Enhancing Utilization of Long-Acting Contraceptive Methods among Women: A Study in Hoima Regional Referral Hospital

Abstract

Family planning is crucial for reducing fertility rates, maternal mortality, and infant welfare. Reversible long-acting contraceptives (LACMs) are effective for women who want to limit childbearing and space births, potentially playing a significant role in reducing maternal mortality. However, the use of LACMs has not kept pace with short acting methods like oral contraceptives and injectables. A study was conducted to determine the level of utilization of long-acting contraceptive methods among women attending the MCH clinic at Hoima Regional Referral Hospital and related factors. The majority of participants (50.9%) were aged 30-39, married (68.4%), housewives (40.4%), protestant (36.8%), and had attained tertiary education (47.4%). The most common contraceptives used were pills (33.3%), injectable (24.6%), condoms (15.8%), implants (10.5%), IUCD (3.5%), and others (12.3%). Eight participants were using long-acting methods, accounting for 14.0% of the study. Factors associated with the utilization of long-acting contraceptive methods included marital status, level of education, residence, partner involvement, knowledge of LACMs, attitude towards LACMs, and access to the desired method of contraception. The study highlights the need for improved access to long-acting contraceptive methods among women of reproductive age. Keywords: Long-Acting Contraceptive, Women, MCH Clinic, Maternal mortality