Browsing by Author "Asiimwe, John Bosco"

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    Factors associated with modern contraceptive use among young and older women in Uganda; a comparative analysis
    (BMC public health, 2014) Asiimwe, John Bosco; Ndugga, Patricia; Mushomi, John; Manyenye Ntozi, James Patrick
    Much of the research literature about the use of family planning generalizes contraceptive use among all women, using age as a covariate. In Uganda, a country with divergent trends in modern family planning use, this study was set to explore whether or not the predictors of contraceptive use differ by age. This was assessed by using data from the 2011 Uganda Demographic and Health Survey (UDHS). Methods: We restricted the sample from each round to fecund, non-pregnant married women age 15–34 who were sexually active within one year prior to the survey, resulting in a sample of 2,814 women. We used logistic regression with age variable used as an interaction term to model the relationship between selected independent variables and the outcome variable (modern contraception use) for each group of women. Results: We found that the key factors associated with use of modern contraceptives varied among young and older married women age 15–24 and 25–34 respectively. Results showed that perception on distance to health facility, listening to radio and geographical differences exhibited significant variability in contraceptive use among the young and the older women. Other key factors that were important for both age groups in explaining contraceptive use were; desire to have children after two years and education level. Conclusions: Addressing contraceptive use among old and young women in Uganda requires concerted efforts that target such women to address the socio economic barriers that exist. There is need for increased access of family planning service to the population through strengthening the use of Village Health Teams (VHTs) whose service is currently limited in coverage (MoH, 2009). Given the variation in contraceptive use between the two age groups, our findings further suggest that there is need for variability in media targeting among the young and the older women categories for improved use of modern contraceptives, for instance using alternative media strategies to reach the young women. Family planning policies should also be tailored to address the specific needs of different age groups of women with varied geographical locations.
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    Socio-Demographic Factors Associated with Contra- ceptive Use among Young Women in Comparison with Older Women in Uganda
    (Research on Humanities and Social Sciences, 2014) Asiimwe, John Bosco; Ndugga, Patricia; Mushomi, John
    Much of the research literature about the use of family planning generalizes contraceptive use among all women, using age as a covariate. In Uganda, a country with divergent trends in modern family planning use among younger and older married women, we hypothesize that factors associated with contraceptive use operate in a fundamentally different way among married women in two age groups: 15-24 and 25-34. We tested this hypothesis using data from the Uganda Demographic and Health Survey (UDHS) in 2006 and 2011. We restricted the sample from each round to fecund, non-pregnant married women age 15-34 who were sexually active within one year prior to the survey, resulting in a sample of 2,802 women in 2006 and 2,814 women in 2011. In Uganda, as in most countries, the level of modern contraceptive use is much lower among younger married women compared with older women. We used logistic regression to model the relationship between selected independent variables and the outcome variable (current use of modern contraception) for each group of women in each year. We found that the key factors associated with current use of modern contraceptives among younger married women age 15-24 in both 2006 and 2011 were residence and desire for children, while among women age 25-34, the significant factors associated with contraceptive use in both rounds were education level, household wealth and desire for children. The findings suggest that increasing secondary education for women and improving the livelihood of the population overall is important. Family planning programs should be intensified to meet the needs of young married women in rural areas of the country.