title: Knowledge and attitudes towards use of long acting reversible contraceptives among women of reproductive age in Lubaga division, Kampala district, Uganda.
abstract: BACKGROUND
  Uganda has one of the highest total fertility rates globally and in Sub-Saharan Africa. Her high fertility is mainly attributed to the high unmet need for family planning. Use of Long-acting reversible contraceptives (LARC) is low (13%) in Uganda yet they are the most cost-effective contraceptives. This study aimed to assess the reproductive aged women's knowledge, attitudes, and factors associated with use of LARC.
  
  
  METHODS
  A cross-sectional study was conducted involving 565 women (15-49 years) attending private and public health facilities in Lubaga division, Kampala district. Semi-structured questionnaires were used to measure knowledge, attitudes and factors associated with use of LARC; Intra-Uterine Devices, Implants and Injectables. The outcome variable was current use of LARC. A generalized linear regression model was run in STATA version12.0. Prevalence Risk Ratios for associations between current LARC use and independent factors were obtained and regarded significant at 95% CI with p < 0.05.
  
  
  RESULTS
  Mean age (SD) and current use of LARC was 26.34 (5.35) and 31.7% respectively. Factors associated with current use of LARC were; previous use adj.PRR 2.89; (95% CI 2.29, 3.81), knowledge of implant administration site adj.PRR 1.83; (95% CI 1.17, 2.87), and perception that; male partner decisions positively influence their contraceptive choices adj.PRR 1.49; (95% CI 1.18, 1.88). Contrary, perception that LARC should be used by married women was negatively associated with use of LARC adj.PRR 0.63; (95% CI 0.44, 0.90).
  
  
  CONCLUSIONS
  Knowledge about site of administration, previous use of LARC and women's attitude that male partners' choice influence their contraceptive decisions were positively associated with current use of LARC. Contrary, the attitude that LARC was for married women was negatively associated with its use. This study suggests a need to strengthen client education about LARC to dispel possible myths and to consider integrating male partner's decision making in contraceptive choices for women.
authors.affiliation: School of Public Health, Makerere University, Kampala, Uganda. ronaldanguzu@yahoo.com.
authors.forename: Ronald
authors.initials: R
authors.lastname: Anguzu
authors.forename: Raymond
authors.initials: R
authors.lastname: Tweheyo
authors.forename: Juliet N
authors.initials: JN
authors.lastname: Sekandi
authors.forename: Vivian
authors.initials: V
authors.lastname: Zalwango
authors.forename: Christine
authors.initials: C
authors.lastname: Muhumuza
authors.forename: Suzan
authors.initials: S
authors.lastname: Tusiime
authors.forename: David
authors.initials: D
authors.lastname: Serwadda
mesh_terms: D000328:Adult; D003268:Contraception Behavior / Q000706:statistics & numerical data*; D003271:Contraceptive Agents, Female / Q000627:therapeutic use*; D003430:Cross-Sectional Studies; D005193:Family Planning Services / Q000706:statistics & numerical data; D005260:Female; D006266:Health Education / Q000706:statistics & numerical data; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011795:Surveys and Questionnaires; D014454:Uganda; D055815:Young Adult
chemical_list: D003271:Contraceptive Agents, Female