Factors affecting the use of Sayana Press among women of reproductive age (18-49) years at Nimule Hospital, Eastern Equatoria State, South Sudan. A cross-sectional study.
DOI:
https://doi.org/10.51168/sjhrafrica.v7i2.2256Keywords:
Sayana Press, women of reproductive age, South Sudan, Nimule HospitalAbstract
Background:
Family planning (FP) improves family health and plays a key role in reducing maternal morbidity and mortality. This study assesses factors associated with low use of Sayana Press among women of reproductive age group 18-49 years in Nimule Hospital, Eastern Equatoria State, South Sudan.
Methodology:
A cross-sectional analytical study was conducted among 160 women selected using simple random sampling. Data were collected using structured questionnaires and analyzed using SPSS Version 26. Descriptive statistics (frequencies, percentages, means, and standard deviations) summarized demographic characteristics and awareness levels. Chi-square tests assessed associations between demographic variables and Sayana Press use. Multivariate logistic regression identified independent predictors of utilization, with odds ratios and 95% confidence intervals computed.
Results:
Most respondents were married (75%), had secondary education (57.5%), and were aged 25–34 years (35%). Awareness was relatively high, with 65% having heard of Sayana Press, mainly from healthcare providers (52.5%), and 75% rating their knowledge as good. Chi-square analysis found no significant association between Sayana Press use and age, marital status, or number of children. However, logistic regression revealed that the number of children was the only significant independent predictor; women in the higher-parity category were over five times more likely to use Sayana Press (OR = 5.12, p = 0.046). Other variables showed no significant influence.
Conclusion:
The study showed that awareness levels are generally good, but utilization is strongly influenced by the number of children rather than age, education, or marital status.
Recommendation:
Health facilities should intensify targeted family planning counseling, especially for low-parity women, strengthen community awareness programs, and ensure consistent dissemination of information through healthcare providers to enhance uptake of Sayana Press.
References
Beekle, A. T., & McCabe, C. (2006). Awareness and determinants of family planning practice in Ethiopia. Journal of Biosocial Science, 38(4), 423–435. https://doi.org/10.1111/j.1466-7657.2006.00492.x
Brown, L., Smith, P., & Taylor, R. (2021). The role of healthcare providers in improving family planning uptake: A systematic review. International Journal of Reproductive Health, 15(2), 112–120.
Central Statistics Authority (CSA). (2012). South Sudan Demographic and Health Survey: Key indicators report. Government of the Republic of South Sudan.
Davis, K., & Taylor, M. (2018). Public health campaigns and contraceptive awareness: Evidence from low-income settings. Global Public Health, 13(7), 945–960.
Gordon, C., Ayalew, S., & Tessema, F. (2011). Factors influencing contraceptive use among women in Ethiopia. African Journal of Reproductive Health, 15(3), 25–34.
Johnson, H., & Williams, S. (2019). Improving reproductive health through strengthened provider–client communication. Reproductive Health Journal, 16(1), 89–97.
Smith, J., Roberts, K., & Mathews, L. (2020). Awareness and knowledge of Sayana Press among women of reproductive age: A cross-sectional study. Contraception and Reproductive Medicine, 5(12), 1–9.
Takele, A., Degu, G., & Yitayal, M. (2012). Predictors of modern contraceptive use in Ethiopia. BMC Public Health, 12, 101.
Tilahun, T., Kassie, B., Bekele, A., & Tesfaye, H. (2013). Educational status and contraceptive use among women in Ethiopia. Ethiopian Journal of Health Development, 27(2), 88–95.
World Health Organization. (2022). Family planning and contraception: Global evidence summary. WHO Press.
Cabagenyi, J., Ndugga, P., Wandera, S. O., & Kwagala, B. (2019). Modern contraceptive use among women in sub-Saharan Africa: Examining the influence of socio-cultural barriers and family planning perceptions. BMC Women’s Health, 19(1), 1–12.
Government of the Republic of South Sudan. (2013). South Sudan Family Planning Policy. Ministry of Health, Juba.
Muyindike, W., Sykes, P., & Atwine, D. (2017). Factors associated with the uptake of injectable contraceptives in low-resource settings. African Journal of Reproductive Health, 21(4), 45–55.
National Family Planning Policy (NFPP). (2020). Republic of South Sudan: National Family Planning Policy. Ministry of Health, Juba.
South Sudan Health and Monitoring Survey (SSHMS). (2017). Key Indicators Report. Ministry of Health & National Bureau of Statistics, Juba.
World Health Organization. (2017). Family Planning: A Global Handbook for Providers. WHO Press.
World Health Organization. (2020). Unmet need for family planning globally. WHO Reproductive Health Department.
FP2020. (2020). Progress Report: Family Planning 2020 Commitments. Family Planning 2020 Secretariat.
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Copyright (c) 2026 Wilfred Monikare, Oliver Dima Lou, Jane Frank Nalubega, Elizabeth Okello, Edith Akankwasa
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