Knowledge of contraceptive use among adolescent girls and young women aged 10 - 24 years at Kiyindi landing site, Buikwe district, Uganda. A cross-sectional study.

Amir  Wamala; Herbert  Mabonga; Joy  Nalubega

doi:10.51168/sjhrafrica.v7i3.2462

Authors

Amir Wamala Makerere University Walter Reed Program
Herbert Mabonga Faculty of Health Sciences, University of Kisubi
Joy Nalubega Faculty of Health Sciences, Uganda Martyrs University

DOI:

https://doi.org/10.51168/sjhrafrica.v7i3.2462

Keywords:

Adolescents, contraceptives, knowledge, attitude, practice, family planning methods

Abstract

Background

There have been several other efforts targeting adolescent girls and young women to foster their behavioural change by way of improving their knowledge, attitudes, and practices of contraceptive use. The objective of the study was to assess the knowledge of contraceptive use among AGYW (10-24Years) at Kiyindi landing site.

Methodology

A descriptive cross-sectional study design was used with quantitative methods of data collection. Data was entered and analysed using Stata statistical software version MP 14.0, Stata Corporation. Descriptive statistics were used for bivariate and multivariate logistic regression analysis.

Results

More than half of the respondents (55.7%, N = 377) were aged between 20 and 24 years. Bivariate Analysis of knowledge about contraception and Use by Respondents showed that Knowledge about the importance of leaving a space at the tip when putting on a condom (ꭓ²=54.887, p-value of .000), importance of the man to pull out right after ejaculation when using a condom (X²=21.073, p-value of .000), wearing two latex condoms to provide extra protection (ꭓ²=3.486, p-value of .041), Women “taking a break” from the pill every couple of years (ꭓ²=8.277, p-value of 0.003), women switching to another type or brand of pill when having side effects with one kind of pill, (ꭓ²=3.896, p-value of .032), a woman having a pelvic exam as a must in order to get a birth control pill (ꭓ²=4.743, p-value of .020), and a woman using an IUD even if she had never had a child (ꭓ²=4.135, p-value of .029) were significantly associated with respondents’ use of contraception.

Conclusions

Respondents were found to be moderately knowledgeable about contraception

Recommendations

Health workers should teach the community about family planning holistically to increase awareness, so that family planning utilization will be enhanced

Author Biographies

Amir Wamala, Makerere University Walter Reed Program

is a student of a master’s degree in public health - Population and reproductive health at Uganda Martyrs University.

Herbert Mabonga, Faculty of Health Sciences, University of Kisubi

is a lecturer at the University of Kisubi.

Joy Nalubega, Faculty of Health Sciences, Uganda Martyrs University

is a supervisor at Uganda Martyrs University.

References

CORTEZ, R., SAADAT, S., MARINDA, E. & ODUTOLU, O. 2016. Adolescent fertility and sexual health in Nigeria.

COSTA, G. P. O., COSTA, G. P. O., DE PAULA FARIAS, M. & DE ARAÚJO, A. C. P. F. 2014. Contraception knowledge, attitudes and practices of adolescents at risk of pregnancy in northeastern Brazil. Open Journal of Obstetrics and Gynaecology, 4, 300.

DANGAT, C. M. & NJAU, B. 2013. Knowledge, attitudes and practices on family planning services among adolescents in secondary schools in Hai District, northern Tanzania. Tanzania journal of health research, 15.

FROST, J. J., LINDBERG, L. D. & FINER, L. B. 2012. Young adults' contraceptive knowledge, norms and attitudes: associations with risk of unintended pregnancy. Perspectives on Sexual and Reproductive Health, 44, 107-116.

GOVERNMENT, B. D. L. 2015. District Development Plan (DDP II) 2015/16 - 2019/20. Government of Uganda.

KASHYAP, P. & PRASAD, S. 2018. Assessing the Knowledge, Attitude and Practice of Contraception in Semi-Urban Area in India: A Qualitative Assessment of Contraceptive Usage. International Journal of Medical Research & Health Sciences, 7, 150-154.

