Theses & Dissertations

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Browsing Theses & Dissertations by Author "Acen, Joy"

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    Factors Associated with Intrauterine Device use among Women of Reproductive age attending Family Planning Clinics at Mbale District
    (Lira University, 2022) Ayeko, Jackson; Kumakech, Edward; Acen, Joy
    Background: Intrauterine Contraceptive Device (IUCD) is among the most effective contraceptive methods in the market with increasing use globally. The use is predominant in few parts of the world, with sub-Saharan Africa relying on other methods. In Uganda, IUCD utilization remains very low at 1.5% compared to other methods despite several interventions by the government. The objective of this study was to determine the factors associated with IUCD use among women of reproductive age attending family planning clinics in selected public health facilities within Mbale District. Methodology: A facility based cross-sectional study was used among randomly selected women who came to obtain different contraceptive methods in the selected public health facilities. Information was obtained face-to-face by trained research assistants using a pre-coded structured questionnaire. Factors associated with IUCD use were identified by multi-variable binary logistic regression models using the backward stepwise method. Results: After running multi-variable binary logistic regression, IUCD use was associated with women who were employed (Adjusted OR=14.00, 95% CI;2.80-70.07), those who wanted to wait for 6-10 years before having the next pregnancy (Adjusted OR=12.19, 95% CI;1.35-110.08), and those who thought IUCD was associated with cancer (Adjusted OR=0.15, 95% CI;0.03-0.68). Conclusion: In conclusion, the study re-enforced the need to reach out with contraceptive methods especially IUCD to women who have a busy schedule and also points out the need for proper counselling to ensure that women who plan to stay for long should be counselled to also consider IUCD use which has a longer duration of action. Further, proper health education is needed through different channels to address the issues of myths and misconceptions which hinders utilization of IUCD. Keywords: Intrauterine Device, Women of Reproductive age, Family Planning Clinics, and Family Planning
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    Factors Associated with Teenage Pregnancy Among Refugees and Host Nationals of Palabek Refugee Settlement, Lamwo District, Uganda.
    (Lira University, 2022) Okiror, Emmanuel Okello; Acen, Joy; Sharon, Bright Amanya
    Background: Uganda’s teenage pregnancy prevalence of 25% is remarkably high. However, in northern Uganda where Palabek Refugee Settlement is located, the prevalence is higher at 31%. Teenage pregnancy is a well-documented public health burden with an approximated sixteen million girls aged 15–19 years old giving birth each year; of these 12 million are from Sub-Saharan Africa and other developing regions and 10 million are unintended. Several environmental factors, including education, socio-economic status, local socio-cultural norms, the availability of contraceptives, and occupational opportunities affect refugees and host nationals alike. Because of the unique nature of the refugee community, factors driving the high prevalence of teenage pregnancy in this population need to be identified to devise context-specific preventive strategies. Aim: To determine the factors associated with teenage pregnancy among refugees and host nationals of Palabek Refugee settlement, Lamwo district, Uganda. Methods: This was a cross sectional study utilizing quantitative methods of data collection using a structured questionnaire as a data collection tool. The respondents were selected by simple random sampling. Data was entered into excel, cleaned, and loaded into SPSS V.26 for processing and analysis which was done at Univariate, bivariate and multivariate levels. Results: Refugees were two times more likely to getting pregnant than the host nationals (OR: 1.793, C.I; 1.092 to 2.943. The prevalence of teenage pregnancy among respondents was 41.7% and that of early marriages was 29.9%, an evidence of high prevalence of teenage marriages. The following factors were significantly associated with teenage pregnancy status – age group of the respondent, school attendance, marital status of the teenager, occupation of teenager, age at first sex, alcohol use, teenager’s mother’s level of education and person teenager lives with all with p < 0.001; media exposure (p=0.005); history of sexual abuse (p=0.049); whether parents of the teenager were divorced/separated or not (p<0.033) and cultural norms on sex (p=0.025). Conclusion: The burden of teenage pregnancy is still significant in these communities. The factors associated with teenage pregnancy in the refugee and host communities are not different from those in other contexts. Therefore adopting and or formulating strategies directed to mitigate these factors will help in reducing the soaring teenage pregnancies witnessed especially among the refugee populations.