Factors associated with the use of long acting reversible contraceptive methods among women of reproductive age- Jinja district, Uganda

  • Maternal and child health
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Long acting reversible contraceptive (LARC) Methods: are highly effective. However, LARC use in Uganda is at 13%, which is lower than the 57% recommended by the World Health Organisation for low and middle-income countries. We assessed the factors associated with the use of long acting reversible contraceptives among women of reproductive age in Jinja district, Uganda
We conducted a facility based cross-sectional study. A total of 314 women aged 15–49 years attending public health facilities (i.e., 1 hospital and 3 level IV health centers) in Jinja district, were randomly selected. A total of 6 key informant and 6 in-depth interviews were conducted. We conducted logistic regression analysis using Stata version 14 to establish factors associated with the dependent variable while adjusting for the multiple potential confounders. Qualitative data were analyzed using thematic analysis.
We found that 127 (40.45%) of the 314 respondents had ever used LARC. The commonest LARC method used was implants (38.22%). The factors significantly associated with use of LARC were employment (AOR =2.91; 95% CI (1.05- 8.08), P-value 0.04), access to LARC Methods: (AOR =4.48; 95% CI (1.24-16.21, P-value 0.03), husband support (AOR =4.90; 95% CI (1.56-15.41, P-value 0.02) and experience of no side effects (AOR =3.48; 95% CI (1.00-12.19, P-value 0.05).
Employment, husband support, access to LARC Methods: and lack of side effects were associated with LARC use. There is need to improve accessibility to LARC Methods: at all levels of health centers, improve male partner’s decision making in LARC use and manage the side effects

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