Diploma Clinical Medicine and Community Health

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Acceptability of IUD Use for Family Planning by Spouses of Men in an Urban Setting in Uganda :
(International Health Sciences University., 2014-11) Tusiime, Behan.
Introduction: IUCD is one of the many FP methods used by women. Its includes advantages such as it having no side-effects on the body and once inserted one no longer is required to use other contraceptive methods. Though there is low uptake, IUCD is a very important component of FP because it is known to be very effective in that only two of every a hundred women using IUCD will become pregnant over five years of use and thus the study was conducted to determine if men's acceptability, knowledge and attitude towards IUCD use by their spouses affects its low utilization and if so, devise means of increasing its uptake by their spouses. Main objective: The main objective of the study is to determine acceptability by men on the use of an IUD for family planning by their spouses in Luzira Parish Kampala. Methodology: A cross-sectional study design was used and it involved data collection from a sampled population of 142 men of reproductive age group (18 to 50 years) which was collected at a defined time. It encompassed the use of survey techniques particularly the use of standardized pre-coded interview administered questionnaires to gather data. Results: Out of 142 men interviewed, the majority (64.78%) were between the ages of 18 to 27 years. Majority of them (48.59%) were currently married/cohabiting and most (42.25%) had at least studied ordinary level. 90.84% of men reported to have ever heard of FP methods and only 19.0% of them knew IUD. 66.9% have spouses that have ever used FP but only 6.33% used IUD. 90.84% reported their spouses to be currently using FP but only 3.52% are using IUD. 76.06% said they would not allow their spouses to use IUD and 53.52% had various reasons as to why they would not, majorly religion, cultural beliefs among others. Conclusion: Despite the fact that 90% of the respondents have ever heard of family planning methods, only 19% knew about IUD, 6% reported their spouses having ever used IUD and only 3% of the respondents had spouses currently using Intrauterine Devices. 76% of men said they would not allow their spouses to use IUD due to various reasons some of which included 28% saying IUD caused side effects, their various religions and cultures not accepting its use and other reasons such as it damages the uterus, causes cancer, not commonly used, expensive especially in the private sector and many more reasons as sited in chapter 4 section 4.9. Therefore IUD acceptability by men to be used by their spouses is very low in Luzira a suburb of Kampala.
Emergency Contraceptive Use among the Female Youth Attending Katabi Health Center III, Entebbe Municipality, Uganda.
(International Health Sciences University., 2014-11) Yoti, Christabel Malaika.
Background : Emergency contraceptives are a method of family planning that are taken after having unprotected sexual intercourse in order to prevent unwanted pregnancies. There is a high prevalence of teenage pregnancies in Entebbe municipality and there have not been any studies done to assess the low utilization of emergency contraceptives and how many actually use them. Methods: A well detailed and structured questionnaire was designed for this study and therefore that is how data was collected. There were 33 questions which were consistent which made the data easy to analyze after collection. Results: Emergency contraceptives use among the female youth was found to be low with only 43% of the 280 using them, the number of unwanted pregnancies was high with 71.1% of the respondents having ever been pregnant and bearing children, the number of sexually active youth was high with 87.5% of the 280 respondents being sexually active and the knowledge about emergency contraceptives was found to be relatively low with only 60.7% of the 280 respondents having knowledge about emergency contraceptives. Conclusion: Not very many of these sexually active youth know about emergency contraceptives and the role they play in curbing the occurrence of unwanted pregnancies. Therefore a number of recommendations were listed in order to solve this problem. For example involvement of parents and guardians in sexual education, involvement of fellow youth to reach out to their peers just to mention a few.
Factors Influencing the Use of Intrauterine Devices Among Women of Child Bearing Age Attending Family Planning Clinic at Mulago Hospital.
(International Health Sciences University., 2014-11) Kikye, Vivian.
This report presents a descriptive study that was carried out in Kampala District at the Family Planning clinic at Mulago Hospital aimed towards finding out the Factors influencing the use of Intra Uterine Devices among women of child bearing age attending Family Planning Clinic at Mulago Hospital. The general objective was to establish the factors that influence the use of Intra Uterine Devices among women of child bearing age attending Family Planning Clinic at Mulago Hospital and the specific objectives were to establish the socio economic, hospital-related and cultural factors influencing the use of Intra Uterine Devices among women of child bearing age attending Family Planning clinic at Mulago Hospital. With a quantitative, cross sectional descriptive design approach, data was collected using structured and pretested questionnaires that were handed out to a total of 133 respondents selected by Random sampling after giving their consent. Data collected was analysed using table tallying and the results presented using frequency tables, pie charts and graphs. The results showed that majority of the clients attending the Family Planning Clinic are married Christian youths who have attained some education and the most popular and highly used contraceptive method is the Implant followed by the IUDs. Among the socio economic factors looked at, the lack of male involvement in Family Planning activities hindered the use of IUDs. Health workers encouragement to use IUDs played a major role in its uptake and this was the main hospital related factor leading to low use of IUDs. However the cultural factors explored showed no hindrance to use of IUDs. The conclusion was based on the findings which showed that the use of IUDs at the Family Planning Clinic, Mulago Hospital was low given the fact that the Family Planning services are free and readily available to the clients. The recommendations to the staff of Family Planning Clinic, Mulago Hospital were to encourage the clients to use IUDs more since the Family Planning services are free, creating awareness of the benefits of using IUDs through advertising on radios, televisions and in newspapers. Furthermore, the staff was advised to encourage the women to involve their husbands and come with them for the Family Planning visits for example by serving couples first, giving them front row seats during learning sessions and many more. Lastly the health workers were advised to give detailed information about the IUDs that is; the mode of action, the insertion and removal procedure, side effects, contra indications, when to visit the health centre and the red flags to look out for.
