Department of Nursing

Permanent URI for this collectionhttps://repository.chuka.ac.ke/handle/chuka/255

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Browsing Department of Nursing by Subject "family planning"

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    Determinants of uptake of long-acting reversible contraceptives among women of reproductive age attending meru teaching and referral hospital, meru county in Kenya
    (Chuka University, 2024) Munyiri Lilian
    The most efficient and reasonably priced forms of birth control are long-acting reversible contraceptives (LARC). In spite of their effectiveness, less than 15% of women globally who are of reproductive age use LARC. In Kenya, just 18% of women who are of reproductive age are using LARC procedures. The frequency in Meru County (11.2%) is much lower than it is nationwide. This study set out to evaluate the variables affecting the uptake of LARC among women who were receiving care at the Meru Teaching and Referral Hospital and were of reproductive age. Analytical crosssectional survey research design was used in the study. Women of reproductive age (WRA) requesting family planning services at Meru Teaching and Referral Hospital in Meru County were the study's target population. Ten key informants were chosen through purposive sampling, and 117 women who were of reproductive age were chosen by systematic random sampling. In order to get quantitative data for this study, the researcher utilized a semi-structured questionnaire that she had created, and to gather qualitative data, she employed a key informant guide. The Embu Teaching and Referral Hospital served as the pretesting site for the research tools. The presentation of qualitative data involved the thematic organization and narrator. The mean, mode, and standard deviation of descriptive statistics were used to assess quantitative data. Chi-square tests were utilized to examine the relationship, at a 95% confidence interval, between the uptake of LARC and variables linked to social culture, health facilityrelated characteristics, and knowledge level. The strength and connection of the factors that were discovered to be significant were tested using regression analysis. According to the study, the uptake rate for LARC among women who were of reproductive age was 11.2%. The factors that affected this rate were as follows: a good level of knowledge, which influenced LARC uptake at x2(N=170), 5.16, p=.018, the timeliness of service provision at x2(N=170), 15.62, p<.001, and distance to the health facility at x2(N=170), 10.84, p<.001. The spacing of children at x2(N=170), 20.51, p<.001, and who decides to seek family planning services at x2(N=170), 6.32, p=.012, were the main social and cultural determinants that affected LARC uptake. The study also generated three themes which are, high cost of LARC services, inadequate staff who have been trained on insertion and removal of LARC and inadequate supplies required for service provision The study came to the conclusion that LARC uptake among women of reproductive age was impacted by both individual and health facility characteristics. The study makes several recommendations, the ministry of health to launch widespread campaigns to raise awareness and knowledge about LARC among women of reproductive age, that health facilities should enhance the promptness with which they provide services, particularly family planning services, and that they should support women's autonomy in choosing when to seek family planning services. Further research should be carried out to explore on health care provider characteristics that influence uptake of LARC.
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    Factors influencing uptake of intra-uterine contraceptive device among women of reproductive age (15-49 years) attending family planning clinic at Embu teaching & referral hospital, Kenya
    (Chuka University, 2024-10) Munyoki Mercy Syombua
    Contraceptives allows an individual to prevent unwanted pregnancy and control when and to become pregnant. An Intrauterine Contraceptive Device (IUCD) also called ‘coil’ is a small device made from plastic and copper which sits inside the uterus. Contraceptive information and services are fundamental to the health and human rights. It helps prevent unintended pregnancies to lower maternal ill-health and the number of pregnancy –related deaths. Delaying pregnancies in young girls who are at increased risk of health problems from early child bearing, and preventing pregnancies among older women who also face increased risks. Globally only 15 % of women of reproductive age use intrauterine device as a contraceptive method while in Sub -Saharan Africa, only 2% of women of reproductive age were using Intrauterine Contraceptive Device. In Kenya 5% of women of reproductive age were using Intrauterine Contraceptive Device as a method of family planning. In Embu County 7.5% of women of reproductive age were using Intrauterine Contraceptive Device according to KNBS 2022. The study objectives included individual, health facility factors influencing uptake of Intra-uterine Contraceptive Device among women of reproductive age attending family planning clinic at Embu Teaching & Referral Hospital and socio-cultural factors influencing uptake of Intra-uterine Contraceptive Device among women of reproductive age attending family planning clinic at Embu Teaching & Referral Hospital. The research study was analytical cross-sectional study design. Census method of sampling technique was used collect data amongst 180 respondents which was the monthly workload. Piloting was done at Meru level 5 hospital among 18 respondents and 5 health care workers, Data was collected using self-researcher administered questionnaire. Data was analyzed using statistical package for social science version 27 and NVIVO version 14.Descriptive analysis was used to obtain frequencies and percentages. The relationship between variables was tested using Chi-Square and logistic regression analysis to check for strength of association. Ethical consideration was observed. The research findings: age was a key determinant in use of IUCD, age category of 30 to 49 years 73.8% (n-177).Parity affected use of IUCD those with two children and above were using the method., majority using had two children and above and were married 69% (n-177).Those with monthly income <10000 were mostly using IUCD at 50.3%,(n-177) hence need to sensitize people on use of IUCD, Information source being Health Care Workers was influential to use of IUCD those who consulted partners were likely to use the method. Male involvement was key that partners supported use of IUCD 78.8% (n-177) Myths and misconceptions 88.9% (n-177) influenced use of IUCD negatively people believed it would migrate to other parts of the body, Cultural beliefs 71.8% (n-177) affected use of IUCD negatively clients believed it was a dirty procedure. The government of Kenya to Champion for campaigns to sensitize women of reproductive age on IUCD and provide more guidelines on IUCD to be provided for clients to have more information. Mentorship to all health care workers working at the family planning clinic at Embu Teaching and Referral Hospital on IUCD counselling, insertion and removal to improve competency.