FACTORS ASSOCIATED WITH UTILIZATION OF INTRAUTERINE CONTRACEPTIVE DEVICES IN JOOTRH

Abstract

Intrauterine contraception devices are small contraceptive devices that are inserted into the uterus (womb) to prevent pregnancy. The utilization of intrauterine devices (IUDs) is a critical component of reproductive health services. Despite their effectiveness and long-term benefits, the adoption rate of IUDs remains relatively low in many regions, including Kisumu, Kenya. This study aims to investigate the factors associated with the utilization of intrauterine devices at Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) in Kisumu. The primary objective of this research is to identify and analyze the various factors that influence the utilization of IUDs among women attending JOOTRH. Specific objectives include examining demographic variables, socioeconomic status, level of education, awareness and knowledge of IUDs, cultural beliefs, and the prevalence of IUCD use. Methodology; The study adopted cross cross-sectional study design and consisted of 36 respondents selected randomly. A structured questionnaire was administered to a representative sample of women attending JOOTRH's reproductive health services. Data collected was analyzed and reported. Results; Most respondents were aged 26-30 at 27.78%, followed by 25%(20-25yrs) 16.67%(31-35yrs), and above 40 at 16.7% with the least being 13.89%(36-40) married women (56%), followed by single mothers (14%), divorced (11%), cohabiting (11%) and widows (8%)those who attained secondary education level(38.89%), followed by tertiary education(25%), postgraduate and primary level at 16.67% then 2.78% didn’t attain any formal education. Respondents were asked about the possible concerns or fears associated with using IUCDs. Most feared side effects(eg pain, bleeding) at 85%, expulsion or displacement of the device at 80%, perceived difficulty in insertion/removal at 68%, impact on fertility at 50% plus cultural beliefs at 70%. Those who were using IUCDs were 14% and those not using were 84%. Conclusion This study has shown that there is a low prevalence of IUCD uptake among women which is negatively influenced by myths including fears and concerns of side effects, expulsion or displacement of the device, perceived difficulty in insertion and removal, the impact on fertility after removal and cultural and religious beliefs, family and partner opposition and limited to healthcare facilities providing IUCDs. Socioeconomic characteristics and level of education have a role in understanding the knowledge and access of IUCDS. In terms of knowledge and information provision about IUCDs has improved.