Determinants of contraceptive utilisation amongst teenage mothers: a case-control study in kyangwali refugee settlement (Uganda)
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Date
2015
Journal Title
Journal ISSN
Volume Title
Publisher
International Journal of Current Advanced Research
Abstract
The determinants of contraceptive utilisation amongst teenage mothers in refugee settings
are poorly understood. To establish and compare determinants of contraceptive utilisation
amongst refugee and host teenage mothers in Kyangwali Refugee Settlement, we
conducted a case-control study to interview 132 cases and 264 controls made up of
mothers aged 13-19 years during April 2014, using survey questionnaires and a focussed
group discussion. Quantitative data was analysed using SPSS 16.0.Chi-square testing and
Odds ratios at 95% confidence interval, and p<0.05 as significant were conducted to
determine factors that significantly influenced contraceptive utilisation. Of the 396 teenage
mothers, 64.6% (256) were refugees whereas 35.4% (140) were host nationals. Spousal
support [X2=6.489, p=0.039; OR=2.250 (1.994-2.571) 95% CI], husband’ level of
education [X2=16.189, p=0.000; OR=2.043(1.442-2.896) 95% CI] and a low birth order
[X2=7.749, p=0.005; OR=1.227 (1.072-1.405) 95% CI] were significant determinants of
contraceptive use. The major barriers contraception were fear of side effects 35.4% (140),
refusal by the husband 30.3% (120) and lack of community based access 23.0% (91).
There was no significant statistical difference in current use of contraceptives between
refugee teenage mothers and host nationals [X2=0.138, p=0.710; OR=1.087(0.701-1.686)
95% CI].There is need to restructure delivery of contraceptive services in a way that
enhances maximum uptake amongst teenage mothers in refugee settings, through
integrated outreaches, girl-child education and male targeted messages in order to curtail
the consequences of contraceptive underutilisation in this population.
Description
Keywords
Case-Control, Contraceptive-Utilisation, Nationals, Refugees, Teenage-Mothers
Citation
Herman, L., Isaac, E., Mary, N., & Richard, M. (2015). Determinants of contraceptive utilisationamongst teenagemothers: a case-control study in kyangwali refugee settlement (Uganda). International Journal of Current Advanced Research, 4(8), 243-57.