Mubiru Frederick.E.K Jimmy yodong International Family Planning Conference 17 th,october,2009

Transcription

1 Mubiru Frederick.E.K Jimmy yodong International Family Planning Conference 17 th,october,2009

2 IDP camp in Northern Uganda Background After 20 years of war, people are beginning to return home in Northern Uganda Very poor RH indicators: Northern Uganda, CPR 11% National figure, CPR 24% Northern Uganda (IDPs),TFR 8.6 National figure, TFR 6.7

3 With support from the RAISE Initiative, Marie Stopes Uganda aims to increase the quality of RH services in five of northern Uganda s war affected districts As part of baseline activities a survey was conducted in August of 2007 Aim to collect population data on the RH status of women of reproductive age Intend to inform program interventions and local advocacy efforts.

4 A multi stage cluster sample 10x25 in 4 rural areas 15x25 in 2 urban catchment areas Drawn from the target population of RAISE supported facilities.

5 A pre coded questionnaire, translated into local languages, was used covering basic socio demographic characteristics. Family planning, amongst others, was implemented. Questionnaire was adapted from the US Centers for Disease Control (CDC) Reproductive Health Assessment Toolkit for Conflict Affected Women. Data are available from a total of 1587 women

6 Described knowledge and use of family planning among the women of reproductive age within ihi the RAISE catchment areas Data will help determine: the need to promote family planning and identify barriers to family planning efforts.

7 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 88.8% 15.5% 61.0% 26.6% 43.8% 22.0% Ever heard of method (unprompted) Instructed how to use method Ever used method Any modern method Any traditional method

8 Younger women are more knowledgeable Women in live in partnerships are more knowledgeable: Women with more pregnancies are more knowledgeable (46.4%) 35+(21.1%) married and living together (57.1%) unmarried and not living together (18.4%) Pregnancies >5 (34.8%) Pregnancies 1 2 (23.9%)

9 Withdrawal Rhythm/cal Vasectomy Tubal ligation IUD Implants Injectables EC 1.7 Injectables are 18.6 most used 0 Very low use of 1.7 long term and permanent 43.9 methods Female 0 Male condom Pill High use of 26.7 unreliable 11.5 method rhythm/calendar

10 Method Lack of Opposition to Methodaccess( %) method (%) related(%)totals (%) Pill (n=1455) IUD (n=458) Tubal ligation ( n=817)

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12 Everheard PBS Everheard DHS Everuse PBS Everuse DHS 88.80% 96.20% 43.80% 74.90% 0.00%20.00%40.00%60.00%80.00%100.00%120.00% Knowledge of methods though low is not very different from rest of the country, but utilization is. Suggests A supply or access issue Difference in practice/ attitude

13 62.6% 6% reported fertility related barriers 33.1% of those who reported not having sex/infrequent sex, had had sex in last 3o days, so they are not safe. 30.7% of those who reported breast feeding are not using the method effectively Only 10% of the women who reported fertility reasons actually want to get pregnant

14 The significant difference between those who have heard of a modern method and been instructed to use suggests: Need to train health workers The high percentage of women using traditional methods suggests: Family planning is desired by women in Northern Uganda. Method related barriers predominant Targeted interventions to counter these are needed

15 Expanded the outreach, 2 teams in Gulu, 2 Lira, 1 in Kitgum and 1 in Pader Mainly Mil provide long acting (implants, IUD) and permanent(btl and VAS) Training service providers(both MSU and government) Sensitization being done along side service provision ii

16 M Methodh d Gulu Lira Totals Implants IUD TL VAS 2 0 2

17 MERRY X MASS