A qualitative study on provider perspectives on the barriers to contraceptive use in Kaliro and Iganga districts, Eastern Central Uganda

Constance Sibongile Shumba, Jonathan Miyonga, Judith Kiconco, Patrick Kerchan, Tonny Tumwesigye

Abstract


Background: Family planning confers unique benefits including preventing unintended pregnancies, improved maternal and child health outcomes and increased women’s access to education and economic opportunities.However, Uganda has a low contraceptive prevalence rate of only 30% and progress in improving maternal and child health outcomes is therefore slow.

Objective: This assessment explored health providers’ qualitative perspectives on the uptake of contraceptives in Iganga and Kaliro districts in Eastern central Uganda.

Methods: This baseline assessment used a qualitative approach with purposively selected respondents aged 20-60 years. A total of two focus group discussions with Community Health Workers and four key informant interviews with facility-based health workers and were conducted. Thematic content analysis was done manually.

Results: The main factors influencing contraceptive uptake in these communities were preference for large families; myths and misconceptions; fear of side effects; spousal and family support; male domination and risk of violence, divorce and polygamy; inadequate human resource capacity and availability; limited community mobilization; and user fees.

Conclusion: The study findings suggest that there is low community knowledge on family planning. A strong focus is also required in building the capacities of health providers to offer long-term and permanent methods in order to increase the availability of family planning options. Family planning interventions should increase the availability of contraceptive methods using gender-sensitive strategies including community mobilization.


Keywords


Contraceptive use; Family planning; Health providers; Faith-based facilities; Uganda

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References


Prata N. Making family accessible in resource-poor settings. Phil. Trans. R. Soc. B (2009), 364, 3093-3099

Uganda Bureau of Statistics (UBOS) and ICF International Inc. 2012. Uganda Demographic and Health Survey 2011. Kampala, Uganda: UBOS and Calverton, Maryland: ICF International Inc.

Ashford L. UNMET NEED FOR FAMILY PLANNING: Recent Trends and Their Implications for Programs. Policy Brief. Population Reference Bureau. February 2003

Bongaarts J and Sinding SW. A Response to Critics of Family planning Programs. International Perspectives on Sexual and Reproductive Health, Volume 35, Number 1, March 2009

Bogale B, Wondafrash M., Tilahun, T and Girma, E. Married women’s decision making power on modern contraceptive use in urban and rural Southern Ethiopia. BMC Public Health 2011, 11:342

Kabagenyi, A, Jennings L, Reid A, Nalwadda G, Ntozi J and Atuyambe L. Barriers to male involvement in contraceptive uptake and reproductive health services: a qualitative study of men and women’s perceptions in two rural districts in Uganda. Reproductive Health 2014, 11:21

Braun V and Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006;3(2):77-101

Wanyenze RK, Wagner GJ, Tumwesigye NM, Nannyonga M, Wabwire-Mangen F and Kamya MR. Fertility and contraceptive decision-making and support for HIV-infected individuals: client and provider experiences and perceptions at two HIV clinics in Uganda. BMC Public Health 2013, 13:98

Harrington EK, Newman SJ, Onono M, Schwartz KD, Bukusi AE, Cohen CR. and Grossman D. Fertility Intentions and Interest in Integrated Family planning Services among Women Living with HIV in Nyanza Province, Kenya: A Qualitative Study. Infectious Diseases in Obstetrics and Gynaecology. Volume 2012.

Newmann SJ, Mishra K, Onono M, Bukusi EA, Cohen CR, Gage O, Odeny R, Schwatz KD and Grossman D. Providers’ Perspectives on Provision of Family planning to HIV–Positive Individuals in HIV Care in Nyanza Province, Kenya. AIDS Research and Treatment, Volume 2013

Graffy J, Goodhart C, Sennet K, Kamusiime G. and Tukamushaba H. Young people’s perspectives on the adoption of preventive measures for HIV/AIDS, malaria and family planning in South-west Uganda: focus group study. BMC Public Health 2012, 12:1022

Makinwa-Adebusoye P. Socio-cultural factors affecting fertility in sub-Saharan Africa. Workshop on Prospects for Fertility Decline in High Fertility Countries. Population Division. Department of Economic and Social Affairs. United Nations Secretariat. New York 9-11 July 2001

Castle S, Konate MK, Ulin PR and Martin S. A qualitative study of clandestine contraceptive use in urban Mali. Stud Fam Plann. 1999 Sept;30(3):241-48

Kululanga LI, Sunby J, Malata A and Chirwa E. Striving to promote male involvement in maternal healthcare in rural and urban settings in Malawi- A qualitative study. Reproductive Health 2011, 8:36

Shattuck D, Kerner B, Gilles K, Hartmann M, Ng’ombe T and Guest G. Encouraging Contraceptive Uptake by Motivating Men to Communicate About Family planning: The Malawi Male Motivator Project. American Journal of Public Health. June 2011, Vol 101, No. 6, 1089-1095

Kenya National Bureau of Statistics (KNBS) and ICF Macro. 2010. Kenya Demographic and Health Survey 2008-09. Calverton, Maryland: KNBS and ICF Macro.

Mutyaba T, Faxelid E, Mirembe F and Weiderpass E. Influences on uptake of reproductive health services in Nsangi community of Uganda and their implications for cervical cancer screening. BMC Reproductive Health 2007, 4:4

Gazi R, Hossain SS, Zaman K and Koehlmoos TP. Community mobilization for safe motherhood. Cochrane Database Syst Rev, 4 (2011), p. CD009091




DOI: https://doi.org/10.15566/cjgh.v3i2.114

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