THE PREVALENCE OF UPTAKE OF FAMILY PLANNING SERVICES IN MALINDI SUBCOUNTY, KENYA AND THE ROLE OF MALE SPOUSE INVOLVEMENT
Okinda, Frerick Majiwa
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The contraceptive use prevalence rate in Africa at 31% still remains lower than that of the world, 63%. The rate of maternal mortality in the developing world is high where a total of 529,000 women die at childbirth due to pregnancy related complications each year. This has been attributed to the low level of utilisation of family planning (FP) of whose reasons vary from one context to another geographically. The study therefore sought to establish factors influencing utilization of FP services in Malindi Sub-county with an aim to establish the role of men in uptake of FP services. Using a cross-sectional study design, married women and men of 18-45 years residing within 2km radius of the health facilities were interviewed. Data was collected by interviewer-administered questionnaires, key informant interviews and focused group discussions. The overall prevalence of utilization of FP services was 174 (53.0%). Awareness was established at 326 (92.4 %) on the modern FP methods for women. Several factors were associated with contraceptive use at bivariate analysis this includes age of respondents at category between of 30-40years (OR=0.56 CI: 0.56-0.98). This was protective in comparison to the younger couples of between 18-29years and more than 40years. The others factors were the level of education of respondents (tertiary level), type of marriage (Kadhi’s wedding and customary) and awareness on FP were associated with FP use at univariate analysis. A married woman whose husband is involved was 2.43 times more likely to use contraceptive than a woman whose husband is not involved (p value= 0.003) at univariate analysis. The main available contraceptive methods included pills, injectables, implants and male condoms. Utilization of FP services is low in Malindi sub-country, it was influenced by age, educational level, customary type of marriage and religion. Male involvement in FP remains low and was strongly associated with increased FP use. There is v need for increased promotion of family planning services targeting men including creation of male friendly centers.