Abstract
<p><strong>Introduction</strong></p><p>Family Planning is central to the empowerment of women and a key factor reducing poverty. However, millions of women around the world are not accessing safe and effective family planning methods. This study determined contraceptive prevalence and identified barriers to using modern contraception in the Maprik district of East Sepik Province, Papua New Guinea.</p><p><strong> </strong></p><p><strong>Methods</strong></p><p>Data from the National Health Information System (NHIS) and a survey of women presenting to outpatient clinics was used to estimate contraceptive prevalence. The in-person interviews, which also sought to understand barriers to using modern contraceptives, included women aged 15-49 years from three different health facility catchments. A population based awareness campaign promoting family planning was undertaken through mass media (local radio) and targeted information sessions.</p><p><strong> </strong></p><p><strong>Findings</strong></p><p>The retrospective review of NHIS data indicated a contraceptive prevalence of 38% while the survey indicated a prevalence of 30%. Of the women interviewed, 46% indicated having an unintended pregnancy and 16% had sought to end a pregnancy. Of those women who were not using modern contraceptives, 19% lacked knowledge on methods to avoid pregnancy and 13% were concerned about side effects from using modern contraceptives. A family planning awareness program resulted in a notable increase in the number of men having a vasectomy.</p><p><strong> </strong></p><p><strong>Conclusion</strong></p><p>This study confirmed low contraceptive prevalence estimates in Maprik District and identified the key barriers to contraceptive use that can be effectively addressed. Continued awareness campaigns are necessary to address key knowledge gaps and alleviate fears about the side effects of contraceptive use. </p>
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