Assessing factors that affects uptake of family planning among adolescents at Mulanje district hospital
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Date
2021-08-11
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Kamuzu University of Health Sciences
Abstract
Young women in Malawi have high unmet needs for modern contraceptives. Child marriages and early pregnancies continue to be high. Youth-friendly contraceptive services use were defined as “a variety of possible approaches attempted by clinics to increase a young person’s access to services (e.g., clinic hours to suit schedules of young people) and improve quality of care (e.g., providers with specialized training in young young women and men health).However, access to health and social services for young young women and men in rural areas continue to be sparse. Our study focuses on young young women and men individual, community and institutional factors that inform young people’s family planning/contraceptive needs, use and experiences. Most young young women and men are affected by sexually transmitted infections and unwanted pregnancies because they do not effectively access and use of contraceptive methods. This study will assess the factors that affect service uptake and utilization for young young women and men aged 15-24 years at Mulanje District Hospital. The study will look at individual, social and cultural factors, access to youth friendly health services (YFHS) that encourage or discourage uptake of family planning for young young women and men living in Mulanje. The study is a mixed methods design. The qualitative part will use focus group discussion and in-depth interviews to understand multiple factors that influence uptake of contraceptives. The quantitative component will review hospital records in registers and a questionnaire will be used to understand and young young women and men’s uptake of contraception, proportion of young young women and men accessing abortion and YFH services. Analysis of qualitative data will use thematic approach. Descriptive statistics using tables and graphs will be used to analyze quantitative data. The study population will include young young women and men aged 15 -24 years. The study will use random sampling to select young young women and men presenting themselves at the YFHS clinic. We propose to use self-care approaches as the conceptual framework to understand and address individual, places of access and environmental factors related to family planning or contraceptive use. The study period will take seven months to complete according to the school of health sciences and management schedule. Ethical clearance will be requested from the College of Medicine Research Ethics Committee and the Mulanje District Hospital Management committee. Participants will be requested to consent before getting involved in this study. Participant’s names and identity will be replaced by codes to maintain privacy and confidentiality. The strength of the study is that it will use mixed methods to review of hospital records in registers and in-depth interviews to understand and young young women and men’s uptake of family planning/contraceptive use. The potential limitations to the study are not getting the targeted number of participants due to Covid 19 restrictions, young young women and men refusing to talk about their experiences when accessing health and social services at the hospitals including financial constraints. The results will be presented to the Department of Health Systems Management and Policy as an examination. The hard copies will be shared through the library at College of Medicine and presentation will be shared through conferences under the College of Medicine.
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Research Subject Categories::MEDICINE