Determinants of Preference of Source of Injectable Contraceptives among Rural Women in Uganda: A Case Study of Depo-Provera

Olivia Nakayiza, Robert Wamala, Betty Kwagala

Abstract

Understanding preference of source of contraceptive commodities is essential in enhancing the delivery of family planning services. This paper identifies the determinants of preferred source of Depo-Provera among rural women in Uganda. The analysis is based on data sourced from a Save the Children and Family Health International study involving 642 women who were introduced to the contraceptive three years prior to the evaluation. Data were analyzed at univariate, bivariate and multivariate levels. Private sources were the most preferred of Depo-Provera as compared to public sources. Preference for private sources was more likely among older women (p < 0.05), those who had never experienced stock-outs of Depo-Provera (p < 0.01), and those who had obtained their last injectable from private sources (p < 0.01). These findings support the strategy of communitybased distribution of contraceptives in enhancing access and utilization of family planning services in Uganda. (Afr J Reprod Health 2014; 18[3]: 48-56)

 

Keywords: Uganda; Source of contraceptives, rural environment 

 

Résumé 

Comprendre la préférence de la source des produits contraceptifs est essentiel pour l'amélioration de la prestation des services de la planification familiale. Ce document identifie les déterminants de la source préférée de Depo-Provera chez les femmes rurales en Ouganda. L'analyse est basée sur des données provenant des études réalisées par  Save the Children et Family Health International impliquant 642 femmes qui ont été introduites pour les trois ans de contraception avant l'évaluation. Les données ont été analysées aux niveaux univariée, bivariée et multivariée. Les sources privées ont été préférées (de 69,6%) à des sources publiques  pour la procuration de Depo-Provera. La préférence des sources privées était plus probable chez les femmes plus âgées (p <0,05), celles-là  qui n'ont jamais connu des ruptures de stock de Depo-Provera (p <0,01), ont été introduites à Depo-Provera par des sources privées (p <0,01) et avaient obtenu leur dernière injection de sources privées (p <0,01). Ces résultats confirment la stratégie de distribution à base communautaire des contraceptifs dans l'amélioration de l'accès et l'utilisation des services de planification familiale. (Afr J Reprod Health 2014; 18[3]: 48-56)

 

Mots-clés: Ouganda; Source des contraceptifs, environnement rural  

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