Intention to use modern contraceptives among current nonusers of reproductive age in Uganda

Abstract Background Women’s intention to use contraceptive methods is critical for better visualization of future needs and for making it more likely to translate into actual use. This study sought to examine the determinants of intention to use modern contraceptives among current non-users of repro...

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Main Authors: Godfrey Tumwizere, Richard Nsenga, Patricia Ndugga, Betty Kwagala
Format: Article
Language:English
Published: BMC 2024-12-01
Series:Contraception and Reproductive Medicine
Subjects:
Online Access:https://doi.org/10.1186/s40834-024-00325-4
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author Godfrey Tumwizere
Richard Nsenga
Patricia Ndugga
Betty Kwagala
author_facet Godfrey Tumwizere
Richard Nsenga
Patricia Ndugga
Betty Kwagala
author_sort Godfrey Tumwizere
collection DOAJ
description Abstract Background Women’s intention to use contraceptive methods is critical for better visualization of future needs and for making it more likely to translate into actual use. This study sought to examine the determinants of intention to use modern contraceptives among current non-users of reproductive age in Uganda. Methods The study used secondary data from the 2016 Uganda Demographic and Health Survey (UDHS) dataset. The sample size consisted of 13,088 women aged 15–49 who were not using contraception. The dependent variable was the intention to use contraceptives. STATA version 17 was used for data analysis. A binary logistic regression model was used to identify the predictors of intention to use contraceptives at the 5% level of significance. Results Findings indicated that six in ten (60.2%) non-users of contraceptives had an intention to use them in the future. The odds of intention to use contraceptives were higher among women with secondary education (AOR 1.482, CI = 1.168–1.880), women who desired 3–4 children (AOR = 1.343, CI = 1.135–1.590), women with 3–4 living children (AOR = 1.817, CI = 1.391–2.373), women who have ever used a contraceptive method (AOR = 2.457, CI = 1.686–3.579), and women whose last pregnancy was unwanted (AOR = 1.720, CI = 1.231–2.405). On the other hand, the odds of intending to use contraceptives were lower among women aged 35–44 years (AOR = 0.242, CI = 0.143–0.284) and 45–49 years (AOR = 0.028, CI = 0.017–0.044), Muslim women (AOR = 0.676, CI = 0.559–0.817), Pentecostal women (AOR = 0.708, CI = 0.598–0.837), and formerly married women (AOR = 0.672, CI = 0.517–0.875). Conclusions The study found that the intention to use contraceptives among Ugandan women not currently using contraception was associated with having secondary education, a preference for having 3–4 children, having 3–4 living children, prior contraceptive use, and experiencing an unwanted pregnancy. The study recommends enhanced access to and completion of at least secondary education for girls. The study further recommends that policymakers and program implementers sensitise communities about the benefits of smaller family sizes through community dialogues highlighting the health, economic, and educational advantages for families and communities.
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spelling doaj-art-d50feee4f0f640d7baddb607e1481ddb2024-12-22T12:53:55ZengBMCContraception and Reproductive Medicine2055-74262024-12-019111110.1186/s40834-024-00325-4Intention to use modern contraceptives among current nonusers of reproductive age in UgandaGodfrey Tumwizere0Richard Nsenga1Patricia Ndugga2Betty Kwagala3Department of Community Health & Behavioural Sciences, School of Public Health, Makerere UniversityDepartment of Population Studies, School of Population and Planning, Makerere UniversityDepartment of Population Studies, School of Population and Planning, Makerere UniversityDepartment of Population Studies, School of Population and Planning, Makerere UniversityAbstract Background Women’s intention to use contraceptive methods is critical for better visualization of future needs and for making it more likely to translate into actual use. This study sought to examine the determinants of intention to use modern contraceptives among current non-users of reproductive age in Uganda. Methods The study used secondary data from the 2016 Uganda Demographic and Health Survey (UDHS) dataset. The sample size consisted of 13,088 women aged 15–49 who were not using contraception. The dependent variable was the intention to use contraceptives. STATA version 17 was used for data analysis. A binary logistic regression model was used to identify the predictors of intention to use contraceptives at the 5% level of significance. Results Findings indicated that six in ten (60.2%) non-users of contraceptives had an intention to use them in the future. The odds of intention to use contraceptives were higher among women with secondary education (AOR 1.482, CI = 1.168–1.880), women who desired 3–4 children (AOR = 1.343, CI = 1.135–1.590), women with 3–4 living children (AOR = 1.817, CI = 1.391–2.373), women who have ever used a contraceptive method (AOR = 2.457, CI = 1.686–3.579), and women whose last pregnancy was unwanted (AOR = 1.720, CI = 1.231–2.405). On the other hand, the odds of intending to use contraceptives were lower among women aged 35–44 years (AOR = 0.242, CI = 0.143–0.284) and 45–49 years (AOR = 0.028, CI = 0.017–0.044), Muslim women (AOR = 0.676, CI = 0.559–0.817), Pentecostal women (AOR = 0.708, CI = 0.598–0.837), and formerly married women (AOR = 0.672, CI = 0.517–0.875). Conclusions The study found that the intention to use contraceptives among Ugandan women not currently using contraception was associated with having secondary education, a preference for having 3–4 children, having 3–4 living children, prior contraceptive use, and experiencing an unwanted pregnancy. The study recommends enhanced access to and completion of at least secondary education for girls. The study further recommends that policymakers and program implementers sensitise communities about the benefits of smaller family sizes through community dialogues highlighting the health, economic, and educational advantages for families and communities.https://doi.org/10.1186/s40834-024-00325-4IntentionContraceptivesUganda
spellingShingle Godfrey Tumwizere
Richard Nsenga
Patricia Ndugga
Betty Kwagala
Intention to use modern contraceptives among current nonusers of reproductive age in Uganda
Contraception and Reproductive Medicine
Intention
Contraceptives
Uganda
title Intention to use modern contraceptives among current nonusers of reproductive age in Uganda
title_full Intention to use modern contraceptives among current nonusers of reproductive age in Uganda
title_fullStr Intention to use modern contraceptives among current nonusers of reproductive age in Uganda
title_full_unstemmed Intention to use modern contraceptives among current nonusers of reproductive age in Uganda
title_short Intention to use modern contraceptives among current nonusers of reproductive age in Uganda
title_sort intention to use modern contraceptives among current nonusers of reproductive age in uganda
topic Intention
Contraceptives
Uganda
url https://doi.org/10.1186/s40834-024-00325-4
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