Factors associated with unplanned pregnancy in Lira City: case study of four hospitals in Lira City; Ober Hciii, Lira University Hospital, Gift Life Clinic, and Lira Maternity Home

Abstract

This study was to investigate factors associated with unintended pregnancy women in four health centers in Lira city. Data was collected using questionnaires among 200 women from four clinics. The women on were sampled using Stratified sampling and purposive techniques. Overall, data were analyzed at Univariate, bivariate and multivariate levels. At Bivariate level, chi-square was used but Fisher’s exact test was used each time a cell (s) has value (s) less than 5. For all independent variables with significant difference with dependent variable, simple logistic was performed (Unadjusted Odds Ratios). Thereafter, multivariate logistic regression analysis (Adjusted Odds Ratios) was conducted and stepwise backward elimination modeling was undertaken to remove confounders during repeated analysis. Over all 200 women were studied, the median age was 33 years. Nearly half 94(47%) were aged 32-38 years, 136(68%) were married, 108(54%) completed primary education and 134(67%) had less or four children. Prevalence of unintended pregnancy was 43% (n=86 N=200 CI: 0.36-50.17). Bivariate results showed that occupation (p=0.001), level of education (p<0.001), income class (p<0.001), number of children (p<0.001), having polygamous partner (p=0.003), history of abortion (p=0.038), using hormonal contraceptives before pregnancy realization (p=0.002), duration without contraceptive before current pregnancy (p=0.002), contraceptive use before current pregnancy (p=0.036), specific types of contraceptive used (p<0.001), receiving FP and in single facility (p<0.001), transport cost to facility (p=0.003), duration had statistically significant difference with unintended pregnancy. On adjusting for confounders using multivariate logistic regression, business women (AOR=0.018, CI: 0.04-0.74, p=0.017) and employed women (AOR=0.06, CI:0.01-0.29, p=0.001), secondary education (AOR=0.01 CI:0.00-0.13, p=0.001), duration without contraceptive use (AOR=0.07 CI:0.02-0.31, p=0.001), Not receiving FP method.