Factors towards low contraceptive uptake: does Providers’ capacity matter?
No Thumbnail Available
Date
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Mzumbe University.
Abstract
Description
The main objective of the study was to determine the role of providers’ capacity in
enhancing contraceptive uptake. A descriptive cross sectional study design was used to
a randomly selected 51 respondents of whom 26 were health providers and 25 were
clients. The specific objectives were to determine magnitude of FP providers
availability, to examine providers’ capacity in terms of training, skills, mentorship,
experience, data generation and use for provision of FP services, to determine the
magnitude of providers’ capacity for FP advocacy, to determine the degree of provider
capacity in FP supply forecasting and to determine the level of provider capacity in
meeting FP consumers’ choice.
Findings revealed that, contraceptive uptake in Morogoro DC was 28% which was low
compared to 37% of the region. Also findings on availability of FP providers revealed
that overall deficit of HCPs were 46.7% for dispensaries and 28.6% for health centers
respectively. There was no statistical significant different between current contraceptive
utilization and availability of health care providers with X2 Pr = 0.933>0.05 at 95%
confident limit. Further findings on FP providers capacity revealed that lack of
mentorship was at 66.6% for health centers and 100% for dispensaries and it was
statistically significant with X2 Pr = 0.007 and correlation coefficient with P>|t|
0.006<0.05 at 95% confident limit. Likewise overall family planning stock-out was
73.08% for both health centers and dispensaries. When this variable was compared with
health facility types it was statistically significant with X2 Pr = 0.012 and correlation
coefficient with P>t 0.006 which is < 0.05 at 95% confident limit. Findings for
FP/providers/clients decision making tool revealed that 92.31% of respondent reported
that there were no tool available in their health facilities, statistically significant with X2
Pr 0.007 and correlation at P>t 0.006<0.05 at 95% confident limit. Conclusively: This
research study had revealed that, consistent availability of contraceptives, health care
providers, providers /clients decision making tools and mentorship could enhance
contraceptives uptake level in the community.
Keywords
contraceptive uptake, low contraceptive uptake, Factors towards low contraceptive uptake