of respondents...............................................................................17

4.3. Social- economic and demographic factors contribution in FP Services Utilization...........................17

4.4 Women’s Knowledge of family planning methods. .............................................................................20

4.5 Factors Hindering Utilization of FP Services.......................................................................................25

CHAPTER FIVE ........................................................................................................................................30

DISCUSSION, CONCLUSIONS AND RECOMMENDATIONS............................................................30

5.1 Introduction...........................................................................................................................................30

5.2 Discussion of Results............................................................................................................................30

5.2.1 Social- economic and demographic factors contribution in FP Services Utilization.........................30

5.2.2 Knowledge of women on Family planning Utilization......................................................................32

5.2.3 Factors Hindering Family planning Service Utilization ....................................................................33

5.3 Conclusions...........................................................................................................................................34

5.4 Recommendations.................................................................................................................................35

REFERENCES. ..........................................................................................................................................37

ABSTRACT Introduction Uganda also has a high unmet need for FP services of 41% (UDHS 2006), (Shane Khan 2008). The contraceptive prevalence rate (CPR) of Uganda is 26% (UDHS 2010).Among married women, it has recently improved from 24% to 30% and 54% among unmarried women (UDHS 2011), which is still unfortunately low. On that basis a study was undertaken in Jinja municipality to assess factors affecting family planning service utilization. Methodology Women of reproductive age were recruited to participate in the study. These were randomly selected in Jinja municipality. Quantitative data was collected using a structured questionnaire which was later tallied then put in frequencies and percentages. Using Microsoft excel 2007 data was presented using tables and graphs. Results Results indicated that women in Jinja municipality were knowledgeable of Family planning services. This was regarding accessibility at 83.3% (60) costs, and the various method of family planning. Social-economic characteristics affected FP utilization. Women between the ages of 35-44 were the majority at (73.7%). Majority were married (84.0%)either monogamous or polygamous,(76.5%) were educated compared to( 60%) that were primary dropouts, and 42% were house wives. Most variables have a positive relationship with family planning save for religion. Conclusion The results show that family planning utilization increases with age .It also shows that the level of education of the respondents is not a major influence of family planning utilization. Recommendations Particular emphasis on FP service of adolescents. Improve accessibility and availability of all FP services. Improving formal female education and need for FP counseling to be universally