The Utilization Of Emergency Contraceptives Amongst People Visiting Fort Portal Regional Referral Hospital Between April And August 2017

ABSTRACT  Background

Emergency contraception refers to methods of contraception that can be used to prevent unwanted pregnancy after unprotected sexual intercourse or contraceptive method failure (WHO, 2017).Worldwide there are about 210 Million pregnancies each year, some 80 million of these are unintended, and one in ten of these pregnancies end in an unsafe abortion.

Objectives:

The study aimed to; determine the demographic characteristics, the availability of EC’s and the utilization of EC’s among the women visiting Fort Portal Regional Referral Hospital.

Research methods:

The researcher used a retrospective study design. The targeted population was women visiting Fort Portal Regional Referral Hospital Family Planning unit.. The sample size was 50 and it was determined by Morgan and Krejcie statistical table. Data was collected using a research collection tool, it was cleaned, trimmed, validated and analysed using the MS-Excel.

Results:

The following were the findings obtained from the study; methods of EC’s available included 0.75mg levonorgestrel pill and Copper T Intra uterine device. Sixty percent of the women used EC’s in August and two percent of women in May. The researcher found out that 38% of the women who used EC’s were between the age of 25 to 34 years and 16% of the women were between 45 and 55 years. Fifty four percent of the women used EC’s were married and 46% were single. Forty six percent of women who used EC’s were Bachelor’s degree holders and 8% of the women had no education. Thirty percent of the women who used EC’s were employed, and 12% of the women were unemployed. Seventy two percent of women who used EC’s were from urban centres while 28% of were from rural areas. Of the women who used emergency contraceptive pills 22% were faced with changes in their menstrual cycle while 8% of them experienced body fatigue.

TABLE OF CONTENTS

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

APPROVAL ...............................................................................Error! Bookmark not defined.

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

ACKNOWLEDGEMENT.................................................................v

ABSTRACT.........................................................................vi

LIST OF ABBREVIATIONS AND ACRONYMS..............................ix

LIST OF TBALES..............................................ix

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

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

INTRODUCTION ....................................................................1

1.0. Background........................................................................1 1.1. Problem Statement .................................................................2

1.2. Purpose of study...................................................................2

1.3. Specific Objectives ..........................................................2

1.4.Research Questions...............................................................3

1.5 Scope of the Study: ........................................................3

1.5.1 Geographical Scope: ..........................................................3

1.5.2 Time Scope: .................................................................3

1.5.3 Content Scope ......................................................................3

1.6 Significance of the Study:...................................................................3

CHAPTER TWO................................................................5

LITERATURE REVIEW...........................................................5

2.0.Emergency Contraception..................................................5

2.1. Mechanism of action of Emergency Contraceptives ..........................................................6

2.2. Associated side effects of Emergency Contraceptives Pills .......6

2.3. Availability of emergency contraceptives In Uganda.........6

2.4. Use of emergency contraceptives .............................7

2.5.Factors associated with the use of EC’s...............................7

2.5.1. Social Demographic Factors associated with the use of EC’s................7

2.5.2 Other Factors associated with the use of EC’s........................8

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

METHODOLOGY .............................................10

3.0 Study Area .......................................................10

3.1 Research Design: ...................................................10 vii

3.2. Target Population:........................................10

3.3 Sample Size...........................................................10

Table 1Krejcie and Morgan statistical table for sample size. .........................11

3.4 Sampling Procedure ................................................11

3.5.Inclusion Criteria .........................................................11

3.6. Exclusion Criteria .....................................................11

3.7.Data Collection .......................................................11

3.8.Data Collection Instruments .................................................12

3.9. Limitations to the Study:...............................................12

3.10. Ethical Considerations: ...............................................12

3.11. Data Analysis ....................................................12

CHAPTER FOUR: ......................................................13

RESULTS ..................................................................13

4.0. Availability of Emergency Contraceptives.......................................................................13

4.1.Level of Uptake of EC’s ....................................................13

4.2. Social Demographic characteristics associated with the utilization of ECs .....................13

4.3 Side effects associated with the use of ECs ................................15

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

DISCUSSION OF RESULTS ........................................17

5.0.Discussion..........................................................17

5.1. Conclusion ...................................................19

5.2. Recommendation ...................................................................19

REFERENCES................................................................20

APPENDICES......................................................................22

APPENDIX ONE: DATA COLLECTION SHEET...................22

APPENDIX TWO: LETTER OF RECOMMENDATION TO SITE OF STUDY.................24

APPENDIX THREE: MAP OF KABAROLE SHOWING THE STUDY AREA .................25

APPENDIX FOUR: MAP OF UGANDA LOCATIONG FORT PORTAL...........................26 viii