FACTORS INFLUENCING UTILIZATION OF INTRAUTERINE CONTRACEPTIVE DEVICE AMONG WOMEN OF REPRODUCTIVE AGE AT ENTEBBE REGIONAL REFERRAL HOSPITAL WAKISO DISTRICT. A CROSS-SECTIONAL STUDY.

Authors

  • Kevin Nakate Mildmay School of Nursing and Midwifery, Kampala-Uganda
  • Mercy Bantia Mildmay School of Nursing and Midwifery, Kampala-Uganda
  • Immaculate Prosperia Naggulu Mildmay School of Nursing and Midwifery, Kampala-Uganda
  • Jane Frank Nalubega Mildmay School of Nursing and Midwifery, Kampala-Uganda

DOI:

https://doi.org/10.70572/agp.v2i2.75

Keywords:

Intrauterine Contraceptive Device, Reproductive Age, Entebbe Regional Referral Hospital

Abstract

Background

Intrauterine devices are one of the long-acting, safe, and effective methods of contraception in women of reproductive age across the world with a safety percentage of 89 %. This study aimed to assess the factors influencing the utilization of intrauterine contraceptive device contraception among women of reproductive age at Entebbe Regional Referral Hospital, Entebbe municipality Wakiso district.

Methodology

A descriptive-cross-sectional design was employed with quantitative methods of data collection. Self-administered questionnaires were used to collect data from a sample size of 30 respondents through a simple random sampling method, and data presented in pie charts, tables, and figures.

Results

Most, 13(43.3%) of the respondents that utilized IUDs were between 26 and 30 years of age, 11(36.7%) had a primary level of education, 12(40%) had two children, 24(80%) had only 1 sexual partner and 18(60%) had a low family level of income. Concerning health facility-related factors; more than half 17(56.7%) took four hours and more waiting for family planning services, 16(53.3%) mentioned that healthcare providers do not recommend the use of IUDs, which negatively affected its uptake, 18(60%) do not receive health education about the use of IUDs at the facility. Additionally, 24(80%) of the respondents mentioned that sometimes intrauterine devices were not available at the facility, suggesting inconsistent supply that affects its uptake.

Conclusion

The Individual factors were; age, level of education, number of children, weight, number of sexual partners, and family level of income. The health facility-related factors were; waiting time, health care provider’s recommendations, health education, availability of health facilities in the community, and availability of intrauterine devices.

Recommendation

Healthcare workers should implement strategies to minimize waiting times for contraceptive services, including intra-uterine device insertion and strengthen health education programs within the hospital to raise awareness about the benefits and availability of intra-uterine devices.

References

Anik, A. I., Islam, M. R., & Rahman, M. S. (2022). Association between socioeconomic factors and unmet need for modern contraception among the young married women: A comparative study across the low-and lower-middle-income countries of Asia and Sub-Saharan Africa. PLOS Global Public Health, 2(7), e0000731. https://doi.org/10.1371/journal.pgph.0000731 PMid:36962420 PMCid: PMC10021951

Bolarinwa, O. A., & Olagunju, O. S. (2019). Knowledge and factors influencing long-acting reversible contraceptives use among women of reproductive age in Nigeria. Gates Open Research, 3. https://doi.org/10.12688/gatesopenres.12902.1 PMCid: PMC7447856

Diedrich, J. T., Madden, T., Zhao, Q., & Peipert, J. F. (2015). Long-term utilization and continuation of intrauterine devices. American Journal of Obstetrics and Gynecology, 213(6), 822-e1. https://doi.org/10.1016/j.ajog.2015.08.077 PMid:26409157 PMCid: PMC4679676

Espey, E., & Ogburn, T. (2011). Long-acting reversible contraceptives: intrauterine devices and the contraceptive implant. Obstetrics & Gynecology, 117(3), 705-719. https://doi.org/10.1097/AOG.0b013e31820ce2f0 PMid:21343774

King, L. A., Michels, K. A., Graubard, B. I., & Trabert, B. (2021). Trends in oral contraceptive and intrauterine device use among reproductive-aged women in the US from 1999 to 2017. Cancer Causes & Control, 32, 587-595. https://doi.org/10.1007/s10552-021-01410-8 PMid:33689082 PMCid:PMC8096680

Kavanaugh, M. L., Jerman, J., & Finer, L. B. (2015). Changes in use of long-acting reversible contraceptive methods among US women, 2009-2012. Obstetrics & Gynecology, 126(5), 917-927. https://doi.org/10.1097/AOG.0000000000001094 PMid:26444110 PMCid: PMC4946164

