KNOWLEDGE, ATTITUDES AND PRACTICES TOWARDS FAMILY

PLANNING USE AMONG WOMEN AGED 18 TO 35 YEARS ATTENDING

MATERNAL AND CHILD HEALTH CLINIC AT JINJA REGIONAL
REFERRAL HOSPITAL

BY

…..

UAHEB/DCM/….

MAY, 2024
 KNOWLEDGE, ATTITUDES AND PRACTICES TOWARDS FAMILY
PLANNING USE AMONG WOMEN AGED 18 TO 35 YEARS ATTENDING
MATERNAL AND CHILD HEALTH CLINIC AT JINJA REGIONAL
REFERRAL HOSPITAL

BY

UAHEB/DCM/….

MEDICARE HEALTH PROFFESSIONAL COLLEGE

Research proposal submitted to Uganda Allied Health Examinations Board in

partial fulfillment of the requirement for the award of a Diploma in Clinical
Medicine and Community Health of Uganda Allied Health Examinations Board

MAY, 2024
APPROVAL
I have supervised … and the content of this research proposal is made of his original work and has been
made under my technical supervision.

….

Name Signature Date

…………………………….. ……………………………………………………..………………

i
DECLARATION
I …. hereby declare that the work contained in this research proposal is an original piece of my work.
It has not been submitted to any other institution or university for any academic award and the views
herein expressed are mine. Where indebted to others, appropriate acknowledgement has already been
observed.

Signature

…………………………

ii
TABLE OF CONTENTS

APPROVAL .................................................................................................................................... i

DECLARATION ............................................................................................................................ ii

TABLE OF CONTENTS ............................................................................................................... iii

LIST OF ABBREVIATIONS ......................................................................................................... v

DEFINITION OF TERMS ............................................................................................................ vi

CHAPTER ONE: INTRODUCTION ............................................................................................. 1

1.0 Introduction ............................................................................................................................... 1

1.1 Background ............................................................................................................................... 1

1.2 Problem statement ..................................................................................................................... 2

1.3 Research objectives ................................................................................................................... 3

1.3.1 General objective................................................................................................................ 3

1.3.2 Specific objectives.............................................................................................................. 4

1.4 Research questions .................................................................................................................... 4

1.5 Significance of the study........................................................................................................... 4

1.6 Scope of the study ..................................................................................................................... 5

CHAPTER TWO: LITERATURE REVIEW ................................................................................. 6

2.0 Introduction ............................................................................................................................... 6

2.1 Knowledge of women on family planning................................................................................ 6

2.2 Attitudes towards family planning ............................................................................................ 7

2.3 Practices of women towards family planning ........................................................................... 8

CHAPTER THREE: METHODOLOGY ..................................................................................... 10

3.0 Introduction ............................................................................................................................. 10

3.1 Study design ............................................................................................................................ 10

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3.2 Study area................................................................................................................................ 10

3.3 Study population ..................................................................................................................... 10

3.4 Sample size determination ...................................................................................................... 11

3.5 Sampling technique ................................................................................................................. 11

3.7 Sampling procedure ................................................................................................................ 11

3.7 Data collection method ........................................................................................................... 12

3.8 Data collection tool ................................................................................................................. 12

3.9 Data collection procedure ....................................................................................................... 12

3.10 Quality control ...................................................................................................................... 13

3.12 Data analysis and presentation .............................................................................................. 13

3.13 Ethical considerations ........................................................................................................... 13

3.14 Study limitation ..................................................................................................................... 14

3.15 Dissemination of results........................................................................................................ 14

References ..................................................................................................................................... 15

APPENDIX I: INFORMED CONSENT FORM ............................................................................. i

APPENDIX II: QUESTIONNAIRE ............................................................................................... ii

APPENDIX III: APPROVAL LETTER ....................................................................................... vii

APPENDIX IV: PROPOSED WORKPLAN ................................................................................ ix

APPENDIX V: PROPOSED BUDGET ......................................................................................... x

APPENDIX V: MAP SHOWING LOCATION OF JINJA REGIONAL REFERRAL

HOSPITAL .................................................................................................................................... xi

iv
LIST OF ABBREVIATIONS

COC – Combined Oral Contraceptive

HIV – Human Immune Deficiency Virus

IUD – Intra-uterine contraceptive device

POP – Progesterone Only Pill

STI – Sexually transmitted disease

WHO – World Health Organization

UAHEB- Uganda Allied Health Examinations Board

UNFPA – United Nations Population Fund

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DEFINITION OF TERMS
Knowledge – the facts women know about family planning methods and their usage.

