Concerns of Women Using Combined Oral Contraceptive Pills in Kwale County, Kenya | ||
| Alexandria Scientific Nursing Journal | ||
| Volume 24, Issue 4, December 2022, Pages 13-24 PDF (347.97 K) | ||
| Document Type: Research articles | ||
| DOI: 10.21608/asalexu.2022.280351 | ||
| Authors | ||
| Rehema Rashid Juma* 1; Samar Hafez2; Abeer Hassan Shamekh2 | ||
| 1Lungalunga SCH, Kwale County | ||
| 2Obstetric and Gynecologic Nursing, Faculty of Nursing, Alexandria University | ||
| Abstract | ||
| Background: Despite family planning multiple benefits, women's experiences and concerns present a formidable barrier to the sustained use of contraceptives. Combined oral contraceptive pills use has remained low in Kwale County, owing to the various challenges that women of reproductive age face towards modern use of contraception. Objective: To explore concerns of women using combined oral contraceptive pills in Kwale County, Kenya. Settings: The study was carried out in the outpatient family planning clinics of 8 maternal and child health facilities in sub counties of Kwale county. Subjects: A convenient sample of 300 women attending selected settings was included in the study subjects. Tools: Four tools were used for data collection. Tool I: Socio-demographic and reproductive history structured interview schedule; Tool II: Concerns of women using combined oral contraceptive pills structured interview schedule; Tool III: Generalized anxiety disorder (GAD-7) screening tool and Tool VI: Women's knowledge of combined oral contraceptive use structured interview schedule. Results: Findings revealed that mean age of women using combined oral contraceptive pills was 28.71 ± 5.56. Physical concerns were reported by less than two-thirds (60.7%) of study subjects. More than half (52.3%) had accessibility concerns, while, more than one-third (38.7%) had sexual concerns, and about one-fifth (19.7%) had socioeconomic concerns. Conclusion: Fears of side effects or health-related reasons were the dominant physical concern reported by women who were using combined oral contraceptive pills. Recommendations: Strengthen health education and to improve counseling practice for women and couples seeking FP services,especially on combined oral contraceptive pills. | ||
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