FACTORS CONTRIBUTING TO LOW UTILIZATION OF FAMILY PLANNING METHODS AMONGST ADOLESCENTS ATTENDING FAMILY PLANNING CLINIC AT ADJUMANI HOSPITAL, ADJUMANI DISTRICT

TABLE OF CONTENTS

FACTORS CONTRIBUTING TO LOW UTILIZATION OF FAMILY PLANNING ......................i

ABSTRACT .......................................................................................................................................ii

COPYRIGHT .................................................................................................................................... iii

AUTHORIZATION .......................................................................................................................... iv

DEDICATION.................................................................................................................................... v

ACKNOWLEDGEMENT................................................................................................................. vi

LIST OF TABLES............................................................................................................................. ix

LIST OF FIGURES ............................................................................................................................ x

OPERATIONAL ACRONYMS........................................................................................................ xi

DEFINITIONS OF TERMS ............................................................................................................. xii

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

1.0 Introduction...................................................................................................................................1

1.1 Background of the study...........................................................................................................1

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

1.3 Purpose of the study.................................................................................................................4

1.4 Specific objectives...................................................................................................................4

1.5 Research questions...................................................................................................................4

1.6 Justification of the study...........................................................................................................5

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

2.1 Introduction ..............................................................................................................................6

2.2 The demographic factors contributing to low utilization of Family Planning Methods...........6

2.3 Cultural factors contributing to low utilization of Family Planning Methods ..........................7

2.4 Health related factors contributing to low utilization of Family Planning Methods................9

CHAPTER THREE: METHODOLOGY .........................................................................................11

3.0 Introduction ............................................................................................................................11

3.1 Study design and rationale .....................................................................................................11

3.2 Study setting and rationale.....................................................................................................11

3.3 Sample Size .............................................................................................................................12

3.4 Sampling procedure................................................................................................................12

3.5 Eligibility criteria .....................................................................................................................13

3.6 Study variables........................................................................................................................13

3.7 Research instruments.............................................................................................................14

3.8 Data collection procedures.....................................................................................................14

3.9 Data analysis and presentation ..............................................................................................14

3.10 Ethical considerations...........................................................................................................15

3.11 Limitations of the study ........................................................................................................15

3.12 Dissemination of results .......................................................................................................15

CHAPTER FOUR: RESULTS AND FINDINGS............................................................................16

4.1 Introduction ............................................................................................................................16

4.2 Demographic factors contributing low utilization of Family Planning Methods amongst adolescents.................................................16

4.3 The cultural factors contributing to low utilization of Family Planning Methods amongst adolescents................................................18

CHAPTER FIVE: DISCUSSION, CONCLUSION AND RECOMMENDATION........................24

5.1 Introduction ............................................................................................................................24

5.2 Discussion ...............................................................................................................................24

5.3 Conclusion...............................................................................................................................29

5.4 Recommendations..................................................................................................................30

5.5 Recommendation of topic for further research ......................................................................30

5.6 Implications to Nursing Practice............................................................................................31

REFERENCES .................................................................................................................................32

APPENDICES ..................................................................................................................................37

APPENDIX A: CONSENT FORM......................................................................................................37

APPENDIX B: RESEARCH INSTRUMENT ............................................................................38

Appendix C: Letter of Authorization.............................................................................................42

Appendix D: A map of Uganda showing location of Ajumani district...........................................43

Appendix E: A map of Adjumani District showing Adjumani Hospital..........................................44

ABSTRACT 

Globally, approximately 80 million unintended pregnancies worldwide are accounted for low utilization of family planning methods during adolescent and postpartum period. Young people’s sexual and reproductive health affects their lives and the health of the global community. The purpose of this study was to find out factors contributing to low utilization of Family Planning Methods amongst adolescents attending family planning clinic at Adjumani Hospital, Adjumani District. A cross-sectional and descriptive study which employed quantitative method of data collection was used for a period of four weeks and the study was conducted at Family Planning clinic in Adjumani Hospital. A purposive sampling method was used. Only 45 adolescent aged 12 to 20 years old attending Family Planning clinic freely assented/consented to participate in the study. The results showed 25 (56%) of the adolescent were of age range 18-20 years than few 5 (11%) who were 12-14 years, 31 (69%) participants their culture allow use of FP method. Only 14 (31%) participants whose culture does not allow use of family planning method revealed that FP affects their fertility and said the culture considered it as a crime in the community. Nearly 38 (84%) have ever visited family planning clinic while very few 7 (16%) have not visited, most 27 (71%) were attended by Nurse while only few 3 (8%) were attended by Doctor.