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Assessment of Adolescent Girls and Young Women's Contraceptive

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Assessment of Adolescent Girls and Young Women's Contraceptive Assessment of Adolescent Girls and Young Women’s Contraceptive Knowledge in East Central Uganda- Timeline 1 June 2016 TABLE OF CONTENTS Table of Contents ........................................................................................................................................................... i List of Tables .................................................................................................................................................................. ii List of Figures ................................................................................................................................................................ ii Acknowledgement ......................................................................................................................................................... 1 Executive Summary ........................................................................................................ Error! Bookmark not defined. 1.1 Background .................................................................................................... Error! Bookmark not defined. 1.2 Why the baseline assessment? ....................................................................... Error! Bookmark not defined. 2. Methodology .............................................................................................................. Error! Bookmark not defined. 2.1 Data Management .................................................................................................................................................. 8 3. Key findings ............................................................................................................................................................... 9 3.1 Introduction to the Presentation of findings: .................................................. Error! Bookmark not defined. 3.2 BACKGROUND CHARACTERISTICS ................................................................... Error! Bookmark not defined. 3.2.1 General Social Demographics ............................................................................................................ 9 3.2.2 Wealth related demographics ................................................................. Error! Bookmark not defined. 3.2.3 Proxy of wealthy status ................................................................... Error! Bookmark not defined. 3.3 CONTRACEPTIVE KNOWLEDGE AND CHOICES .......................................................................................... 14 3.3.1 Awareness of modern contraceptives and methods ................................. Error! Bookmark not defined. 3.3.2 Knowledge about use of modern contraceptives and methods ................ Error! Bookmark not defined. 3.4. Seeking advice on contraceptives .............................................................. Error! Bookmark not defined. 3.5. LIKELIHOOD AND ABILITY TO USE CONTRACEPTIVES ...................................... Error! Bookmark not defined. 3.5.1. Current use of contraceptives in the target districts ............................... Error! Bookmark not defined. 3.5.2 Intent to use selected modern contraceptives .......................................... Error! Bookmark not defined. 3.5.2. a. Intent to seek contraceptives in the next 6 months. ............................ Error! Bookmark not defined. 3.5.2. b. Intent to use contraceptives in the next 6 months ............................... Error! Bookmark not defined. 3.5.2. c: Intention to delay sex debut in the next 6 months .............................. Error! Bookmark not defined. 3.5.3 Ability to delay sex debut .................................................................................................................. 9 3.5.4 Norms and attitudes ................................................................................... Error! Bookmark not defined. 3.5.4a Ability to act ............................................................................................ Error! Bookmark not defined. 3.5.4b Need of skill on contraceptives ................................................................ Error! Bookmark not defined. 3.6 ATTITUDE TOWARDS CONTRACEPTIVE USE ....................................................................................... 13 3.7 RIGHTS TO CONTRACEPTIVE KNOWLEDGE ................................................ Error! Bookmark not defined. 3.8 EXPOSURE TO INFORMATION ON HEALTH ............................................... Error! Bookmark not defined. 3.8.1 Current exposure to messages on HIV prevention and contraceptives ...... Error! Bookmark not defined. 4. IMPLICATIONS FOR SBCC INTERVENTIONS ............................................................... Error! Bookmark not defined. 5. Study limitation: ...................................................................................................................................................... 20 References ................................................................................................................................................................... 21 Annex 1: Data weighing procedure ............................................................................................................................. 22 i | P a g e LIST OF TABLES Table 1: Sampled intervention Sub Counties................................................................................................................. 6 Table 2: Control sub counties for the assessment ......................................................................................................... 6 Table 3: Distribution of sampled VDT units per Sub County ......................................................................................... 7 Table 4: Marital status by Age group and religion ....................................................................................................... 10 Table 5: Status of AGYW on pregnancy and number of children ................................................................................ 11 Table 6: Education attainment by District ................................................................................................................... 11 Table 7: Residential locations of AGYW ....................................................................................................................... 12 Table 8: Main pre-occupation by age group ................................................................................................................ 13 Table 9: Awareness about contraceptives methods by Age group and district ............................................................ 1 Table 10: Proportion of AGYW with knowledge on how to use selected modern contraceptives ............................... 2 Table 11: Proportion of AGYW seeking advice on contraceptives by age and residence ............................................. 3 Table 13: Main Reason for seeking advice by age category and residence ................................................................... 5 Table 17: Ability to use contraceptives by marital status and residential status ........................................................ 10 Table 18: Skills on Contraceptives and where to obtain contraceptives ..................................................................... 11 LIST OF FIGURES Figure 1: Flow of sampling of respondents ................................................................................................................... 8 ii | P a g e List of Acronyms AGYW: Adolescent Girls and Young Women CHC: Communication for Healthy Communities COP: Chief of Party DFID: Department for International Development FP: Family Planning IUCD: Intrauterine Device SBCC: Social Behavioral Change Communication SSA: Sub-Saharan Africa UDHS: Uganda Demographic Health Survey UNFPA: Uganda Family Planning Association USAID: United States Agency for International Development VDT: Venue Day Time WHO: World Health Organization iii | P a g e Authors Richard Batamwita, Justus Atwijukire, Leonard Bufumbo, Paul Odeke, Andrew Kabala, Davinah Nabirye and Anne Fiedler Recommendations Richard B. Justus, A. Leonard, B. Paul, O. et al: (2016). Assessment of adolescent girls and young women’s contraceptive knowledge in East central Uganda. Communication for Healthy Communities (CHC) program. Acknowledgment This adolescent girls and young women (AGYW) assessment was made possible with financial support from United Kingdom’s Department for International Development (DFID) through USAID to Communication for Healthy Communities (CHC). We acknowledge the significant contribution of Ministry of Health, Health Promotion and Education Division, specifically Dr. Paul Kagwa; Assistant Commissioner for the support given to the CHC team during the planning and execution of the assessment. We also acknowledge the support and efforts of District Health Officers in the districts where the assessment was conducted. Finally, CHC would like to acknowledge the invaluable role of all respondents and research assistants. The views and opinions of authors expressed herein do not necessarily state or reflect those of the U.S. Government or the USAID, and shall not be used for advertising or product endorsement purposes. 1 | P a g e Executive Summary Through the United States Agency for International Development’s (USAID) partnership with the United Kingdom Department for International Development (DFID), USAID Uganda/CHC (Communication for Healthy Communities)
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