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Conflict and Health

, 9:24

First Online: 11 August 2015Received: 30 December 2014Accepted: 10 July 2015DOI: 10.1186-s13031-015-0050-9

Cite this article as: Orach, C.G., Otim, G., Aporomon, J.F. et al. Confl Health 2015 9: 24. doi:10.1186-s13031-015-0050-9

Abstract

BackgroundNorthern Uganda was severely affected by two decades of civil war that led to the displacement and encampment of an estimated 1.6 million inhabitants. The objective of this study was to assess community perspectives, attitude and factors that influence use of family planning FP services in post conflict Gulu district.

MethodsWe conducted a cross sectional study using multistage sampling technique. All three counties in the district were purposely selected. Two sub-counties per county and four parishes per sub-county were randomly selected. A total of 24 parishes clusters and 21 adult heads of households per cluster were randomly selected and interviewed. In total, 500 adults 117 males 23.4 % and 383 females 76.6 % were interviewed. We conducted 8 focus group discussions and 6 key informant interviews with family planning managers and service providers. Quantitative data were entered in EPI data and analyzed using STATA version 12. Qualitative data were analyzed manually using thematic content analysis.

ResultsContraceptive prevalence rate was 47.5 %. Communities perceive FP as acceptable, beneficial and geographically, temporally and financially accessible. Factors associated with FP use included age 26–35 years AOR 1.92, 95 % CI 1.18-3.10, p = 0.008, and 36–45 years AOR 2.27, 95 % CI 1.21-4.25, p = 0.010, rural residence AOR = 0.41, 95 % CI 0.24-0.71, p = 0.001, cohabitation AOR = 2.77, 95 % CI 1.15-6.65, p = 0.023, and being a farmer AOR 0.59, 95 % CI 0.35-0.97, p = 0.037. The main reason for non-use of family planning was fear of side effects 88.2 %. The main source of FP services was government health facilities 94.2 %.

ConclusionUse of family planning is relatively high and communities view FP services as acceptable, beneficial and accessible. Family planning use is mainly determined by age, residence, occupation and marital status. Fear of side effects is the main impediment to FP use. There is need to increase awareness and effectively manage side effects of family planning in the settings.

KeywordsFamily planning services Accessibility Attitudes Perceptions Utilization Post conflict Northern Uganda  Download fulltext PDF



Autor: Christopher Garimoi Orach - George Otim - Juliet Faith Aporomon - Richard Amone - Stephen Acellam Okello - Beatrice Odong

Fuente: https://link.springer.com/







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