Mbuthia, F. W., Okumbe, G. M., Monda, J., & Ng'ang'a, P. M. (2017). Intrauterine device uptake among women seeking family planning services in Nairobi County, Kenya. African Journal of Midwifery and Women's Health, 11(1), 46-50. https://doi.org/10.12968/ajmw.2017.11.1.46

Mhlanga, F. G., Balkus, J. E., Singh, D., Chappell, C., Kamira, B., Harkoo, I., Szydlo, D., Mukaka, S., Piper, J., & Hillier, S. L. (2019). Feasibility and safety of iud insertion by mid-level providers in sub-Saharan Africa. International Perspectives on Sexual and Reproductive Health, 45, 61-69. https://doi.org/10.1363/45e8019 PMid:31859669 PMCid:PMC8515488

Nobiling, Brandye, and Judy C. Drolet. "Exploring Trends in Intrauterine Device (IUD) Usage Among Women in the United States: A Literature Review." Health Educator 44.2 (2012): 22-28.

Ontiri, S., Ndirangu, G., Kabue, M., Biesma, R., Stekelenburg, J., & Ouma, C. (2019). Long-acting reversible contraception uptake and associated factors among women of reproductive age in rural Kenya. International Journal of Environmental Research and Public Health, 16(9), 1543. https://doi.org/10.3390/ijerph16091543 PMid:31052372 PMCid: PMC6539670

Opiro, K., Opee, J., Sikoti, M., Pebalo, P. F., Ayikoru, J. H., Akello, H., Manano, P., & Bongomin, F. (2024). Utilization of modern contraceptives among female health care workers at Gulu University teaching hospitals in Northern Uganda. Contraception and https://doi.org/10.1186/s40834-024-00274-y PMid:38582918 PMCid: PMC10998388

Reproductive Medicine, 9(1), 13.

Prol, B., Klein, S., Rennie, C., & Andelija, S. (2024). Respondent Demographics and Contraceptive Use Patterns in the United States: A National Survey of Family Growth Analysis. Cureus, 16(1). https://doi.org/10.7759/cureus.53121 PMid:38420091 PMCid: PMC10900169

Roscoe, J.T. (1975) Fundamental Research Statistics for the Behavioral Sciences [by] John T. Roscoe. Holt, Rinehart and Winston, New York.

Sandy, P. T., Mavhandu-Mudzusi, A. H., Tirfe, B. T., & Mundeta, B. (2015). Factors influencing the utilization of the intra-uterine contraceptive device among women in Addis Ababa, Ethiopia. Africa Journal of Nursing and Midwifery, 17(2), 4-16. https://doi.org/10.25159/2520-5293/44

Tyler, C. P., Whiteman, M. K., Zapata, L. B., Curtis, K. M., Hillis, S. D., & Marchbanks, P.A. (2012). Health care provider attitudes and practices related to intrauterine devices for nulliparous women. Obstetrics & Gynecology, 119(4), 762-771. https://doi.org/10.1097/AOG.0b013e31824aca39 PMid:22433340

Tessema, Z. T., Teshale, A. B., Tesema, G. A., Yeshaw, Y., & Worku, M. G. (2021). Pooled prevalence and determinants of modern contraceptive utilization in East Africa: A Multi-country Analysis of recent

Demographic and Health Surveys. PloS One, 16(3), e0247992. https://doi.org/10.1371/journal.pone.0247992 PMid:33735305 PMCid: PMC7971875

Twesigye, R., Buyungo, P., Kaula, H., & Buwembo, D. (2016). Ugandan women's view of the IUD: is generally favorable but many have misperceptions about health risks. Global Health: Science and Practice, 4(Supplement 2), S73-S82. https://doi.org/10.9745/GHSP-D-15-00304 PMid:27540127 PMCid:PMC4990164

Weston, M. R. S., Martins, S. L., Neustadt, A. B., & Gilliam, M. L. (2012). Factors influencing uptake of intrauterine devices among postpartum adolescents: a qualitative study. American Journal of Obstetrics and Gynecology, 206(1), 40-e1. https://doi.org/10.1016/j.ajog.2011.06.094 PMid:21903193 PMCid: PMC3237760

Downloads

Published

2025-02-27

How to Cite

Nakate, K., Bantia, M., Naggulu, I. P., & Nalubega, J. F. (2025). FACTORS INFLUENCING UTILIZATION OF INTRAUTERINE CONTRACEPTIVE DEVICE AMONG WOMEN OF REPRODUCTIVE AGE AT ENTEBBE REGIONAL REFERRAL HOSPITAL WAKISO DISTRICT. A CROSS-SECTIONAL STUDY. AfroGlobal Perspectives, 2(2), 10. https://doi.org/10.70572/agp.v2i2.75

Issue

Section

Section of Health Sciences

Similar Articles

1 2 3 4 > >> 

You may also start an advanced similarity search for this article.