Attitudes – perceptions and how women feel towards the use of family planning methods.

Practices – habits and actions and methods used by women to control the number of children to
give birth to.

Reproductive age: A period in the life of a woman when they can conceive and give birth to
offspring if desired.

vi
CHAPTER ONE: INTRODUCTION

1.0 Introduction
Family planning is the ability of individuals and couples to anticipate and attain their desired
number of children and the spacing and timing between their births. It is achieved through use of
contraceptives and the treatment of involuntary infertility. (UNFPA, 2022)

This chapter comprises of the background to the study, statement of the problem, the general and
specific objectives, the research questions, significance and scope of the study on knowledge
attitudes and practices regarding family planning use among women aged 18 to 35 years attending
maternal and child health clinic at Jinja Regional Referral Hospital.

1.1 Background
According to the Cornell University, family planning is the voluntary process of identifying goals
and identifying a plan for the number and spacing of children and the means by which these goals
may be achieved. (Cornell University, 2022)

There are various methods of contraception available worldwide with varying rates of
effectiveness depending on correct usage. Some methods may be bought over the counter while
some may require surgical intervention. Healthcare providers play a key role in helping people
find and use a method that is both effective and acceptable. The available methods include
hormonal methods such as pills and implants, intrauterine devices, emergency contraception pills,
condoms, lactation amenorrhea method and other experimental methods. (WHO, 2022)

Family planning programs that started in the 1960s have made steady progress with contraceptive
prevalence still low and unacceptably high unmet need. Despite the near universal knowledge on
family planning methods, there is an obvious knowledge practice gap. The barriers to family
planning use are personal, religious, cultural and plain negligence.

Globally, there’s a big unmet need for contraception in both developed and developing countries.
This leads to a rise in the global burden of unintended pregnancy which results from not using
family planning or from not using it consistently or correctly. (CDC, 2022). Nearly half of all
pregnancies worldwide, totaling 121 million pregnancies worldwide are unintended. Over 60% of

1
all unintended pregnancies end in abortion and estimated 45 percent of abortions are unsafe,
causing 5 to 13% of all maternal deaths. (UNFPA, 2022)

Africa’s population is estimated to reach 1.3 billion by 2030, a big percentage of the total
worldwide population according to combined data sources. This is largely attributed to the poor
use and access of contraceptive methods yet the highest fertility rates globally with total fertility
rates at a mean of 5 children per woman. In the whole African region, only 47% of all married
women are using contraceptives with slightly higher prevalence in North Africa. Only in five
countries ie South Africa, Botswana, Zimbabwe, Kenya and Malawi have family planning
programs been a success in increasing contraceptive use to higher levels. . (Alhaji A Aliyu, 2018)

In East Africa, the family planning situation presents a mixed picture. Despite rising age at first
birth and progress in family planning method prevalence, there is persistent low uptake of long
acting family planning methods and high levels of teenage pregnancy, unmet need for family
planning and unintended pregnancy. The family planning prevalence rates in East Africa are
highest in Kenya and Rwanda at 53% and 58% respectively while they are lowest in Ethiopia at
29%. (ICF International, 2014)

In Uganda, according to the Bill and Melinda Gates foundation, 2021, the mean family planning
prevalence rate (FPPR) is at only 38.6% of married women and only 30% of all women of
reproductive age. The most widely used method of contraception is injectable
medroxyprogesterone acetate. (Track 20, 2022). However, compare to the general female
population of Uganda, this is a very small percentage despite the government’s commitment to
reserve financing for family planning yearly as part of Uganda Vision 2030. (FP 2030, 2022)

Women may have the unmet need for family planning because of various reasons including fear
of side effects, lack of adequate knowledge, stigma surrounding the use of family planning or lack
of access to some family planning methods. There is a sustained unmet need for family planning
in Uganda which has led to a government worry because of the rising population.

