Correlates of knowledge of family planning among people living in fishing communities of Lake Victoria, Uganda

BMC Public Health

Jean Pierre Van Geertruyden¹  Kundai Chinyenze²  Matt Price³  Rhoda K. Wanyenze⁴  Geoffrey Omoding⁵  Jed Kaweesi⁵  Francis Matovu⁵  Barbarah Kawoozo⁵  Sarah Nabukalu⁵  Teddy Nakaweesa⁵  John Ndugga⁵  Juliet Mpendo⁵  Annet Nanvubya⁶  Onesmus Kamacooko⁷ 

[1] Global Health Institute, University of Antwerp, Antwerp, Belgium;IAVI, New York, NY, USA;IAVI, New York, NY, USA;Department of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, CA, USA;School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda;UVRI-IAVI HIV Vaccine Program, P.O Box 49, Plot 51-59, Nakiwogo Road, Entebbe, Uganda;UVRI-IAVI HIV Vaccine Program, P.O Box 49, Plot 51-59, Nakiwogo Road, Entebbe, Uganda;Global Health Institute, University of Antwerp, Antwerp, Belgium;Uganda Virus Research Institute, Entebbe, Uganda;

关键词: Family planning;    Fishing communities;    Awareness;    Satisfactory knowledge;   

DOI  :  10.1186/s12889-020-09762-7

来源: Springer

【 摘 要 】

BackgroundKnowledge of family planning (FP) is a key determinant of contraceptive use which ultimately plays a role in attainment of good health and in conduct of clinical research. People living in fishing communities (FCs) have limited access to health services including FP and are targeted for future clinical research but their knowledge of FP and its correlates are scantily known. We determined correlates of knowledge of FP among people living in FCs of L. victoria in Uganda to inform future FP education programs in FCs.MethodsWe conducted a comparative cross-sectional survey among participants aged 15–49 years from Kigungu and Nsazi. Participants were asked if they were aware of any FP method. All those who responded in the affirmative were further asked to mention what FP methods they had heard of or knew. Those who reported knowledge of at least one FP method were asked a series of questions about FP methods and their side effects. Knowledge was categorized into good or poor knowledge based on their mean total score. Poor knowledge constituted a score below the mean while good knowledge constituted a score of more than or equal to the mean total score. To further explore attitudes and perceptions of FP, ten in-depth interviews and four focus group discussions were conducted.ResultsOf the 1410 screened participants, 94.5% were aware of at least one FP method. Pills and injectable hormonal methods were the most commonly known methods. Slightly over a third (38%) had good knowledge of FP. Correlates of knowledge of FP were; being female (aOR: 1.92 95% CI: 1.39–2.67), residing in Kigungu (aOR: 4.01 95% CI: 2.77–5.81), being married (aOR: 1.59 95% CI: 1.11–2.28) and currently being in a sexual relationship (aOR: 1.75 95% CI: 1.18–2.60). Concerns about safety and effectiveness of some modern FP methods exist. Misconceptions on effects of FP like sterility, cancers and foetal abnormalities were common.ConclusionFP awareness among people living in FCs of L. Victoria in Uganda is high. However, good knowledge about specific methods tends to be low. Correlates of knowledge of FP include gender, residence, marital status and sexual engagement.

【 授权许可】

CC BY