Utilization Of Contraceptives Among Women Of Reproductive Age Attending Ngong Sub-County Hospital

Background: The main objective of the study was to determine the utilization of contraceptives among women aged (25 - 44 years) attending Ngong sub- county hospital in Kajiado, Kenya. Methods: This study was conducted at the maternal child health, family planning /outpatient clinic at Ngong sub- county hospital. The study adopted a cross- sectional study design. The study population was women aged between 25-44 years. A sample size of 380 was realized and had questionnaires administered to them. Quantitative data was analyzed using SPSS version 20 and presented in frequencies, percentages and pie-charts. Chi square was used to determine association between various variables. Data from FGDs (in form of notes was manually coded, using themes generated from responses was analyzed and results presented in verbatim form. The study was submitted to KNH/UoN Ethical review committee for ethical approval. Results: The study findings indicate that majority of women were between age 35-39 years. The proportion of women utilizing contraceptives was 80%. A greater proportion of women 65% preferred Depo- provera injection as a method of contraception. Education and occupation greatly influenced utilization of contraceptive p value< 0.05. It was noted that the point of access for contraceptives had a significant association with utilization of contraceptives (chi-square = 0.033, df = 2, P< 0.05). Culture effects were noted on age, occupation and education and hence a further significance with utilization of contraceptives. Conclusion: A proportion of 80% of women using contraceptives most women have seen the need to space their births and therefore are conscious of their health and that of their babies. However there are women who are still not in any method which is an indication of exposing themselves to unintended/ unplanned pregnancy and abortions. For the success of family planning programs, male involvement is critical as they play an important role in the decision making process and use of contraceptives. There is need to encourage the community and their leaders to promote formal education so that the girl child can be empowered through education. This will boost her self-esteem and is able to make informed choices over reproductive issues.