Contraceptive Utilization Among Secondary School Student in Bundibugyo District

TABLE OF CONTENTS

DECLARATION.......................................................................................................................................... i

SUPERVISOR’S APPROVAL.................................................................................................................. ii

ACKNOWLEDGEMENT......................................................................................................................... iii

DEDICATION............................................................................................................................................ iv

TABLE OF CONTENTS ........................................................................................................................... v

LIST OF ABBREVIATIONS AND ACROYMS .................................................................................... ix

OPERATIONAL DEFINITIONS ............................................................................................................. x

ABSTRACT................................................................................................................................................ xi

CHAPTER ONE .........................................................................................................................................1

1.1 Background.........................................................................................................................................1

1.2 Problem statement...............................................................................................................................3

1.3 study objectives...................................................................................................................................4

1.3.1 General objective .........................................................................................................................4

1.3.2 Specific objectives .......................................................................................................................4

1.4 Research questions..............................................................................................................................4

1.5 justification of the study......................................................................................................................4

1.6. Study scope ........................................................................................................................................4

1.6.1 Geographical scope......................................................................................................................4

1.6.2 Content scope...............................................................................................................................5

1.6.3 Time scope ...................................................................................................................................5

CHAPTER TWO: LITERATURE REVIEW..........................................................................................6

2.1. Prevalence of contraceptive use among secondary school students ..................................................6

2.2. The demographic characteristics in relation to contraceptive utilization among secondary school

students. ....................................................................................................................................................7

CHAPTER THREE: METHODOLOGY...............................................................................................10

3.1 Study design......................................................................................................................................10

3.1 Study area..........................................................................................................................................10

3.2 Study population ...............................................................................................................................10

3.2.1Inclusion criteria .............................................................................................................................10

3.2.2 Exclusion criteria ...........................................................................................................................10

3.3 sample size determination.................................................................................................................11

vi

3.4 sampling technique ...........................................................................................................................11

3.6 Study tools ........................................................................................................................................11

3.7 Data collection procedure .................................................................................................................12

3.8 Quality control. .................................................................................................................................12

Limitation of the study............................................................................................................................12

3.10 Ethical consideration.......................................................................................................................13

CHAPTER FOUR: RESULTS ..............................................................................................................14

4.1. PREVALENCE OF CONTRACEPTIVE USE AMONG SECONDARY SCHOOL STUDENTS

IN BUNDIBUGYO DISTRICT. ............................................................................................................14

4.2. DEMOGRAPHIC CHARACTERISTICS AMONG SECONDARY SCHOOL STUDENTS IN

BUNDIBUGYO......................................................................................................................................15

4.3. CONTRACEPTIVE METHOD USED BY SECONDARY SCHOOL STUDENTS IN

BUNDIBUGYO DISTRICT...................................................................................................................16

CHAPTER FIVE ......................................................................................................................................17

DISCUSION OF RESULTS, CONCLUSION AND RECOMMENDATIONS ..................................17

5.1. Discussion........................................................................................................................................17

5.2. CONCLUSION................................................................................................................................20

5.3. RECOMMENDATIONS.................................................................................................................20

REFERENCE............................................................................................................................................21

APPENDIX I: QUESTIONNAIRE.........................................................................................................23

APPENDIX 11: CONSENT FORM........................................................................................................26

APPENDIX III: BUDGET ESTIMATE.................................................................................................27

APPENDIX II: TIME FRAME ...............................................................................................................28

ABSTRACT Background; There is a growing interest in adolescent reproductive health with regard to unwanted pregnancies (Buxton, 2012). Contraception is one of the essential elements of youth reproductive health and it allows youth to determine the timing and the number of their children and empowers them to manage their lives with respect and dignity (Tchokossa, 2018). problem statement; Despite the ongoing campaign to increase family planning and prevention of unwanted pregnancies being an integral component of achieving the united nation millennium goal five of improving maternal health, contraceptive use in Uganda is still low with only 26% of married women and 43% of sexually active unmarried women using (WB Ug, 2011). This was the basis of this research to determine the prevalence, demographic characteristics and the method of contraception used among secondary school students in Bundibugyo district. Methodology; A cross sectional descriptive study to determine the prevalence, the social demographic characteristics and the contraceptive methods used was done among secondary school students in Bundibugyo district. A sample of 400 students were involved in the study where Self-administered questionnaires which had both open and closed ended questions were used to collect data on prevalence, demographic characteristics and contraceptive methods used by the respondents. Results; the result obtained showed that more than half of the respondents 207 (52%) had used at least one contraceptive method the last time they had the sexual intercourse as seen in the (figure 1). Majority of the respondents 40 (95%) aged 21 to 25 used contraception, less than half of the respondents aged 15 to 20 years 160 (47%) used contraception and quarter of the respondents aged 10 to 14 years 7 (25%) used contraception. Almost all respondents in senior five 60 (91%) and senior six 64 (97%) had used contraception while in senior one and two only 11 (16%) and 17 (25%) of the respondents had used contraception respectively. 59% Babwisi , 59% Bakonjo, and 37% of the Bamba used the contraception as well. Majority of the respondents who used contraception 103 (50%) used condoms, and few 14 (7%) and 7 (3%) used IUD and implanon respectively. Conclusion; The prevalence of contraceptive use was low among secondary school students of Bundibugyo district was 52%, students aged 21 to 25 and Bakonjo were the most users of contraception and contraception use increased with increase in class level. Condoms were the the most used contraception and implants were the least used.