A comparative analysis of contraceptive use in Central & Nyanza

Abstract

The overall objective of the study was to establish factors influencing contraceptive use in Central and Nyanza provinces. Specifically, the study set out to determine the socio-economic, cultural, and family planning program factors influencing contraceptive use in Central and Nyanza provinces The study used the 2003 KDHSdata and specifically analysis was confined to women aged 15-49 in Nyanza and Central provinces who were not pregnant at the time of survey. Bongaarts (1978) Framework for the analysis of fertility was adopted and modified to fit the study objectives. Cross tabulations and the logistic regression were the main methods of data analysis. The results from bivariate analysis showed that all demographic variables were significantly associated with contraceptive use in both provinces. In terms of socio-economic factors, only type of residences was significantly associated with use of contraceptives in Nyanza. High proportion of women in urban areas were using contraceptive than the proportion in rural areas. Further, the results show that all the family planning programme factors were significantly associated with contraceptive use in both provinces. In multivariate analysis, the results showed that some factors influencing use of contraceptives are common for both Central and Nyanza provinces while others are not common. The study found that all family planning programme factors considered except Knowledge were significant determinants of contraceptive use in both Central and Nyanza provinces This study recommends enhancement of family planning programs in Nyanza province to increase knowledge and approval of family planning as well as supply and use of contraceptives. Further recommendation is that more efforts should be directed towards increasing the level of education especially that of girl child