Barriers and Facilitators of Family Planning Use in Fishing Communities of Lake Victoria in Uganda
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Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
Journal of primary care & community health
Abstract
Family planning (FP) is a key element in the conduct of research and is essential in managing family sizes.
Although fishing communities (FCs) are targeted populations for HIV prevention research, their FP practices are poorly
understood. We explored barriers and facilitators of FP use in FCs of Lake Victoria in Uganda. Methods: We employed
a mixed-methods approach comprising a cross-sectional survey, in-depth interviews, and focus group discussions in 2 FCs.
Multivariable logistic regression was used to analyze quantitative data and a thematic approach to generate themes from the
qualitative data. Results: Up to 1410 individuals participated in the survey and 47 in the qualitative study. Just over a third
(35.6%) used FP. The most commonly used methods were condoms, pills, and injectables. In Kigungu community, participants
whose religion was Anglican and Muslim were more likely to use FP than Catholics (adjusted odds ratio [aOR] 1.45; 95%
CI 1.05-1.99 and aOR 1.45; 95% CI 1.05-2.07, respectively). Participants were more likely to use FP if they had satisfactory
FP knowledge compared to those with no satisfactory FP knowledge (aOR 1.79; 95% CI 1.23-2.61), or if they were married
compared to their single counterparts (aOR 1.84; 95% CI 1.32-2.57). In both communities, participants were more likely to
use FP if they had 2 or more sexual partners in the past 12 months than those with less than 2 sexual partners (aOR 1.41 95%
CI 1.07-1.87 and aOR 2.60; 95% CI 1.36-4.97). Excessive bleeding and delayed fecundity; fertility desire; gender preferences
of children; method stock outs and lack of FP trained personnel constituted barriers to FP use. There were also cultural
influences in favor of large families.
Description
Keywords
family planning, facilitators, barriers, fishing community
Citation
Nanvubya, A., Wanyenze, R. K., Kamacooko, O., Nakaweesa, T., Mpendo, J., Kawoozo, B., ... & Van Geertruyden, J. P. (2020). Barriers and facilitators of family planning use in fishing communities of Lake Victoria in Uganda. Journal of primary care & community health, 11, 2150132720943775.https://doi.org/10.1177/21501327209437