Factors Associated With Use of Long-acting Reversible Contraceptives Among Women Seeking Family Planning Services at Two Referral Hospitals in Nairobi County, Kenya
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Date
2023Author
Kihoro, Richelle W
Type
ThesisLanguage
enMetadata
Show full item recordAbstract
Background
Long-acting reversible contraceptives (LARCs) have been proven to be effective in reducing
unplanned pregnancies. However, in Kenya, the utilization of LARCs is lower compared to
short-acting reversible contraceptives (SARCs). The underlying reasons for this lower
prevalence of LARCs use remains poorly understood.
Objectives
The aim of this study was to establish factors associated with use of LARCs among women
seeking family planning services at two referral hospitals in Nairobi County, Kenya.
Methods
This was a hospital-based unmatched case control study where LARCs users were cases and
SARCs users were controls. The study was conducted in Kenyatta National Hospital and
Mbagathi Sub-County Hospital. Participants were selected using systematic random sampling
at a 1:1 case control ratio (n=206). Univariable and multivariable logistic regression was
utilized to investigate the effect of the predictors on the odds of LARCs use.
Results
From the multivariable analysis occupation (aOR=3.87; 95% CI: 1.78-8.40; p=0.001) &
(aOR=3.51; 95% CI: 1.36-9.07; p=0.009), level of education (aOR=4.12; 95% CI: 1.51-11.21;
p=0.006), desire to have a child in the future (aOR=0.36; 95% CI: 0.16-0.80; p=0.012) and
future desired birth interval (aOR=2.94; 95% CI: 1.15-7.50; p=0.006) were identified as
significant predictors of use of LARCs.
Conclusion
The study demonstrated that socio-demographic factors such as level of education and
occupation had a statistically significant association with the use of LARCs. Additionally,
reproductive factors such as desire to have children and future desired birth interval were
statistically associated with use of LARCs. These findings suggest that tailored interventions
should be targeted to meet this demographic and reproductive group
Publisher
University of Nairobi
Rights
Attribution-NonCommercial-NoDerivs 3.0 United StatesUsage Rights
http://creativecommons.org/licenses/by-nc-nd/3.0/us/Collections
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