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Main Document.Pdf Declaration I hereby declare that the work presented in this study for a Masters’ Degree of Public Health is the product of my own work and that it has not been presented for any other degree. It has been prepared in accordance with the guidelines for Master of Public Health Dissertation of the University of Zambia. I further declare that, other peoples’ work has been duly acknowledged and referenced thereto, to which I owe them. Signed………………………………………………………. Date………………………………… Candidate Supervisors: We the undersigned have read this dissertation and have approved it for examination. Signed ……………………………………………………. Date……………………………….. Supervisor Signed ……………………………………………………. Date……………………………….. Supervisor i Approval of Admission of Dissertation This dissertation bySr.Rosemary Mwaba Kabonga is in partial fulfilment of the requirements for the award of the Master of Public Health degree (MPH) by the University of Zambia, Lusaka. Examiners: ………………………………………………………………………………………………………… Names: ……………………………………………………………………………………………………………. Signature. …………………………………………………………………………………………………………. Date:………………………………………………………………………………………………………………. Examiners:.………………………………………………………………………………………………………. Names: ………………………………………………………………………………………………………….. Signature:……………………………………………………………………………………………………….. Date:…………………………………………………………………………………………………………….. Head of Department Names: ………………………………………………………………………………………………………….. Signature:………………………………………………………………………………………………………… Date:……………………………………………………………………………………………………………… ii Dedication This dissertation is affectionately dedicated to my late elder sister Pascalina Kabonga (Bana Mwaba) who became sick at the time I was writing the exam. I asked God to keep her safe until I finish the exam and it happened that she died after I wrote the exam present at her bed side. I wish bana Mwaba you could see your children’s days. You were so wonderful to us and a pillar for the family. May Your Sour Rest in Peace dear. iii COPYRIGHT © 2011 by Sr.Rosemary Mwaba Kabonga. All rights reserved. iv Acknowledgements First and foremost I would like to give praise to the almighty God for knowledge, skills and strength He has demonstrated to me during the period of my study. It was not easy to reach this far if it were not for God. My God, to YOU be praise, glory andhonour. You have caused me to match one step at a time and I knew, with you I wasgoing to reach this end. The trouble of resources was in your hands, even my eyes couldnot see as far as this but my faith in YOU could see beyond the financial barriers. I would not find right words to describe your wonders to my life. Special thanks go to my supervisors; Professor K.S.Baboo and Mr.O.Mweemba who through their tireless efforts in guiding me throughout and whose knowledge made it possible for this dissertation to be a reality. I am thankful to the University of Zambia in particular School of Medicine who approved this thesis. Not forgetting Mr.C .Zyambo and other faculty members for their constructive critiques during preliminary presentations. Many thanks to Ministry of Health for granting me paid study leave to undertake the studies for Masters in Public Health at the University of Zambia and partially funding the research proposal. I am extremely grateful to Dr.Tonny of South Africa and Mr.P.Bwalya who despite their busy schedule assisted in providing necessary information for the successful completion of the study. Mrs. Majory Mwangu, the secretary for Department of Community Medicine, for her assistance throughout the research process. I am also indebted to student nurses and midwives who were at my side in the time of need. v vi TABLE OF CONTENT Declaration ...................................................................................................................................... i Approval of Admission of Dissertation ........................................................................................... ii Dedication ...................................................................................................................................... iii Copyright ....................................................................................................................................... iv Acknowledgements ......................................................................................................................... v List of tables ................................................................................................................................... ix List of Appendices .......................................................................................................................... xi List of abbreviations………………………………………………………………………………………. xiii Abstract ....................................................................................................................................... xiiii CHAPTER ONE - INTRODUCTION .......................................................................................................... 1 1.1 Background ............................................................................................................................... 1 1.2 Statement of the problem .......................................................................................................... 6 1.3 Justification of the study ........................................................................................................... 8 1.4 Problem analysis Figure1: Problem Analysis Diagram Service Related Factors ................. 10 1.5 Research Objectives ................................................................................................................ 11 CHAPTER TWO - LITERATURE REVIEW ............................................................................................ 12 2.1 Introduction ............................................................................................................................. 12 2.2 Utilization ............................................................................................................................... 12 Table 1: Natural Family Planning use around the world .............................................................. 13 2.3 Factors that influence Utilization of Natural Family Planning ............................................... 14 2.4 Summary ................................................................................................................................. 18 CHAPTER THREE - METHODOLOGY .................................................................................................. 19 3.1Introduction .............................................................................................................................. 19 3.2 Variables of interest ................................................................................................................ 19 3.3Theoretical Framework ............................................................................................................ 20 3.4 Research Design...................................................................................................................... 23 vii 3.5 Study Site/Research Setting .................................................................................................... 24 3.6 Study Population ..................................................................................................................... 25 3.7 Sample Size ............................................................................................................................. 26 3.8 Sample Selection ..................................................................................................................... 27 3.9 Data Collection ....................................................................................................................... 27 3.10 Data Collection Tool and Methods ....................................................................................... 28 3.11 Structured Interview Schedule .............................................................................................. 28 3.12 Focus Group Discussion ....................................................................................................... 28 3.13 Pre-Testing ............................................................................................................................ 29 3.14 Validity and Reliability ......................................................................................................... 29 3.15 Credibility, Dependability and Transferability ..................................................................... 30 3.16 Data Collection Techniques .................................................................................................. 30 3.17 Data Processing and Analysis ............................................................................................... 31 3.18 Ethical Consideration ............................................................................................................ 32 3.19 Staffing .................................................................................................................................. 33 3.20 Budget ................................................................................................................................... 33 3.21 Time Frame ........................................................................................................................... 33 CHAPTER FOUR - PRESENTATION OF FINDINGS ...........................................................................
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