Factors Influencing the Utilization of Long-Term Contraceptive Methods among Women of Reproductive Age in Ting’ang’a Location; Kiambu East District, Kenya
Abstract:
Contraceptive use has increased throughout the world
over the years. They are classified into two categories; Short-term term
methods which are used within three months and long term used longer than three
months. The study aimed to establish the various factors influencing the utilization
of family planning methods by women in the Ting’ang’a Location of Kiambu East District.
A descriptive cross-sectional study was conducted, and 300 women aged 15 to 49
participated. Structured questionnaires, in-depth interview guides, and FGD
were used to collect quantitative and qualitative data. A chi-square test at
95% C.l. was used to test the association of variables regarding knowledge,
attitude, and cultural practice of Family planning. Out of 300 respondents, 70.3%
were married and 17.0% were single. Their mean age was 30.69 years ± 7.905, the
youngest being 15 years, the oldest 49 years.
There were 97.0% Christians and 3.0% others and 65.7% had attained
primary school. 50.0% currently use modern contraceptives. The Utilization rate
was classified as Depo-Provera (50.0%), Implant (21.7%), Pills (19.2%), IUCD (5.6%),
Tuba-ligation (1.0%), and others (2.5%). Level of education had no significant
(P= 0.490) influence on the current use of FP methods. However, two variables
were significant: the age of respondents (P= 0.000) and knowledge of the benefits
of FP ( P= 0.000) respectively had an influence on the current use of family
planning methods. There was high awareness of FP methods; half of the
respondents were currently using a contraceptive. Culture was a key hindrance, constituting
91.1%.
References:
[1].
World
Health Organization, 2024, Reproductive Health [online], available at
https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception,
access September 22, 2024
[2].
World
Health Organization, 2022, Improving access to quality care in Family Planning.
[online] Geneva: Medical Eligibility Criteria for Contraceptive Use. available
at http://www.fhi.org/en/RH/Pubs/Network/v161/nt1617.htm; (accessed on June 5, 2024)
[3]. Saunders, O. C., Dang, Q. P., Murray, J., 2019, Reproductive
Rights, Reproductive Justice: Redefining Challenges to Create Optimal Health
for All Women. J Healthc Sci Humanit, Summer; 9(1), 19-31. PMID:
36819759; PMCID: PMC9930478. [online] available at
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9930478/, accessed September 20,
2024
[4].
World
Health Organization, 2023, fact-sheets/detail/family-planning [online],
available at
https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception,
access September 20, 2024
[5]. United Nations, 2022, World Contraceptive
Use [online]
http://www.un.org/esa/population/publications/ contraceptive2022/wcu2022 (accessed on June
7, 2024).
[6].
Teal,
S., Edelman, A., 2021, Contraception Selection, Effectiveness, and Adverse
Effects: A Review. JAMA. 326(24):2507–2518. doi:10.1001/jama.2021.21392
[online] available at
https://jamanetwork.com/journals/jama/fullarticle/2787541, accessed September
20, 2024.
[7].
Trussell,
J., Leveque, J., Koenig, D., London, R.,
Borden, S., Henneberry, J., LaGuardia, K., Steward, F., Wilson, T., Wysocki, S., 2021, The economic
value of contraception: a comparison
of 15 methods. [online] Am J Public Health, available at: http://humrep.oxfordjournals.org/cgi/content/full/23/6/1338 (accessed on April 7, 2024).
[8].
CDC,
2020, Health facility assessment of emergency obstetric and neonatal care
services Kigoma region, Tanzania: Final report. Atlanta, GA: CDC, 2020
[online], available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8972023/.
[Google Scholar, accessed June 19, 2024.
[9].
Cowling,
N., 2023, Contraceptive use among women in Kenya 2010-2021 [online] available
at
https://www.statista.com/statistics/1281068/contraceptive-prevalence-rate-among-women-in-kenya/,
accessed September 20, 2024.
[10].
Kenya Demographic Health Survey, 2021,
Expanding women’s choices in the use of contraceptives. [online] Division of reproductive health, www.fhi.org/en/RH/Pubs/servdelivery/kenyabriefs/
expanding.htm (accessed June 21, 2024).
[11]. Amran, Y., Nasir, N., Dachlia, D., Yelda, F.,
Utomo, B., Ariawan, I., Damayanti, R., 2019, SP - T1 - Perception of
Contraception and Switching the Methods of Contraception among Family-Planning
Acceptors in West Nusa Tenggara, Indonesia, VL
- 52 DO - 10.3961/jpmph.18.198, JO - Journal of Preventive Medicine
and Public Health [online] available at
ttps://www.researchgate.net/publication/334574874_Perception_of_Contraception_and_Switching_the_
Methods_of_Contraception_among_Family-Planning_Acceptors_in_West_Nusa_Tenggara_Indonesia/citation/
download, accessed September 21, 2024.
[12].
Grimes, D., Schulz, K., Van, V., Stanwood, N.,
Lopez, L., 2022, Immediate post-partum insertion of intrauterine devices. [online]
John Wiley & Sons, available at http://www.thecochranelibrary.com. (accessed June 21,
2024).
[13]. Malthus,
R., 1798, An essay on the principle of population. [Online] Cambridge University Press, Chapter IX, pg
25.available at: http://en.wikipedia.org/ wiki/Thomas_malthus
accessed on April 14, 2024.
[14]. Martinez, 2024, Birth control and family
planning [online] available at https://medlineplus.gov/ency/article/001946.ht,
accessed September 21, 2024.
[15]. Family Health International, 2021,
Expanding women’s choice through a balanced and sustainable contraceptive
method mix: A new look at IUCD: the case for long acting and permanent
methods. [online] FHI Publications. North Carolina USA, pp 1-4, available at:
www.fhi.org/en/RH/Pubs/servdelivery/kenyabriefs (accessed May 25, 2024).
[16]. Minnesota
Department of Health, 2022, Pregnancy Risk Assessment Monitoring System Survey
[online] Minnesota , available at; http://www.health.state.mn.us/ orginfo.html,
(accessed on April 10, 2024).
[17]. CDC, 2021.
Health People 2020. [Online] available at
https://www.cdc.gov/nchs/healthy_people/hp2020.htm, accessed September 20,2024
[18]. McGuire, A., Hughes, D., 2019, The economics
of family planning services. Family Planning Association, London,
UK.
[19]. Ministry
of public Health and Sanitation (MOPHS), 2021, Kiambu East District Profile.
MPHS, pp.5.
[20]. Cochran, W., 1963, Sampling techniques. 2nd
ed. New York: Wiley; 1963.
[21]. World Health Organization, 2020, Creating Common
Ground: Women's Perspectives on the Selection and Introduction of Fertility
Regulation Technologies.[online]
Geneva: World Health Organization, Creating
Common Ground in Asia: Geneva: available at http://www.fhi.org/en/RH/Pubs/Network/v161/nt1617.htm;
(accessed on May 5, 2024).