Socio-Demographic and Cultural Determinants of Family Planning Uptake among Women of Childbearing Age in Turkana Central Sub-County, Kenya

Abstract

Family planning (FP) uptake is a key indicator of maternal and neonatal morbidity and mortality. Despite concerted efforts to increase the level of family planning uptake, the acceptability and coverage of FP services has remained exceptionally low in some parts of Kenya like Turkana County, thereby contributing to high unmet FP need. The purpose of the study was to determine the demographic and socio-cultural determinants of FP uptake among women of childbearing age in Turkana Central Sub-county, Kenya. The study was conducted in Turkana Central sub-county and targeted women of childbearing age. A cross sectional design was used in the study. Data was collected using structured questionnaires and interview guide. Majority of the respondents (80.8%) were aged 15-39 years, were married (60%), and were Christians (94.2%). Previous use of contraceptives was the major motivator while self efficacy and affordability were reported as major enablers to FP uptake. Fear of side effects, cultural beliefs and lack of spouse support the major barriers to FP use. A significant correlation was also found between FP use and a woman's age (r=0.309; p=0.001), religion (0.401; p=0.000), previous contraceptive use (r=0.611; p=0.000) and knowledge about FP (r=0.299; p=0.001). There was no significant correlation between FP uptake and marital status (r=0.150; p=0.109), education level (r=0.139; p=0.140) and employment status (r=0.173; p=.064). The study underscores the need for targeted health education interventions to women of reproductive age in areas with low family planning through provision of accurate information on available family planning options and their benefits.