Nakisita Olivia is a student at Makerere University pursuing a degree in Masters of Public Health in Disaster Management. Her first degree was from Makerere University in Bachelor of Arts in Social Sciences. She attained a two year diploma in Project Planning and Management from Makerere University. She has attended several short courses within Uganda and other countries in areas like project management, Monitoring & Evaluation, sustainable rural development, grants writing and an e-learning course in Disaster Risk Management coordinated by Resilience Africa network.

She has experience in working with vulnerable populations that are displaced as a result of disasters, that she attained during her field attachment with Medical Teams International the leading implementing partner for health in West Nile, Uganda for UNHCR. And she later participated in research on Minimum Initial Service Package (MISP) in the displaced populations.

She is employed by Makerere University School of Public Health for the last nine years. Her work experience has been largely in Administration and she has participated in the implementation of several Maternal and New born Health projects. She has great interest in sexual and reproductive health.

 Dissertation Title: Use of modern family planning among refugees in Adjumani District, West Nile, Uganda.

 ABSTRACT

Background; Refugees are vulnerable persons with several needs especially reproductive health and contraception. However, contraceptive use among refugees is not clear. The study aimed to examine the use of modern family planning among refugees in Adjumani district and generate evidence to promote family planning services in the refugee settlements.

Methods; This was a cross sectional study. It was conducted in 5 refugee settlements in Adjumani district. Both quantitative and qualitative data were collected. A total of 667 women of reproductive age 15 – 49 years in 5 refugee settlements in Adjumani were interviewed and results from 663 women were analysed. There were 17 Key Informant interviews with resource persons conducted until saturation. For data analysis, quantitative data was captured in EPI info and analysed using STATA software version 12. Univariate, bi-variate and multivariate analysis was done. Qualitative data was analysed manually using thematic and content analysis.

Results; The median age for the respondents was 30 years. About 60% had ever heard about modern family planning methods. The prevalence of modern family planning was 22.5%. The most commonly used methods of modern family planning were condoms (46.2%) and pills (30.8). At multi-variate analysis, women’s partner being employed (AOR 4.33, 95% CI: 1.70-10.99), women considering family planning not against religion (AOR 3.81, 95% CI: 1.85-7.86) and husband’s approval of family planning (AOR 5.51, 95%CI: 2.27-13.4,) predicted higher use of modern family planning by women. While woman’s partner having no formal education (AOR 0.33, 95% CI: 0.12-0.88,) reduced the likelihood of a woman using modern family planning.

Qualitative interviews revealed low use of modern family planning methods. Majority of women use traditional methods to space their children. Men were reported to be responsible for the low utilisation of modern family planning by their wives. Health facilities have a limited range of modern family planning methods available.

Conclusions; In spite of the relatively high awareness (60%) of modern family planning among women in refugee settlements in Adjumani District, use of modern family planning was low (22.5%).

Recommendations; Efforts should be made by humanitarian implementers for health to ensure that there are interventions to address the challenges that affect the use of modern family planning methods.

Contact: onakisita@musph.ac.ug