|Type||Journal Article - PloS One|
|Title||“I Spent a Full Month Bleeding, I Thought I Was Going to Die…” A Qualitative Study of Experiences of Women Using Modern Contraception in Wakiso District, Uganda|
There is high unmet need for family planning (FP) in Uganda as well as high contraceptive
discontinuation rates. These contribute to the high fertility rates that in part are due to
unplanned pregnancies. There are gaps in knowledge about experiences that couples go
through while using contraceptives in their lives. This study explored women’s experiences
during the course of their contraceptive use.
We conducted a qualitative study involving 30 women who had used modern contraception
for at least one year in Wakiso district, central Uganda. We used in-depth interviews to
obtain their personal accounts. Index women were approached through health officers at
four health centres in the district. All ethical approvals and informed consent were obtained.
We used conventional content analysis; identifying codes through open coding, on which
basis categories were developed and grouped into overarching themes.
Women’s accounts were summarised in the following themes: negative experiences with
modern contraceptive use, motivation to continue using FP in spite of these negative experiences,
the role of influential people, and discontinuation of use. Negative accounts dominated
the experiences of most women but they expressed strong desire to continue using
modern contraception even amidst all challenges. Health workers emerged as the most
influential people that played a vital role in women’s decisions.
Varied negative experiences with modern contraception and misperceptions exist amidst a
determination to continue use. Partner engagement, health service strengthening to
improve side effects management and health worker skills, and engaging older women that
have successfully used contraception as community champions, are potential strategies to
support women’s contraceptive decisions.
|»||Uganda - Demographic and Health Survey 2011|