Predictors of uptake of modern family planning services among pastoralist women in Garbatulla sub-county Isiolo county Kenya
Introduction:
Family Planning FP improves the quality of life for women however global unmet need for family plannings remains high especially in developing countries. In Kenya health care delivery including delivery of FP services for pastoralist communities has serious shortcomings as often it must be delivered under difficult circumstances. In Isiolo County where majority are pastoralists Modern Contraceptive Prevalence mCP is too low 26.3 compared to the countrys 58.0. While this is attributable to the high maternal mortality rate of 790 deaths per 100000 live births in Isiolo no documented studies have been done to determine the predictors of the low mCP
Objectives:
This study investigated predictors of uptake of modern FP services by pastoralist women in Isiolo County. The study objectives were to determine socio-cultural health system and knowledge and perceptions factors that predict uptake of FP services by pastoralist women in Garbatulla Sub-County Isiolo County.
Methodology:
A cross-sectional descriptive survey utilizing quantitative and qualitative data collection approach was undertaken a sample of419 women aged 14 to 49 years. Key Informant Interviews collected qualitative data. A structured questionnaire was used to collect quantitative information on study variables. Quantitative data were summarized descriptively and presented in charts qualitative data were analysed manually based on emerging themes. Chi-square test was used to establish associations between study variables at 0.05. Binary logistic regression was used to identify predictors of FP uptake.
Findings:
Most of the participants were young aged 25 to 35 years. Almost all of the participants were Muslims and mCP was 25.3. There were no significant associations between both religion and male involvement and FP uptake p0.082 p0.574 respectively. Health system factors time taken to reach health facility and type of health facility were predictive of FP uptake OR1.6 95 CI p0.024 and OR1.4 95 CI p0.000 respectively. Likelihood of knowledge on contraception methods influencing FP uptake was low OR0.4. Perceptions on use of FP by fecund women to post pose child birth showed a high likelihood of predicting FP uptake. The study provides useful insights on appropriate interventions that can be designed to enhance uptake of FP in Isiolo County Kenya
Results:
Conclusion:
The study observed that mCP was low than the county average and the national average.rnThe study found no significant associations between socio-cultural factors religionrnmarriage type and male involvement jointly decide on FP use. The dominant religionrnand community in the study context Muslim did not support FP use. The study observedrnthat male involvement in matters contraception was low. The precise relationship between socio-cultural factors and FP uptake is seldom understood. Nonetheless socio-culturalrnfactors collectively with other factors create environments whereby individual decisions onrnsexual activity and contraception flourish. Therefore socio-cultural factors should often bernconsidered in any inquest on matters Sexual Reproductive Health SRH including familyrnplanning use.rnThe study concludes that health systems factors are core predictors of FP uptake as notedrnby studies done in other contexts. This was evident by the significant associations betweenrnhealth system factors time take to reach health facility type of health facility and healthrnprovider competence. Time taken to reach health facility and type of health facility hadrnhigher odds/likelihood of predicting FP uptake. From these findings there is a need tornensure health systems health facilities and health providers ensure that FP services arernhigh quality accessible and suitable/acceptable to varying individual needs andrnpreferences. This provided a comprehensive platform where populations can adopt thernsafest and appropriate methods that suit their individual needs.rnThe study observed that knowledge on contraception methods posed significantrnassociations with FP uptake however the likelihood of such knowledge influencing FPrnuptake was low. Perceptions on use of FP by fecund women to post pose child birthrnshowed significant association. Conclusively strategies that would augment knowledgernand perceptions on matters contraception are likely to enhance objectives aligned tornenhancing contraception use.
Publication Information
Author(s):
Focus County(s):
Isiolo County
Programme Area(s):
Sexual, Reproductive, Adolescent & Child Health
Research Priority Area(s):
Disease Domain(s):
maternal and child health
Document History:
Publication Date: 15.Jun.2022
Conference Title:
Venue: