Assessing Long-Acting and Permanent Family Planning Methods Uptake among Women of Reproductive Age in Kilifi Sub-County, Kilifi County
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Family planning is the intentional prevention of conception through use of the various available devices, sexual practices or surgical procedures and medications followed in order to deliberately prevent or reduce likelihood of pregnancy. Family planning methods comprise modern methods (short acting methods and long-acting and permanent methods (LAPM) and traditional methods. This study focused on the Long acting/Permanent methods (IUCD, Implants and sterilization) which have comprised a very small percentage of the methods used by women over the years. Kilifi district has a bigger population which is rural, with a quarter of the population twenty five percent being WRA. Kilifi district contraceptive prevalence rate (CPR) currently stands at twenty three percent, however, the LAPM share of this is not known. The aim of the study was to assess the determinants of uptake of long acting/permanent methods of family planning among the women of reproductive age in Kilifi sub-county of Kilifi county, Kenya. Cross sectional exploratory study was used which was employing both qualitative and quantitative designs. The study was done in public health facilities only where ten percent of the total facilities in the sub-county were randomly selected: Kilifi district hospital, Bamba sub district hospital and Vipingo health centre were selected. A total of three hundred and fifty respondents drawn from the three facilities were sampled: 150 respondents from KDH; 120 respondents from Sub-district hospital and 80 respondents from the health centre. Two phases of data collection were used where in phase one, data was collected through client-exit interviews using questionnaires administered to WRA visiting family planning clinic at the three health facilities that were selected for the study between October 2011 and June 2012. Phase two involved conducting key informant interviews (KIIs) with the service providers which was done around the same time. Uptake of LAPM among the respondents WRA in Kilifi was found to be forty percent (40%). The major socio-cultural and demographic factors that were found to determine uptake of LAPM of family planning were age, education level, marital status, intention to have more children, partner support, LAPM previous knowledge and use, as well as the previous source of these methods. Major health facility determinant was found to be the mode of transport to facilities. Other barriers to LAPM uptake as indicated by key informants were partner approval, myths and perceptions, commodity stock outs and shortage of trained personnel.