1.2 Problem statement

Family planning is one of the most important health interventions of the 21st century. It has far
reaching benefits for individuals, couples, families and communities as a whole. The unmet need
for family planning leads to many unplanned pregnancies which are responsible for a high rate of

2
maternal and child deaths. Without family planning, maternal deaths increase by 50%, a large
portion of it being deaths by unsafe and unsupervised abortion. Unplanned pregnancies also have
a correlation with early infant deaths.

On a country level, poor family planning access leads to a high birthrate and the turnover ratio
becomes unbalanced. This in turn leads to high poverty rates in households and families since the
people cannot provide adequately for the children with the limited resources available. This as a
result leads to high illiteracy rates, hunger, high unemployment rates, poor general health, and poor
living standards because of insufficient resources to cater for a rapidly growing population.
(Chandini et al, 2022)

In Uganda, many programs have been instituted to promote family planning uptake and increase
public knowledge of family planning methods. These programs mostly target adolescents and
young adult women of reproductive age. They include non-government organizations such as
Marie Stopes which promote adolescent friendly services and ease supply of contraceptives.

Family planning was also adopted in the Vision 2030 goals of Uganda where its allocated
resources through the Ministry of Health per financial year to boost family planning access and
supply throughout the country. Each parish in Uganda has access to family planning methods at
the Health Centre II level everywhere in Uganda. In addition, the private sector has also been
granted unlimited rights to supply over the counter contraceptives to every eligible female and
male of reproductive age. (Reproductive Health Uganda, 2022)

Despite the above interventions, there’s still a high rate of unplanned pregnancy due to a low CPR
in Uganda. This research therefore aimed to study the knowledge attitudes and practices regarding
family planning use among women aged 18 to 35 years attending maternal and child health clinic
at Jinja Regional Referral Hospital.

1.3 Research objectives

1.3.1 General objective
To assess the knowledge, attitudes and practices regarding family planning use among women
aged 18 to 35 years attending maternal and child health clinic at Jinja Regional Referral Hospital

3
1.3.2 Specific objectives
To assess the knowledge of women aged 18 to 35 years attending maternal and child health clinic
at Jinja Regional Referral Hospital regarding family planning

To determine the attitudes of women aged 18 to 35 years attending maternal and child health clinic
at Jinja Regional Referral Hospital regarding family planning.

To assess the practices of women aged 18 to 35 years attending maternal and child health clinic at
Jinja Regional Referral Hospital regarding family planning.

1.4 Research questions

What is the knowledge of women aged 18 to 35 years attending maternal and child health clinic at
Jinja Regional Referral Hospital regarding family planning?

What are the attitudes towards family planning among women aged 18 to 35 years attending
maternal and child health clinic at Jinja Regional Referral Hospital?

How is family planning practiced among women aged 18 to 35 years attending maternal and child
health clinic at Jinja Regional Referral Hospital?

1.5 Significance of the study

The unmet need for family planning in Uganda is still so high and this study aims to increase the
level of evidence based data on the knowledge, attitudes and practices regarding family planning
use among women aged 18 to 35 years attending maternal and child health clinic at Jinja Regional
Referral Hospital.

This knowledge is aimed to help government and other policy makers to improve on the
availability of family planning methods to the grass root population in Jinja and Uganda as a whole.
It will also help in the formulation of new and improvement of the existing programs targeting
family planning.

The study will help the researcher to understand the family planning situation at Jinja Regional
Referral Hospital. It will also help the researcher in partial fulfillment of the requirement for the
award of Diploma in Clinical Medicine and Community Health from Uganda Allied Health
Examinations Board.

4
1.6 Scope of the study
This study will focus on determining the knowledge, attitude and practices regarding family
planning use among women aged 18 to 35 years attending maternal and child health clinic in Jinja
regional referral hospital from July 2024 to August 2024.

