| dc.description.abstract | Introduction: Uganda’s population constitutes a large pool of women entering their
reproductive age which represents rapid population growth for decades to come. Given the
current low contraceptive prevalence rate more profoundly in northern Uganda among all
women of reproductive age 15-49 years. The study was intended to assess and provide detail
factual report on the determinants of women’s decisions to modern contraceptive use among
women aged 15-49 years in Lira Municipality as one the northern districts with low
contraceptive prevalence rates.
ObjectiveThe main objective of this study was to assess the determinants of women’s
decisions to modern contraceptive use among women aged 15-49 years in Lira Municipality.
Methodology: The study used a descriptive-analytical cross-sectional quantitative study
design. Simple random sampling technique was used to select 2 out of 4divisions within Lira
municipality.A total of 246 women of reproductive age (15-49) years were selected from
Adyel and central wards in Lira municipality. The study locations were divided into primary
and secondary sampling units, wards and villages were the primary and secondary sampling
units respectively.
Results:65.4% of the respondents were in the age group of 15-19 years. Four in every ten,
40.2% of the respondents were married. 54.9% were not employed. 40.2% of the respondents
had attained secondary education. Six in every ten, 60.2% of the respondents had a monthly
income of 50,000shs-200,000shs. About 39.8% of the respondents had ever used modern
contraceptives and 35.0% were currently using modern contraceptives, the commonest
methods being used at 41.9% was Deprovera injection, pills and condoms at 15.1%.
However,55.6% were not using modern contraceptives because of their husbands’
disapproval. The commonest reason for using modern contraceptives was to prevent
unwanted pregnancy at 55.3%. Women who got information about modern contraceptive
from their friends were 5.5 times more likely to use modern contraceptives.
Conclusion: Generally, the prevalence of modern contraceptives use was relatively low at
39.8% and with the proportion of women currently using or not using modern contraceptives
at 35.0% and 65% respectively with the most preferred modern contraceptive method being
Depo-Provera Injection at 41.9% and condoms at 15.1%.The main reason for some individual
contraceptive choices are influence from friends(recommendation from satisfied users). The
factors that significantly influenced modern contraceptives use were distance to the nearest
family planning health facilities and provision of adequate information about contraceptive
use. The other knowledge factors that significantly influenced modern contraceptives use
were; sources of information, knowing if contraceptives have side effects and the knowledge
on the actual side effects of modern contraceptive
Recommendations: Integration of FP services in sexual and reproductive health, most
especially in child health clinics and immediately after delivery before mothers are
discharged was critical in order to improve FP uptake. To strengthen modern contraceptive
family planning usage, the study recommended for policy reviews, non-discriminatory public
awareness creation, and increase of funding for family planning, strengthening health
education syllabus and conducting research on viable Modern contraceptive method use,
other than condoms use, there is need to improve method specific knowledge on a wide range
of contraceptives and address related safety concerns | en_US |
