Prevalance and factors associated with receiving afamily planning method that clients do not prefer at Mbale regional referral hospital.
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Date
2026-07-29
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Busitema University
Abstract
Back ground.
Family planning enables individuals and couples to attain their desired number of children also
control the spacing between the births. Ensuring that clients receive their preferred contraceptive
method is a foundation of quality family planning services, as preference alignment ensure client
satisfaction, adherence to family planning and overall reproductive health outcomes .Despite
this, evidence shows that many women globally and within Uganda commonly receive methods
they do not prefer due to biases, stockouts, partner opposition and personal or cultural barriers.
However, limited data exist on the prevalence and determinants of receiving non-preferred
family planning methods at facility level in Eastern Uganda, particularly at Mbale Regional
Referral Hospital.
Aim of the study.
This study aimed to determine the prevalence of women who do not receive their preferred
contraceptive method and to identify factors associated with non-preferred family planning use at
MRRH.
Methods.
A descriptive cross-sectional study was conducted among 327 women of reproductive age (15-49
years) attending family planning services at Mbale Regional Referral hospital. Continuous
sampling was used to recruit participants. Data was collected using structured questionnaires and
analyzed using STATA version 17. Logistic regression analysis was performed to identify
factors associated with receiving a non-preferred family planning method. Results. Of the 327
participants, 109 (33.350 did not receive their preferred family planning method.
Conclusion.
This study found that 33.3% of women attending family planning services at Mbale Regional
Referral Hospital did not receive their preferred family planning method. The study further
established that occupation, provider recommendation of another method, respect for the client
preference, and the ability to freely choose a preferred family planning method were
independently associated with receiving a preferred family planning method.
Women whose preferences were respected and those who reported being able to choose freely
their method of choice were significantly more likely to receive their desired contraceptive
method. Provider recommendation of alternative methods was associated with reduced
likelihood of receiving the preferred method. Improving provider-client interactions and
reducing provider influence n contraceptive decision-making may help ensure that women
receive methods that align with their reproductive intentions and preferences.
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Citation
Nabbanja, A. (2026). Prevalance and factors associated with receiving afamily planning method that clients do not prefer at Mbale Regional Referral Hospital. [Undergraduate, research report]. Busitema University.