Modern Contraceptive Utilization Among Women of Reproductive Age in Terekeka county, Central Equatoria State, South Sudan

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Uganda Christian University
Introduction: This study investigated modern contraceptive utilization among women of reproductive age in Terekeka County. Methodology: A mixed cross-sectional study design was adopted and quantitative data was collected from 384 women of reproductive age through structured interviews while qualitative data was obtained using focus group discussions and key informant interviews. Data collection was conducted from August to September 2021 and analysis was done using the Statistical Package for Social Scientists (SPSS) version 23.0 and thematic content analysis. Results: The study revealed the level of education of women (AOR=8.68, Confidence interval: 3.22-23.42), occupation of women (X2=19.56, p-value <0.001), religion of women – Muslim (X2=7.45, p-value=0.02) and having 6-12 number of children (AOR=5.36, Confidence Interval: 0.66-43.79) were the socio-demographic determinants while age of women and their marital status were not associated with modern contraceptive use. Knowledge on modern contraceptives (AOR=3.7, Confidence Interval: 1.43-9.61), free family planning services (X2=23.39, p-value <0.001), access – waiting for less than 30 minutes at health facility (AOR=6.80, Confidence Interval: 2.41-19.15) and husband’s support (X2=19.28, p-value <0.001) were found to be the health services factors. The prevalence of modern contraceptive utilization in Terekeka County was 21.88% (Confidence Interval: 18.02-26.29). Conclusions: Level of education of woman, occupation, religion (Muslim), number of live children, knowledge on modern contraceptives, access and partner’s support were positively associated to modern contraceptive utilization while age of woman, marital status and traditional healers were not. The prevalence of modern contraceptive utilization among women of reproductive age was 21.88% (CI: 18.02-26.29), higher than 5% (FP2020 FPET, 2016) as well as the South Sudan government target of 10%. Recommendations: Implement demand creation activities - awareness, Family planning services providers to encourage partners’ support and further research on why Terekeka County has higher prevalence.
Masters dissertation