5
CHAPTER TWO: LITERATURE REVIEW

2.0 Introduction
This chapter contains literature review on empirical studies done on knowledge attitudes and
practices regarding family planning use among women aged 18 to 35 years. Sources of information
from textbooks, journals and internet webpages have been cited. An overview of the literature is
provided below;

2.1 Knowledge of women on family planning

A study conducted in Ethiopia on the knowledge attitudes and practices toward family planning
among women of reproductive age showed relatively low levels of knowledge among the
participants at 42%. All the participants had ever heard about family planning methods and the
major sources of information were health workers at 57.5% and radio at 41.5%. The perceived
side effects of using family planning by order of prevalence were absence of menstrual cycle,
irregular bleeding, heavy bleeding and abdominal cramp. (Samachew Kasa et al, 2018)

The study in Uganda on knowledge about safer contraceptive methods among HIV infected
women revealed that overall knowledge of any safer contraception method was 74.1% and it was
highest in Eastern region at 84.8%. However, only 13.2% knew 3 to 4 methods. 18.9% knew only
two methods and 42% knew only one method. Knowledge of specific safe contraception was
highest for timed unprotected intercourse at 39%. (Violet G et al, 2019)

In a quantitative study conducted on long term family planning methods in Bahir Da, Ethiopia, it
was found that of the 406 women who participated, almost all (99.5%) had knowledge about
modern family planning methods and 90.9% of the women had information on long term family
planning methods. These levels of knowledge were so high. (Tesfa E, 2018)

A cross-sectional mixed methods study of sexual and reproductive knowledge , experiences and
access to services among refugee girls in Nakivale refugee camp in Uganda found that there was
significantly high knowledge regarding prevention of pregnancy. Only 13.8% of the respondents
were not familiar with any family planning method. The most preferred source of knowledge was
parents or guardians although participants expressed that they were afraid or shy to discuss other
sexuality topics. (Olena Ivanova et al, 2019)

6
A study carried out on knowledge attitude and practices regarding planning methods among
married women in Quetta, Pakistan showed that there were high levels of knowledge on family
planning. 99.4% had knowledge about family planning and their methods. Knowledge was mainly
obtained from TVs/ radio (28.8%) followed by healthcare personnel (22.7%). (Salima Hameed et
al, 2019)

2.2 Attitudes towards family planning

A qualitative study conducted to assess the social norms and attitudes towards modern
contraception among adolescent girls in several districts in Uganda concluded that there is a
generally poor attitude towards access family planning for adolescent girls and many social norms
inhibiting this. The likelihood of respondents living in Moroto for example to agree that adolescent
girls are allowed to access family planning was low. (Paul B et al, 2021)

The study carried out on knowledge attitude and practices regarding planning methods among
married women in Quetta, Pakistan showed that there was good attitude towards the use of family
planning. 98.8% believed that the use of family planning methods is beneficial while 62%
healthcare providers encouraged them to use family planning services. (Salima Hameed et al,
2019)

A study conducted in Nakaseke district in rural Uganda showed that despite the very high
knowledge on family planning among the women and their partners, the women were less likely
(35%) to involve their partners in their decision to use family planning. The barrier cited by most
women towards their use of family planning was partner opposition. (Samantha J Deans et al,
2018)

A qualitative study assessing changes in attitudes and intentions to use family planning after
watching documentary among Uganda women of reproductive age revealed that the drama greatly
improved their attitudes towards the implant and encouraged them to discuss family planning with
their partner. The participants also reported that the documentary addressed their fears about side
effects, myths and implant insertion. (Jane Plastow et al, 2021)

A study conducted in Nepal on the knowledge, attitudes and practices regarding family planning
among women in a semi-urban area revealed that the participants had a positive attitude towards
family planning. 90.9% of the participants reported positive attitude and only 4.2% had a negative

7
attitude. However, majority of the respondents were married so this explains the good attitudes
towards use of contraceptives in this study. (Kumar et al, 2022)

A study conducted in Northwest Ethiopia found an overall favorable attitude towards family
planning (58.8%) and only 41.2% had unfavorable attitude. Majority (88%) of the respondents had
ever discussed family planning issues with their partners. About 24% of the participants reported
that they believe family planning exposes to infertility. Almost 2.28% of study participants
reported that using family planning contradicts with their religion and culture. (Samachew et al,
2018)

