LEVEL AND FACTORS ASSOCIATED WITH UPTAKE OF IMPLANTS AMONG WOMEN OF REPRODUCTIVE AGE (15_49) IN TWIC EAST COMMUNITY, SOUTH SUDAN
ABSTRACT Introduction: Implants are among the modern contraceptive methods that are hormonal, long-acting, and reversible contraceptives. They are small, thin, and flexible plastic rods that release a progestin hormone in the body, either levonorgestrel (Jadelle and Sino implant) or etonogestrel (Implanon). Methods: The research was a community-based cross sectional study. The main source of information for this research was primary data, which was collected from respondents’ households by use of questionnaires, a structured open-ended questionnaire was used as a data collection instrument, and the descriptive statistics and multiple regression analysis were used for the analysis of data. Results: The level of uptake of implants among women of reproductive age in Twic East Community, South Sudan was at 40 percent, with a 95% confidence interval of 33.7 percent to 46.5 percent. At multivariate level, after assessing for interaction and confounding, the factors that were significantly associated with uptake of implants were 45-49 years age group (aPR=0.25, 95%CI: 0.08- 0.78, p-value=0.017), Anglican and other religion (aPR=0.60, 95%CI: 0.37- 0.95, p-value=0.031; aPR=0.48, 95%CI: 0.30- 0.78, p-value=0.003), having 3-5 and 6-10 children (aPR=1.86, 95%CI: 1.24- 2.78, P-value=0.003; aPR=3.67, 95%CI: 1.69- 7.99, P-value=0.001), having still birth pregnancy outcome (aPR=4.35, 95%CI: 2.56- 7.39, P-value=0.001), not had unplanned pregnancy (aPR=0.45, 95%CI: 0.29- 0.69, P-value=0.001) and not discussing with husband about implants (aPR=0.21, 95%CI: 0.12- 0.37, P-value=0.001). Conclusion: Our study found uptake of implants among the women of reproductive age at 40 percent. Policies targeted to women of age group 45 to 49 years to encourage more use of implants, more sensitization of husbands on implants will further help to increase uptake of implants and consequently prevent unplanned pregnancies.