ABSTRACT
The objectives: to assess the knowledge and attitude regarding family planning and practice
among the women of reproductive age group in nambale hospital.
Methods: a cross sectional, descriptive study was done in the obstetrics and gynacological
department of nambale hospital.
The knowledge, attitude and practice of family planning were evaluated with predisigned
[Link]: it was found that 98percent of women had knowley on family planning,
92.4percent of them had knowledge about contraceptive use. 50 percent had gain information
from [Link] thought that contraceptive use was beneficial but only 55.2percent had gain
use and 84perceny of them were satisfied 62percent were currently using
contraceptive.37.9peecent were using oral contraceptive, and 31peecent we're using condoms.
Conclusi: the study highlight that knowledge and awareness don't always lead to the use of
[Link] is still need to educate and motivate the couple inprove family planning
service to achieve efficient and practice of family planning and arrest the trend towards increase
in population. The study also recommends, the Ministry of education to incorporate fertility
awareness in the curriculum at secondary school level so that children are aware of the family
planning methods available, natural family planning inclusive
CHAPTER ONE: INTRODUCTION
1.1 BACKGROUND INFORMATION
Family Planning is defined by WHO as a way of thinking and living what is adapted
voluntarily upon the basis of knowledge, attitude and decision by individual and couple in order
to promote health and welfare of family,groups this contribute effectively to social development
of a country. According to WHO, is contraceptive has increase inany parts of the world
especially in Nassau and Latin America but continues to be low on sub Sahara
[Link],,use of contraceptive has risen slightly from 54 0/0 to 57.4percent (1990-2015
WHO)
Kenya plan to scaly up their voucher system which provide reproductive services like family
planning in rural and urban district (2012). Kenya also commit to review Barrie's to some
contraceptive methods at community. Still in Kenya, slightly more than half of the currently
married (58percent) are currently using some contraceptive while 65pecent of sexual active
unmarried women. High percentage of urban women use contraceptive compared to rural
counterpart 56percent. Total demand is 92percent while the level of unmarried need is 27percent
(KDHS2014).
Family planning carries a number of advantages to the mother, the child and the entire nation.
This includes preventing HIV/AIDS, reducing the risks of unintended pregnancies among
women living with HIV and fewer infected babies and orphans. In addition, male and female
condoms provide dual protection against unintended pregnancies and against STIs including HIV
and reducing adolescent pregnancies (WHO, 2015).
Adolescent pregnancies are more likely to have preterm or Low Birth Weight (LBW) babies and
therefore these babies have higher risks of neonatal mortality. The adolescent girls who become
2
pregnant have to leave school; this has long term implications for them as individuals, their
families and their communities (WHO, 2003). Each year over 500,000 women die from causes
related to pregnancy and childbirth (Maternal mortality ratios and rates WHO 2014). The causes
of these complications of pregnancy and delivery include PPH, Sepsis, Hypertensive disorders of
pregnancy, unsafe abortions, and obstructed labor. A significant proportion of these deaths could
be avoided through the effective use FP services (Stevie M Nangendo, 2012)
Generally, Kenya is characterized by high unmet need for FP services (18%), low Contraceptive
prevalence of 11% and high fertility rate of 4 children per woman. This has been associated with
a high mortality rates of children under five (52 per 1000 children), infant IMR 31 per 1000 live
births (Kenya Demographic Health Survey 2014). Between 1990 and 2012, the use of modern
contraception has slightly risen from 54.5- 57% globally among the women aged 18-45 years. In
Kenya, 3 in 10 currently married women are using some method of contraception especially
from rural areas, majority of the users rely on modern methods 26%, with 4% reported using
natural methods (Shane Khan et al., 2008).