2.3 Practices of women towards family planning

In the study conducted in Nepal on the knowledge, attitudes and practices regarding family
planning among women in a semi-urban area, it was found that condoms were the most prevalent
method at 35% and combined oral contraceptives at 27%. The other used contraceptives included
IUCD, Implant, tubal ligation and injectable at 15.71%, 2.85%, 11.90% and 6.66% respectively.
However this was among only 44.4% of the respondents who were practicing family planning.
(Kumar et al, 2022)

The study conducted in Northwest Ethiopia found that majority of the participants (75.3%) had
ever received contraceptive methods. The main types were pills (7.4%) and injectable (77.2%).
The most common reasons for not using a contraceptive were a desire to have a child (53%) and
the preferred method not being available (46.8%). Generally, half of the study participants (50.4%)
had good practice and the rest had poor practice. (Samachew et al, 2018)

A study conducted in Uganda on the practices of family planning among Women of reproductive
age in Kiryandongo district revealed that majority of the respondents (54%) had ever used family
planning methods but only 23% were currently using a method. Injectaplan was the most used
method (87%) and the other used methods were norplant, condoms and IUDs at 58%, 15% and
2% respectively. 9.2% were using more than one method of family planning at a time. (Omar
Yasin, 2019)

A study on the practices of contraceptive use in Namibia among female tertiary university students
at University of Namibia revealed that there was relatively poor usage of contraceptives among
the respondents. 44.3% of the respondents stated that they always used contraceptives, followed

8
by 28.1% who occasionally made use of contraceptives, 20% reported that they often used
contraceptives whilst 7.6% stated that they had never used contraceptives at all. (Tatenda et al,
2019)

A study conducted in Kenya on the knowledge and contraceptive use among currently married
women revealed that more than half (58%) had ever used a family planning method. The injectable
was the most used (58%) followed by pills at 79% and implants at 58%. The least known family
planning methods were spermicides at 1%, diaphragm (2%) and vasectomy at 4% respectively.
(Mogere DM, 2015)

9
CHAPTER THREE: METHODOLOGY

3.0 Introduction
This chapter includes the methods and approach which were applied in the study area. It consists
of the study design, study area, study population, selection criteria, sample size determination,
sampling technique, sampling procedure, data collection method, data collection tools, data
collection procedure, piloting the study, quality control, data analysis and presentation, ethical
consideration, study limitations and disseminating of results.

3.1 Study design

A cross-sectional descriptive study design involving quantitative methods of data collection will
be applied. This is because in descriptive study design both qualitative and quantitative data will
be collected where as a cross-sectional study design was a short time achieving type of study since
the study will be a short-time study.

3.2 Study area

The study will be conducted at Jinja Regional referral hospital. The Hospital is located in the center
of Jinja not far from the source of the Nile. It is the regional referral hospital for the districts of
Bugiri, Iganga, Jinja, Kaliro, Kamuli, Luuka, Namayingo, Kayunga and Buikwe. The hospital is
located approximately 84 kilometers east of Mulago National Referral Hospital.

This area has been chosen because it has a diverse area it serves which will give results that can
be generalized for a bigger population. The area is also within the researcher’s area so it was cost
effective as a research area.

3.3 Study population

The study will be carried out on women of reproductive age 18 – 35 years who visited maternal
and child health clinic at Jinja Regional Referral Hospital. The women attending Jinja regional
referral hospital are mainly residents of the districts in Busoga region in Uganda and a few
Kenyans. The main tribes in this population are Baganda, Basoga, Bagisu and Bagwere. The
population has been chosen because of its diverse nature since it consists of people from different
parts of the country and so results can be used to make a general conclusion.

10
3.4 Sample size determination
The sample size was determined using the formula below as computations given by Taro
Yamane; 1967.

𝑁
𝑛=
1 + 𝑁(𝑒)2

𝑁
𝑛=
1 + 𝑁(𝑒)2

Where;

n- Is the sample size required

N- Is the estimated study population

e- Is the assumed error =0.05

90
𝑛=
1 + 150 × (0.05)2

90
𝑛=
1.375

𝑛 = 109.6(approx. 110)

Therefore, the study will involve a sample of 110 respondents

3.5 Sampling technique

Systematic random sampling will employ to select women from the maternal and child health
clinic who will take part in the study. This technique will offer equal chances to all women
attending maternal and child health clinic to take part in the study hence will eliminate bias and
improve on the validity of the data that will be obtained.

