A situational analysis of Access to and utilization of sexual and reproductive health services under decentralization in Kampala, Uganda
This is an assessment of access to and utilization of sexual and reproductive health (SRH)services in Kampala district. It examined knowledge and perceptions about SRH, social,economic and cultural factors that limit access and utilization of SRH, and the strategiesfor addressing the challenges faced. Kyanja parish in Nakawa division which is located inKampala district was purposively selected as the study area. A purposive and simplerandom sampling techniques were used in selecting 77 respondents from the 5 zones inthe parish. The study was cross- sectional and it employed both qualitative andquantitative methods of data collection. The results of the study reveal that respondentsunderstood SRH in different ways. Majority of the respondents believe that SRH is a generalreproductive health care among women. However, some men think that women who seekfor SRH are immoral something that limit most women from seeking for such services ontime. The study also indicated that decision making in households especially on where andwhen to go for maternal health care, household’s decision, and control over physical andfinancial resources are mostly undertaken by males (husbands). Women’s level of decisionmaking is minimal due to gender and cultural norms and practices that prohibit them to doso. This combined with the beliefs that led to delays in seeking for SRH can lead tocomplications and even death either the baby or mother. Basing on the findings, thefollowing are recommended; There is need to address the existing gender and socialcultural factors that limit women’s liberation, through empowering women economically,income generating projects to enable them have resources to seek care, health education,community sensitization, and teaching of mothers on the importance of SRH more soantenatal care visits.