IUD CONTRACEPTIVE USE AMONG WOMEN OF REPRODUCTIVE AGE: A QUALITATIVE STUDY AT THE FAMILY PLANNING CLINIC OF NAKASEKE GENERAL HOSPITAL BY NAMBALIRWA TEDDY 15/U/20585/PS SUPERVISOR: Dr. SCOVIA NALUGO MBALINDA (PhD, MSc, BScN) A DISSERTATION SUBMITTED TO MAKERERE UNIVERSITY DEPARTMENT OF NURSING IN PARTIAL FULFILMENT OF THE REQUIREMENT FOR AWARD OF A DEGREE OF BACHELOR OF SCIENCE IN NURSING OF MAKERERE UNIVERSITY MAY, 2019 DECLARATION i DEDICATION I dedicate this dissertation report to my father Mr. Male Alozious, my brother Kayongo Joseph and my husband Mr. Ddumba Richard who have been a great source of encouragement and financial supporters throughout my academic years. ii ACKNOWLEDGEMENT I thank the almighty God, for the love, grace, guidance, wisdom, understanding, providence and strength He has granted me to make this study a reality. Throughout the writing of this dissertation, I have received a great deal of support and assistance. I would first like to thank my supervisor, Dr. Mbalinda Nalugo Scovia, whose expertise was priceless in formulating research topic and methodology in particular and helped me to do this wonderful study on the topic IUD use among WRA, which has helped in doing findings and to know many of the women‟s experiences. A would also like to express my special thanks of gratitude to my colleagues in year four 2019 nursing school for their wonderful collaboration. You supported greatly and were always willing to help me. I would also like to thank my tutors for their valuable guidance. You provided me the tools that I need to choose the right direction and successfully completed my dissertation. In addition, I would like to thank my father, my brothers, my sisters and my husband for their wise counsel and sympathetic ear. You are always there for me. Also, to my friends there, who were of great support in providing happy distraction to rest my mind outside my research. Finally, I thank the school of health of health sciences, Department of nursing and Nakaseske general hospital for approving this study. iii TABLE OF CONTENTS DEDICATION ................................................................................................................................ ii ACKNOWLEDGEMENT ............................................................................................................. iii TABLE OF CONTENTS ............................................................................................................... iv LIST OF FIGURES AND TABLES............................................................................................. vii OPERATIONAL DEFINITIONS .................................................................................................. ix ABSTRACT .................................................................................................................................... x CHAPTER ONE: INTRONDUCTION .......................................................................................... 1 1.1 Introduction .......................................................................... 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Bookmark not defined. 1.2 Back ground .......................................................................................................................... 1 1.3 Statement of the problem ...................................................................................................... 2 1.4 Justification of the study ....................................................................................................... 2 1.5 Objectives ................................................................................................................................. 3 1.5.1 General objective................................................................................................................ 3 1.5.2 Specific objectives.............................................................................................................. 3 1.5.3 Research questions ............................................................................................................. 3 1.6 Conceptual frame work ......................................................................................................... 3 CHAPTER TWO: LITERATURE REVIEW ................................................................................. 6 2.1 General information on family planning ............................................................................... 6 2.2 Contraceptive IUD ................................................................................................................ 6 2.3 Experiences faced by WRA using IUD................................................................................. 8 2.4 Motivations............................................................................................................................ 9 2.5 Barriers limiting the IUD take up ........................................................................................ 10 CHAPTER THREE: METHODOLOGY ..................................................................................... 13 3.0 Study design ........................................................................................................................ 13 3.1 Study population ................................................................................................................. 13 3.2 Study site ............................................................................................................................. 13 3.3 Selection criteria .................................................................................................................. 13 iv 3.3.1 Inclusion criteria ............................................................................................................... 13 3.3.2 Exclusion criteria.............................................................................................................. 13 3.4 Sample size and sampling procedure .................................................................................. 13 3.5 Data collection..................................................................................................................... 14 3.5.1 Data collection tool .......................................................................................................... 14 3.5.2 Data collection procedure. ............................................................................................... 14 3.6 Quality control measures ..................................................................................................... 15 3.6 Data analysis ....................................................................................................................... 15 3.7 Ethical consideration ........................................................................................................... 15 CHAPTER FOUR: RESULTS ..................................................................................................... 16 4. 0 Introduction .................................................................................................................... 16 4.1 Description of the study participants. .............................................................................. 16 4.2 Experiences faced by WRA using IUD contraceptive .................................................... 18 4.2.1 Method related experiences .......................................................................................... 19 4.2.2 Procedure related experience ........................................................................................ 19 4.2.3 Health workers related experiences .............................................................................. 20 4.2.4 Client related experiences ............................................................................................. 21 4.3 Motivations to choose IUD contraceptive ....................................................................... 24 4.3.1 Method related .............................................................................................................. 25 4.3.2 Client related................................................................................................................. 26 4.3.3 Use of media ................................................................................................................. 27 4.4 Barriers influencing the use of IUD contraceptive .......................................................... 27 4.4.1 Client related................................................................................................................. 28 4.4.2 Myth and Misconception .............................................................................................. 29 4.4.3 Health system factor ..................................................................................................... 31 4.4.4 Procedure related .......................................................................................................... 32 4.4.5 Method related .............................................................................................................. 32 4.4.6 Peer influence. .............................................................................................................. 33 CHAPTER FIVE .......................................................................................................................... 34 5.0 Discussion .......................................................................................................................