UPTAKE OF LONG-ACTING AND PERMANENT METHODS OF CONTRACEPTION AMONG WOMEN OF REPRODUCTIVE AGE IN KAJIADO COUNTY, KENYA

Abstract

Background: Long acting and permanent methods of contraception (LAPM) are among the most effective family planning (FP) approaches but remain underutilized in Kajiado County. Despite global and national advancements in FP, socio-demographic, knowledge-related and systemic barriers persist, particularly in marginalized populations.
Objective: This study assessed factors influencing the uptake of LAPM among women of reproductive age (WRA) (15–49 years) in Kajiado County.
Methods: A mixed method (Explanatory sequential) study design was used. Data was collected from 428 WRA (15-49) in Oloolua and Kiserian Townships. Systematic random sampling was used to select households, with a sampling frame created from 1900 and 7800 WRA respectively. Using a sampling interval of approximately 4 (1900/428) and 18(7800/428), WRA in the selected households were included in the study. Data was collected via semi-structured questionnaires and focus group discussions (FGD) and analyzed using R version 4.1.2 and Colaizzi’s thematic analysis having secured ethical approval and permits. Statistical level was set at p≤0.05 with a confidence interval (CI) set at 95%.
Results: The uptake of LAPM among the study participants was (22.7%, n=78) with a response rate of (80.1%, n =343.) Educational attainment (above secondary) significantly increased the likelihood of LAPM uptake (A.O.R 4.43, 95% CI (1.92- 10.73), P<0.001. This study did not uncover a statistically significant link between culture, health-related factors and knowledge of contraception on the uptake of LAPM. Notably, no woman opted for a permanent method of contraception.
Conclusion: The uptake of LAPM in Kajiado County remains low, with no woman opting for a permanent method of contraception. Higher education increased uptake. Therefore, targeted interventions should focus on educational empowerment for women