Rural-Urban Contraceptive Use in Uganda: Evidence from UDHS 2011

Bigala, Paul; Adebowale, Stephen A.; Ayiga, Natal

doi:10.1080/09709274.2015.11906941

Cited by 11 publications

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“…Furthermore, women prefer many children as a source of workforce since Uganda is largely an agrarian economy with a poorly mechanized sector compared to other developed countries. This is in agreement with study findings from Uganda, rural Rakai which revealed that women with higher number of children had a significant desire to undergo sterilization [25] and partly agree with those from Brazil and India where women with three or more living children were more likely to undergo sterilization than their counterparts who had fewer children [26]. The finding is also consistent with a study done in Malawi [27] and another one in Nigeria where higher rates of sterilization uptake were found among women of parity four and above compared to those women with lower parities [28] but partly disagrees with findings in Nepal where intention to undergo sterilization was higher among women with a lower number of children [29].…”

Section: Discussionsupporting

confidence: 93%

Determinants of female sterilization method uptake among women of reproductive age group in Uganda

Paula

Nzabona

Tuyiragize

2020

Contracept Reprod Med

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Background Despite its great effectiveness, safety and convenience for women who do not wish to have more children; female sterilization method uptake in Uganda is very low. This study aimed at establishing factors associated with female sterilization uptake in Uganda. Methods Secondary data were sourced from the 2016 Uganda Demographic and Health Survey (UDHS). We analyzed all (18,506) women aged 15–49 years who were interviewed in the 2016 UDHS. This sample was categorized into women who were sterilized and those using other modern methods. We used a Chi-square test to measure the association between the current uptake of female sterilization by the women and selected independent variables. Multivariate analysis applied the complimentary log-log model to determine the net effect of selected characteristics on female sterilization uptake in Uganda. Results The overall prevalence of female sterilization among modern contraceptive users was 2%. Female sterilization uptake was highly associated with age of 30 years and older (OR = 34.49;, 95%CI:13.33–99.88), middle wealth status (OR = 0.65, 95% CI:0.47–0.92), women who had ever given birth to at least four children (OR = 3.19, 95% CI:1.63–6.22) and decision making by either the husband/partner (OR = 2.42, 95% CI:1.55–3.78) or jointly between a woman and her husband/partner (OR = 1.38, 95% CI:1.02–1.86). Conclusions The uptake of female sterilization was very low, and this was associated with; age, household wealth, parity and contraceptive decision-maker. The uptake of Family planning programs needs to focus on male engagement to increase joint decision making on family planning issues especially those relating to fertility limitation. Government and its other implementing partners need to scale-up efforts that increase accessibility to information on female sterilization services for women who have completed their fertility.

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Section: Discussionsupporting

confidence: 93%

Determinants of female sterilization method uptake among women of reproductive age group in Uganda

Paula

Nzabona

Tuyiragize

2020

Contracept Reprod Med

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“…Our study found that women with disabilities in Kampala metropolitan region were significantly more likely to have used contraception than women from other regions. This finding is consistent with previous studies on contraception in Uganda, which found that women in urban areas have a higher uptake of contraception (Vernon, 2009) which was attributed to better knowledge, better access to and adequate supply of contraceptive commodities in large urban areas such as Kampala region than in rural regions such as Karamoja region (Paul et al, 2015). Another study, also in Uganda, found significant regional variation in uptake of contraception, with the northern and Karamoja regions, which have the lowest levels of all development indices, having the lowest contraceptive prevalence.…”

Section: Discussionsupporting

confidence: 92%

Access to and Uptake of Contraception by Women with Disabilities

Ayiga¹,

Kigozi²

2016

Journal of Social Sciences

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Contraception has been identified as an imperative for achieving the Sustainable Development Goals. In poor countries, the need for contraception is highest among the most vulnerable population groups. One such group is women with disabilities. The objectives of this study were to examine uptake of and identify the predictors of use of contraception by women in Uganda with disabilities. The study used cross-sectional data on 1128 sexually experienced women in the 15-49 year age group with disabilities. The data were obtained from the 2011 Uganda Demographic and Health Survey. The binary logistic regression model was used to analyse the data. The study found that only 26.1% of the women had ever used contraception and the results confirmed the hypothesis that access to health facilities and access to family planning information on radio significantly increased uptake of contraception. Other factors that significantly increased uptake of contraception were attending 4 or more Antenatal Care (ANC) visits, being in the 25-34 year age group, living in Kampala region, having primary, secondary or higher education, being in the middle or richer wealth index groups and having almost daily access to radio. We conclude that uptake of contraception by women with disabilities is low and reflects the high unmet need for contraception for women in Uganda, which could be explained by the pervasive structural inequalities in access to contraception services.

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“…Similarly, women in Muslim communities of Asian countries usually had more children, desire for additional children and if they desire no more children, less likely to use contraceptive methods than the non-Muslims [50]. Urban women uses contraceptive more than the rural, this finding is in agreement with other studies conducted in Ethiopia and different parts of the world [51–53]. Women in the urban areas might have better decision-making confidence, autonomy, availability of contraceptive methods and even better living standards than the rural women.…”

Section: Discussionsupporting

confidence: 84%

Individual and community level associates of contraceptive use in Ethiopia: a multilevel mixed effects analysis

Abate

Tareke

2019

Arch Public Health

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BackgroundFamily planning is one of the four pillars of safe motherhood initiative to reduce maternal death in developing countries. Despite progress in contraceptive use, unmet needs are wide open and fertility remains high. Ethiopia have a higher fertility rate which contributes to maternal and child health destitution, putting pressure on the already weak health system. This study examined individual and community-level factors associated with contraceptive use in Ethiopia.MethodsData from Ethiopian Demographic and Health Survey 2016 were used to identify individual and community level associated factors among reproductive-age women. Non-pregnant, fecund and sexually active women aged 15–49 were included. Six hundred forty-two communities and 6854 women were involved from this two-stage cluster sampled data. The analysis was done using two-level mixed-effects logistic regression to determine fixed effects of individual and community-level factors and random intercept of between characteristics.ResultsFrom the total eligible women for contraceptive use 2393 (34.9%) of them were users. Injectables were the commonest of all contraceptive methods. Various individual-level variables were associated with contraceptive use. Household wealth index, women’s age, number of living children, husband’s occupation, ever experience of a terminated pregnancy, current working status of the women, number of births in the last 3 years, and hearing of FP messages through different media were significantly associated individual-level variables after adjusting other factors. Community characteristics like region, place of residence, religion, and community-level wealth were the factors associated with contraceptive use.ConclusionBoth individual and community-level characteristics were significant predictors of use of contraceptives in Ethiopian women. Besides the individual-level factors, interventions should also consider community-level associates.

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Rural-Urban Contraceptive Use in Uganda: Evidence from UDHS 2011

Cited by 11 publications

References 0 publications

Determinants of female sterilization method uptake among women of reproductive age group in Uganda

Determinants of female sterilization method uptake among women of reproductive age group in Uganda

Access to and Uptake of Contraception by Women with Disabilities

Individual and community level associates of contraceptive use in Ethiopia: a multilevel mixed effects analysis

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