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2023 Faculty of Clinical Medicine and Dentistry IAA Journal of Biological Sciences

Factors Associated with Utilization of Long-Acting Reversible Contraceptive Methods Among Women Attending Family Planning Clinic at Kampala International University Teaching Hospital Western Uganda

Kalyesubula Mike

This study assessed the factors associated with the utilization of LARCM among womenattending the family planning (FP) clinic at Kampala International University TeachingHospital. A cross-sectional descriptive study design was used for this study. The data wascollected using a structured questionnaire in an exit interview of clients that had come toKampala International University Teaching Hospital for family planning services afterobtaining consent. Collected data was entered and analyzed in the computer using IBM SPSSversion 25. Chi-squared analysis was done to determine the factors associated with LARCMutilization. Results were presented in tables and charts for descriptive analysis. A total of272 women were included in this study of which, 67.6% (n=184) were aged 26 to 35 years,and the overall mean (±SD) age was 27.5 (± 4.5) years. 74.3. % (n=202) were married and69.9% (n=190) were rural dwellers. A few of the participants (20.2%, n=55) were currentlyusing LARCM. Of the 55 participants who were using LARC methods, the majority 34 (61.8%)were using implants while the rest 21 (38.2%) were using IUCD. Significant factors were; awoman’s age of ≤25 years (X2=72.43; P=<0.001), urban residence (X2=16.69; P=<0.001), beingmarried (X2=25.19; P=<0.001), business occupation (X2=99.22; P=<0.001), Catholic religion(X2=61.38; P=<0.001), mother’s age at the first delivery of 18-24 years (X2=24.61; P=<0.001),the reproductive intention of spacing (X2=50.81; P=<0.001), never wanted the lastpregnancy (X2=14.72; P=<0.001), Hospital as the source of FP information (X2=66.82;P=<0.001), partner influence on FP (X2=16.69; P=<0.001), FP counselling during ANC(X2=42.01; P=<0.001), receiving contraceptives from hospital (X2=151.61; P=<0.001) andreceiving contraceptive services from the doctor (X2=226.13; P=<0.001). LARCM use was lowand was associated with younger maternal age, urban residence, being married, businessoccupation, mother’s age at first delivery, the desire for child spacing, partner influenceon FP, a n d FP counselling during ANC. Therefore, FP education about the benefits ofLARCM should be enhanced by health providers and media.