Pregnant and Powerless: Exploring Barriers  to Contraceptive use among Women  in Mogadishu, Somalia

Gele, Abdi; Shrestha, Mary; Sheikh, Naima Said; Qureshi, Samera Azeem

doi:10.1177/23333928221117057

Cited by 10 publications

(10 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A study by [21] in Burkina Faso revealed that much as religious leaders have good knowledge about FP, they are reluctant to promote FP use. A study done in Somalia also revealed that religion is key barrier to access to FP [22].…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Decision Making about Family Planning Use by Refugee and Host Population in Adjumani District, West Nile, Uganda; A Cross Sectional Study

Atuyambe

Nabiwemba

Makumbi

et al. 2022

Preprint

View full text Add to dashboard Cite

Introduction Uganda currently hosts an estimated 1.5 million refugees. The majority, (60.5%, n = 964,960) come from South Sudan. This study investigated factors associated with decision making for Family Planning (FP) use among host and refugee populations in Adjumani district, Uganda. Methods This was a comparative cross sectional study conducted in three refugee settlements of Pagirinya, Nyumazi and Mirieyi, and the surrounding host communities in Adjumani district. A total of 1,307 respondents, comprising 661 refugees and 646 host household heads were randomly selected and interviewed using multi stage cluster sampling. Quantitative data were collected using structured questionnaires with Open Data Kit (ODK). Data were analyzed using STATA V.14 C. Multivariable logistic regression was carried out to establish the factors associated with decision making to use family planning. Results The study found that modern contraceptive prevalence rate (mCPR) was 28.6% and 28.4% amongst host and refugees respectively. The factors significantly associated with decision to use FP amongst host population included religion, Anglicans were 6.2 times more likely to use FP compared to Catholics, AOR = 6.21, 95% CI [1.11-34.57]. Respondents who made joint decisions were nearly three times more likely to use modern FP methods compared to those who made personal decision, AOR = 2.69, 95% CI [0.89-138.39]. Similarly, amongst refugees, Anglicans were more likely to use modern family planning methods compared to Catholic refugees; AOR= 5, 95% CI [4.75-13.23] and AOR= 7.05 95% CI [2.8-44.88] respectively; respondents who attained tertiary education. AOR = 2.17 95% CI [0.11-43.08] and those who made joint decision; AOR 6.43 95% CI [1.78-16.08] were more likely to use modern FP methods. The key barriers to decision making regarding modern FP use by the host, included harassment of women who did not consult their significant others (AOR = 0.07, 95% CI [0.01-0.79] and separation/divorce (AOR = 0.03, 95% CI [0.00-0.35]. Whereas amongst the refugees, main reasons for not using FP included not wanting to use FP” [45.8%], wanting to become pregnant [6.8%], and fear of side effects [5.8%]. Conclusions Use of modern family planning is low amongst both refugee and host populations in Adjumani district. The main factors associated with decision to use FP amongst both refugee and host populations include religion, level of education and husband’s approval. Main reasons for not using modern FP methods include fear of side effects and not wanting to use FP by both host and refugees respectively. There is need to sensitize both communities about the benefits of FP and promote male involvement including couple counseling at community level.

show abstract

Section: Discussionmentioning

confidence: 99%

Factors Associated with Decision Making about Family Planning Use by Refugee and Host Population in Adjumani District, West Nile, Uganda; A Cross Sectional Study

Atuyambe

Nabiwemba

Makumbi

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Factors associated with decision making about family planning use by refugee and host populations in Adjumani district, West Nile, Uganda: A cross-sectional Comparative study

Atuyambe

Nabiwemba

Makumbi

et al. 2022

Preprint

View full text Add to dashboard Cite

Introduction Uganda currently hosts an estimated 1.5 million refugees with the majority, (60.5%, n = 964,960) from South Sudan with low Family Planning (FP) use. Therefore, we investigated factors associated with decision-making about FP use by refugee and host populations in Adjumani district, Uganda. Methods This study used a comparative cross-sectional study using structured questionnaires to collect data. A total of 1,307 respondents were randomly selected using multi-stage cluster sampling. Quantitative data were analyzed using STATA V.14 C. Results The study found that modern FP use was 28.4% among refugees and 28.6% among hosts. Several factors were found associated with FP use including religion, joint decision, and husband approval. Anglicans were more times likely to use FP compared to Catholics, with AOR = 6.21, 95% CI [1.11-34.57] and AOR =5, 95% CI [4.75-13.23] respectively. Respondents who made joint decisions were more likely to use modern FP compared to those who made a personal decision; AOR = 2.69, 95% CI [0.89-138.39] and AOR= 7.05 95% CI [2.8-44.88] among host and refugees respectively. The key barriers to FP use by hosts included harassment of women who did not consult their significant others (AOR = 0.07, 95% CI [0.01-0.79] and separation/divorce (AOR = 0.03, 95% CI [0.00-0.35]. Amongst refugees, key barriers to not using FP included not wanting to use FP” [45.8%] and wanting to become pregnant [6.8%]. Conclusions The study identified low FP use among refugees and hosts. The main factors associated with the decision to use FP included religion, joint decision, and the husband’s approval. The main reasons for not using modern FP included fear of side effects by hosts and not wanting to use FP by refugees. These factors can deter women from deciding to use FP. Therefore, sensitizing both communities about the benefits of FP is crucial.

show abstract

“… 6 Moreover, evidence exists of significant misconceptions among health-care providers, who discourage women from using contraception unless they have specific health concerns. 7 This situation diverges from other countries where health-care providers play a pivotal role in advocating for and facilitating increased contraceptive uptake. 8 …”

Section: Challengesmentioning

confidence: 98%

Improving the uptake of contraception, Somalia

Khan,

Yasin Khalif,

Rana

et al. 2024

Bull World Health Organ

View full text Add to dashboard Cite

Pregnant and Powerless: Exploring Barriers to Contraceptive use among Women in Mogadishu, Somalia

Cited by 10 publications

References 22 publications

Factors Associated with Decision Making about Family Planning Use by Refugee and Host Population in Adjumani District, West Nile, Uganda; A Cross Sectional Study

Factors Associated with Decision Making about Family Planning Use by Refugee and Host Population in Adjumani District, West Nile, Uganda; A Cross Sectional Study

Factors associated with decision making about family planning use by refugee and host populations in Adjumani district, West Nile, Uganda: A cross-sectional Comparative study

Improving the uptake of contraception, Somalia

Contact Info

Product

Resources

About