3.7 Sampling procedure

The 110 mothers in the maternal and child health clinic will be selected by means of systematic
random sampling where the sampling interval will be calculated by dividing the total number of
women attending maternal and child health clinic at Jinja Regional Referral Hospital by the sample
size. For example;

11
𝑁
𝑛

90
110

1.343 (approx. 2)

Therefore, every woman in the 2nd position will be selected until the required sample size is
obtained.

The rationale of this sampling procedure was that it minimises sampling bias and also allows
evenly spreading over the population which makes it more precise.

The list of the estimated women in the clinic to be sampled will be obtained before undertaking
systematic random sampling to draw the study participants. The sampling interval will employed.
Women who refused to participate will be substituted with the nearest woman. The selected
women will be given unique identification numbers.

3.7 Data collection method

Questionnaire method will used for data collection in the study. The questionnaires will be
researcher delivered to the selected participants in this study. In this method, information regarding
knowledge, attitudes and practices regarding family planning use among women aged 18 to 35
years attending maternal and child health clinic at Jinja Regional Referral Hospital will be sought.
Questions targeting these fields will be conveyed in the questionnaire.

3.8 Data collection tool

The only data collection tool that will be used in this study was the questionnaire. These will be
printed on papers in English and they will be handed to the respondents. Respondents are expected
to use their own writing material such as pens or pencils as appropriate. Parcels for proper storage
of the questionnaire forms will be used before and after the study

3.9 Data collection procedure

Serial numbers will be given to every respondent which will be put on the questionnaires. The
respondents will be informed about the content and intent of the study and informed consent will
be sought. A part of the questionnaire provides a space for documenting the informed consent.

12
The questionnaire forms will then handed to the respondents and they will be given instructions
on the way of filling them. Standard semi-structured questionnaires will be used and the
respondents will be guided on how to fill them using either pen or pencil. A date of collection of
the questionnaires will be communicated to the respondents. For this study the respondents shall
be offered a maximum of one day to return the forms to the researcher.

In the case of refusal to consent to the study or failure to fill the questionnaire form, the respondent
will be eliminated from the sample and will be replaced by another respondent from the stratum
as the former. In case of loss of the questionnaire by a respondent, another copy will be supplied
at the expense of the researcher. This will be catered for by obtaining a surplus of copies of the
forms and retained by the researcher.

3.10 Quality control

The data collection tool i.e., the questionnaire was pretested by selecting three random respondents
from each strata and administering it to them. The answers was then scrutinized to check their
perceptibility by respondents and the necessary adjustments were made in the questionnaire.
Adjustments ranged from change, omission and addition of questions to changing font of the
questions in the forms.

For quality data collection two research assistants from the other two strata of which the principle
researcher will not be part were selected. These will be trained on how to answer questions in the
questionnaire form, how to treat respondents ethically, how to translate any question in the
questionnaires for the respondents. These assistants will help the researcher in the distribution and
collection of the forms before and after the respondents finish with filling. It is their responsibility
to ensure the exact number of forms is retrieved after the study.

3.12 Data analysis and presentation

The data collected will be analyzed using Microsoft Excel, SPSS software version 21 and STATA
version 13.0. Results will be presented in form of frequency tables, percentages, pie charts and
graphs.

3.13 Ethical considerations

A letter of introduction will be written addressed to the District Health Officer Jinja City seeking
permission to conduct a study in the same city. A letter of request will also be presented to the

13
Medical Superintendent, Jinja Regional Referral Hospital to allow the researcher to conduct the
study at the hospital.

The respondents will be assured of a high level of confidentiality by the researcher and his team.
This will be ensured by the use of serial numbers instead of names on questionnaire forms to ensure
anonymity. The respondents will be informed of their right to refusal to be enrolled for the study
and their right to withdraw from the study at any time along the way without any repercussions.

Informed consent will be sought from the respondents by presenting to them a consent form to
sign after a thorough explanation about the study. The researcher and his team will observe and
respect the expectations of the respondents.

