An exploration of the factors affecting the utilization of family planning services among youth (18-24 years) at community level in rural Budaka district, Uganda

Background: There is an increased number of young people engaging in early sexual relationships worldwide. Furthermore, statistics for early pregnancy among young people has also increased especially in low and middle-income countries. This has health implications for both the parents and the baby. High uptake in family planning contraception among the young people can reduce early pregnancy and subsequent negative health outcomes on the young parents and the baby. This study was set to explore the factors influencing the uptake of family planning contraceptive services among young people (18-24 years) at community level in rural Budaka district, Uganda. Method: The study utilised an explorative qualitative approach. Eight focus group discussion were conducted followed by sixteen one to one follow up semi-structured interviews with young people. Each focus group comprised of 10 participants (N=80). Sixteen one to one follow up interviews were meant to further explore issues raised in the focus groups (N=16). A thematic approach underpinned by the four phases of The Silences Framework (TSF) was used to analyse the data. Results: The study found out that religion, partner resistance; perceived loss of libido, perceived barren, long waiting time and distance from the health facility, lack of privacy/confidentiality, excessive menstrual bleeding, cancer and fear of having disabled babies, limited the utilisation of family planning contraceptive services while contraception as HIV prevention and child spacing encouraged young people to use family planning contraceptive services. Conclusion: There is need for a culturally orientated community-based contraceptive health promotion approach to increase the uptake of family planning contraception services among young people