KEMIGISHA, E., BRUCE, K., NYAKATO, V. N., RUZAAZA, G. N., NINSIIMA, A. B., MLAHAGWA, W., LEYE, E., COENE, G. & MICHIELSEN, K. 2018. Sexual health of very young adolescents in South Western Uganda: a cross-sectional assessment of sexual knowledge and behavior. Reproductive health, 15, 148.

LIM, M. S., ZHANG, X.-D., KENNEDY, E., LI, Y., YANG, Y., LI, L., LI, Y.-X., TEMMERMAN, M. & LUCHTERS, S. 2015. Sexual and reproductive health knowledge, contraception uptake, and factors associated with unmet need for modern contraception among adolescent female sex workers in China. PloS one, 10.

MASOOD, M. S. & ALSONINI, N. A. 2017. Knowledge and attitude about reproductive health and family planning among young adults in Yemen. International Journal of Population Research, 2017.

MOH 2014. Uganda Family Planning Costed Implementation Plan, 2015 - 2020. Kampala: Ministry of Health, Uganda.

MOH 2018. District Health Information System (DHIS) 2. Ministry of Health.

MOYO, S. & RUSINGA, O. 2017. Contraceptives: adolescents’ knowledge, attitudes and practices. A case study of rural Mhondoro-Ngezi district, Zimbabwe. African journal of reproductive health, 21, 49-63.

MUNAKAMPE, M. N., ZULU, J. M. & MICHELO, C. 2018. Contraception and abortion knowledge, attitudes and practices among adolescents from low and middle-income countries: a systematic review. BMC health services research, 18, 909.

NANVUBYA, A., SSEMPIIRA, J., MPENDO, J., SSETAALA, A., NALUTAAYA, A., WAMBUZI, M., KITANDWE, P., BAGAYA, B. S., WELSH, S. & ASIIMWE, S. 2015. Use of modern family planning methods in fishing communities of Lake Victoria, Uganda. PloS one, 10.

NSANYA, M. K., ATCHISON, C. J., BOTTOMLEY, C., DOYLE, A. M. & KAPIGA, S. H. 2019. Modern contraceptive use among sexually active women aged 15–19 years in North-Western Tanzania: results from the Adolescent 360 (A360) baseline survey. BMJ open, 9, e030485.

RHU. 2018. FAMILY PLANNING IN UGANDA Saving Lives, Saving Money [Online]. Reproductive Health Uganda. Available: https://www.rhu.or.ug/wp-content/uploads/2018/11/ImpactNow-Family-Planning-in-Uganda-Brief.pdf [Accessed 15 March 2020].

SAUL, J., BACHMAN, G., ALLEN, S., TOIV, N. F., COONEY, C. & BEAMON, T. A. 2018. The DREAMS core package of interventions: a comprehensive approach to preventing HIV among adolescent girls and young women. PLoS One, 13.

UBOS 2019a. Central Region - Parish Level Profiles. In: CENSUSES, P. A. (ed.). Uganda Bureau of Statistics.

UBOS 2019b. STATISTICAL ABSTRACT 2019.

UBOS & ICF 2018. Uganda Demographic and Health Survey 2016. Kampala, Uganda: UBOS and ICF.

UGWU, N. H. 2017. Knowledge and use of Contraceptive Methods Among Youth in Abuja Metropolis.

UNFPA 2014. State of the World Population 2014. The Power of 1.8 Billion Adolescents, Youth and the Transformation of the Future.

WHO. 2020. Adolescent pregnancy [Online]. World Health Organisation. Available: https://www.who.int/en/news-room/fact-sheets/detail/adolescent-pregnancy [Accessed 3 February 2020 2020].

YAZDI-FEYZABADI, V., MEHROLHASSANI, M. H., ZOLALA, F., HAGHDOOST, A. & OROOMIEI, N. 2019. Determinants of risky sexual practice, drug abuse and alcohol consumption in adolescents in Iran: a systematic literature review. Reproductive health, 16, 1-10.