Intrauterine device uptake among women seeking family planning services in Nairobi County, Kenya
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Date
2017
Authors
Mbuthia, Florence W.
Okumbe, Gaundencia M.
Monda, Jonathan
Ng'ang'a, Paul M.
Journal Title
Journal ISSN
Volume Title
Publisher
Mark Allen Healthcare Limited
Abstract
Aims:
The main objective of this study was to determine the uptake of the intrauterine device (IUD) among women seeking family planning (FP) services at Level 4 public hospitals in Nairobi County.
Methods:
This was a descriptive, cross-sectional study that used both quantitative and qualitative approaches. Interviewer-administered, semi-structured questionnaires, focus group discussions and key informant interviews were used to collect data. Sample size was 380 women with 100% response rate.
Findings:
The uptake of IUD was 7.9% (95% confidence interval (CI): 2.6–13.2%). The uptake increased with age, with those aged above 30 years using the device more compared with those aged below 30 years. Drivers of IUD uptake included: parity (adjusted odds ratio (aOR)=8.545 CI: 4.399–16.599%,P<0.001), awareness of IUD provision in the facility (aOR=1.824, P=0.038) and a favourable perception of IUD (aOR=5.816, P<0.001). The qualitative data from the focus group discussion included common myths such as: ‘IUD might travel to other body organs’ and ‘it spreads infection in the body’.
Conclusion:
Uptake is low in the two hospitals and more awareness should be created on IUD availability. Uptake should be encouraged among young women and those of lower parity.
Description
Research Article
Keywords
Family planning, Intrauterine device, IUD, Uptake
Citation
African Journal of Midwifery and Women's Health Vol 11 | No 1 January 2017 pp 46–50