dc.contributor.author | Nkonge, Nancy G | |
dc.date.accessioned | 2014-12-02T06:17:15Z | |
dc.date.available | 2014-12-02T06:17:15Z | |
dc.date.issued | 2014 | |
dc.identifier.uri | http://hdl.handle.net/11295/75832 | |
dc.description.abstract | Background
Contraceptives are used mainly to prevent unintended pregnancies and this is ensured by
consistent and correct use of contraceptives to prevent contraceptive failure. Appropriate use and
counselling on side effects contribute to the consistent and correct use of contraceptives therefore
maintaining the desired effectiveness.
Objectives
To assess the prevalence, types, level of knowledge on the correct use and prevalence of side
effects of hormonal contraceptives among women of reproductive age at Kenyatta National
Hospital.
Methodology
A cross-sectional study was carried out between 1st May 2014 and 30th June 2014 targeting 400
women in their reproductive age. Convenient sampling was used to identify study sites while
participants were selected using simple random sampling. Ethical approval was sort from the
Kenyatta National Hospital and University of Nairobi Ethical and Research Committee. Data
was collected using an interviewer administered questionnaire and analyzed using the statistical
software, Statistical Package for the Social Sciences version 20.
Results
The study population comprised mainly of married women between 18-37 years with secondary
and post-secondary education in formal employment and others unemployed. Majority were
Christians. The use of contraceptives was at 42.8%. Contraceptive use was associated with
number of children [OR 1.7 (1.3-2.1)] p<0.0001. 56.1% of contraceptive users were on hormonal
contraceptives. Injectable contraceptives were the most preferred followed by implants and pills
while the contraceptive patch, coitus interruptus and lactational amenorrhoea method were least
used. The choice of contraceptive methods was associated with age [OR 2.003 (1.330-3.017)]
p=0.001 and level of education [OR 1.697 (1.135-2.539)] p=0.010. Least side effects, long
duration of action and effectiveness were the main criteria of choosing a hormonal contraceptive
method among the users. Health practitioners were the main source of contraceptive information
while government facilities were the main source of the contraceptives. The level of knowledge
on the correct use of hormonal contraceptive use was limited and it was associated with the level
of education [OR 1.389 (1.144-2.051)] p=0.000. The prevalence of side effects among hormonal
contraceptive users was 75% and it depended only on the type of hormonal contraceptive
(p=0.037).
Conclusion
The gap between contraceptive knowledge and use is still wide. Injectable contraceptives are the
most preferred hormonal contraceptives. The level of knowledge on the correct use of hormonal
contraceptive is low and contraceptive side effects are common.
Recommendations
Programs should be developed to increase the use of contraceptives and contraceptive counseling
should be made mandatory at every visit to the family planning clinic. Studies should be carried
out to investigate the gap between contraceptive knowledge and use while others investigate how
to increase correct use of contraceptive. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.title | Assessment of hormonal contraceptive use among women at Kenyatta National hospital | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
dc.type.material | en_US | en_US |