Factors influencing contraceptive preference and choice among women of reproductive age in Msambweni constituency, Kwale county, Kenya

Abstract

The government of Kenya in collaboration with other stakeholders involved in the provision of family planning services have put in place various strategies and policies to increase uptake of family planning services. These are aimed at increasing contraceptive prevalence rate (CPR), reduction in both total fertility rate (TFR) and unmet need for family planning services. Despite the various strategies and policies, total fertility rate still remains high at 4.6 percent, while CPR and unmet need for family planning at the national level are estimated at 46 percent and 24percent, respectively. Msambweni Constituency has a low CPR of 29.5. The purpose of the study was to examine the factors influencing contraceptive preference and choices among WRA in Msambweni constituency, Kwale County-Kenya. Literature reviewed showed that demographic, social, economic and service provider factors influence the contraceptive preference and choice with spousal approval being the major determinant. To realize the objectives, a descriptive survey design was adopted. The target population constituted WRA registered as FP clients in GOK health facilities. A sample size of 372WRA and 7 service providers was identified through cluster sampling. Primary data was collected from the women using a structured questionnaire and focus group discussions while KII was used for the service providers. The data was analyzed using Frequencies, percentages and the Chi-square test statistic and presented in tables. The study established that demographic factors, social factors, economic factors and service provider’ factors have a significant influence on contraceptive preference and choice among WRA. The study concludes that demographic, social, economic and service provider’ factors influence contraceptive preference and choice among WRA in Msambweni constituency. It recommends community based activities should be revived and enhanced, promotion of family planning education and activities at the household level targeting the WRA and their spouses should be accorded priority. The service providers play a crucial role in the general uptake of FP and should therefore be continually trained. Lobby groups to enhance cultural change, awareness creation and counseling and integrating family planning services should be formed.