Factors Influencing Utilization of Condoms Among Secondary School Students Aged 15 to 20 Years in Seguku, Sabagabo Zone Wakiso District.
(International Health Sciences University., 2014-11) Ariokot, Shakira.
Introduction: Condoms are considered the most effective ways of preventing un-intended pregnancies Sexually Transmitted Diseases and HIV/AIDS. Correct, consistent use and understanding the predictors of their use among secondary school students can contribute to the uptake of condoms as an important strategy for prevention of un-intended pregnancies and HIV/AIDS among the adolescents in Seguku. The main objective of this study was to determine the factors influencing condom utilization among secondary school students aged between 15 and 20 years in Seguku, Sabagabo zone, Wakiso district. Methodology: The study was cross sectional using both qualitative and quantitative techniques. Semi- structured questionnaires were administered to 138 students at two secondary schools. The questionnaires did not bear the names of the students nor were there any samples collected from them. A letter of permission was written from the university to the respective schools where the research was conducted. Results Of the 138 students, 89% knew about the condom but its use was observed to be low, 60% of the students do not use the condoms due to the associated myths that are heard of about them. 41% of these students reported that their partners do not approve the use of the condoms because they believe that they may reduce sexual pleasure. In this study it was revealed that condom use among the secondary school students is still very low (40%), school teachers and leader should strengthen the sex education campaign, in charges of the health centres should therefore formulate outreach programs that teach the correct use of condoms and educate the students on the different uses.
Factors that Influence Utilization of Family Planning Services by Women Seen at Mbale Regional Referral Hospital Antenatal Clinic.
(International Health Sciences University., 2014-11) Lubowa, Abdallah.
Family Planning is the ability of individuals and couples to anticipate and attain their desired number of children and spacing their births (WHO, 2007). According to Lance’s Maternal Survival and Women Deliver Series, (2006/2007), Reported that access to Family Planning empowers women, reduces poverty and enhances good health. Researchers estimated that, the lives of 150,000 women could be saved each year with access to sufficient Family Planning. In addition, by increasing birth intervals to at least 24 months, the deaths of one million or more children under the age of 5 could be averted (WHO, 2006). The general objective of the study was to find out the factors influencing the utilization of family planning by women, in order to improve the service delivery in Mbale Regional Referral Hospital. The specific objectives were to establish the socio demographic characteristics, assess the level of Knowledge and attitude and, identify economic factors that hinder women of child bearing age in Mbale Regional Referral Hospital from using Family Planning methods. The research was conducted in Mbale Regional Referral Hospital in Antenatal clinic. The study was mainly descriptive in form of survey and cross sectional design. Study findings indicated that the majority of the respondents fall within the age group 26-35 years 97.5% of them were married. 70% has attained formal education, housewives were 53.3%. The respondents were found knowledgeable; they gave benefits, types of family planning and, 70% of them have used contraceptives. They have positive attitude towards family planning though 30% reported they could not use family planning because of the influence of their husbands, rumors that it can cause cancer, permanent infertility. Study finding implied that respondents, knowledgeable; they have positive attitude towards family planning factors that hinder family planning were cultural influence of having more children, husband who were sole decision makers and misconceptions. The study to Clinical practice implies that another research should be conducted on attitude and male involvement in family planning in Mbale district, to find the ground for establishing male involvement
Utilization of Artificial Contraceptives Among Female Students at International Health Sciences University, Kampala, Uganda.
(International Health Sciences University., 2014-11) Ayebare, Yvonne.
Introduction: There is increased sexual activity among university students which has led to unplanned pregnancies among the female university students which has increased abortions, maternal mortality rate and poor quality life. The study set at assessment of utilization of modern contraceptive methods by female university students at international health Sciences University for the utilization of contraceptives. Materials and methods: This was a cross-sectional descriptive study with self answered questionnaires. Data was collected from 280 female students at the Namuwongo-IHK and Lubowa campuses. Participants were chosen through stratified method of sampling from all faculties. Analysis was done using SPSS and results were presented using graphs, tables and charts. Results: Of the 280 respondents, 65% had ever been sexually exposed, of these 49% had been sexually active in the previous year. Only 37% of the respondents had ever used contraceptives and of those only 27% used contraceptives in their last sexual encounter. Of those who had use contraceptives in their last sexual encounter, 71% had used condoms, 7% COCPs, 11% ECPs. Most students reported that they use contraceptives to prevent pregnancies and catching STIs/STDs. They further suggested that condoms should be placed in toilets for better accessibility. Conclusion: Generally the study findings show that utilization of contraceptives among university female students is low. There is a gap on sexual activity and the utilization of modern contraceptive methods used by the university students. University students should be sensitize about sexual activity and increase the supply of contraceptives to university female students. Key words: contraceptives, maternal mortality rate, abortions.

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Browsing Diploma Clinical Medicine and Community Health by Subject "Birth control -- Uganda"