Dating a women with children
Uganda still struggles with a low contraceptive prevalence rate (CPR) of 30%, which is lower than that of her neighbors, Kenya, Rwanda, and Tanzania, which had a CPR of 46%, 52%, and 34%, respectively, at the time of their last surveys .Whereas age at first marriage has generally increased around the world, several parts of sub-Saharan Africa are struggling with a significant proportion of girls being married off before their 18th birthday .Modern methods of family planning refer to safe, effective and legal methods to prevent pregnancy such as the pill, condoms, injectables, and the Intra-Uterine Device (IUD).The explanatory (independent) variables in the study are women’s education, wealth index, administrative region of the country, exposure to family planning messages or listens to a radio, television, or newspapers in the past few months prior to when the survey was carried out, desire for children, women’s empowerment, age at first marriage, ability to refuse sex, and visited health facility in the past 12 months.We used logistic regression with age variable used as an interaction term to model the relationship between selected independent variables and the outcome variable (modern contraception use) for each group of women.We found that the key factors associated with use of modern contraceptives varied among young and older married women age 15–24 and 25–34 respectively.Thus along with providing skilled maternal care, offering family planning is crucial to averting maternal deaths.
As this large cohort of young people enters the childbearing years, their reproductive behavior will determine the growth and size of Uganda’s population for decades to come.
Given the variation in contraceptive use between the two age groups, our findings further suggest that there is need for variability in media targeting among the young and the older women categories for improved use of modern contraceptives, for instance using alternative media strategies to reach the young women.
Family planning policies should also be tailored to address the specific needs of different age groups of women with varied geographical locations.
Addressing contraceptive use among old and young women in Uganda requires concerted efforts that target such women to address the socio economic barriers that exist.
There is need for increased access of family planning service to the population through strengthening the use of Village Health Teams (VHTs) whose service is currently limited in coverage (Mo H, 2009).