3.14 Study limitation

Some expected limitations of the study will be such as inadequate resources such as funds to fully
fund the activities involved in the study.

Non-compliance by some of the respondents is expected and could lead to inaccurate results.
However, this will be counteracted by ensuring willingness of the respondents before they are
involved in the activities of the study.

3.15 Dissemination of results

Copies of the report compiled from the results obtained from the research will be produced and
sent to Uganda Allied Health Examinations Board (UAHEB), the DHO Jinja City, the Clinical
Medicine faculty head and the Medical superintendent Jinja Regional Referral Hospital.

14
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Uganda. Reprod Health 2019 May; 16. (Suppl 1) :64: doi: 10.1186/12978

WHO. World Health Organisation. 2022. Ensuring Human rights in the provision of contraceptive
information and services. Geneva 2020. Available from
[Link]
rights-contraception . Accessed Oct 1, 2022.

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APPENDIX I: INFORMED CONSENT FORM
The informed consent form for the study on knowledge attitudes and practices regarding
family planning use among women aged 18 to 35 years attending maternal and child health
clinic at Jinja Regional Referral Hospital.

Hello, my name is … and I am going to conduct an interview with you. You’ve been selected
among the lucky participants of my research. Please read the following statements clearly and ask
any questions before agreeing to participate.

Thank you for allowing me to share your precious time and for your willingness to participate in
this study. The objectives of this study is to determine the knowledge attitudes and practices
regarding family planning use among women aged 18 to 35 years attending maternal and child
health clinic at Jinja Regional Referral Hospital and you are selected to participate in the study.

In order to attain the goal effectively, I am asking you for your generous help. I would like to
assure you that privacy will be strictly maintained throughout. There is no need to put your name
on the format. No individual response will be reported. It is your full right to participate or decline
to participate in the study. However, your honest participation will have a great contribution so
please take a few minutes to answer the following questions.

Do you wish to participate in the study?

Yes______ No ______

To show that u have accepted to participate in the study and understood its purpose, please write
your initials, signature and date in the spaces below.

Initials __________ Signature _____________________

Date ____________________

Researcher’s signature _________________

Thank you for your acceptance and sparing tine to participate in this study

i
APPENDIX II: QUESTIONNAIRE
Questionnaire number……………

Date…………….

Initials………...

A. Demographic factors

Sex Male
Female
Age _______ yrs.
Marital status Married
Single
Place of residence Urban
Rural
Religion Anglican
Catholic
Muslim
Born again

B. Knowledge about family planning

1a. Have you ever heard about family planning?

1. Yes 

2. No  (skip to--)

1b. Which method have you heard of? (Please tick all mentioned)

Intra uterine decive (IUD)

Condoms
Pills
Injections

ii
 Spermicides
Others

2 How did you learn about the family planning methods you now?

Health workers advice

From a friend
Radio
Television
Newspapers
Other(Specify)

3a Did they explain the advantages and disadvantages of the family planning methods above?

Yes  No 

3b If no, why?

-----------------------------------------------

4a Do u know of a place where you could access family planning services?

Yes  No 

5. Have you ever received health education about family planning?

Yes  No 

6 Do you know of the side effects of family planning

--------------------------

--------------------------

-----------------------------

3 Attitudes towards family planning

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7a Do you ever discuss family planning with your spouse?

Yes  No 

7b If no, why?

I am shy I think he will refuse

He doesn’t accept Religion doesn’t accept
He wants more children Others
No chance to talk about it

8 Who in your family has the final say in family planning decisions?

1. I do 
2. My husband 
3. Both of us 

9a Are there religious or cultural beliefs about family planning in your society?

1. Yes 
2. No 
3. Not sure 

9b If yes, please mention them

---------------------------------------------------

---------------------------------------------------

4 Practices of family planning

10a Are you currently using a family planning method?

Yes  No 

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10b If yes, tick which one

Intra uterine decive (IUD)

Condoms
Pills
Injections
Spermicides
Others

10c Why did you choose the method above?

---------------------------

---------------------------

11. How long have you used the method you use?

---------------------------

12. Where did you get the family planning method you’re using?

Family planning clinic NGOs

Pharmacy/drug shop Others (specify)
Govt health facility

13 How much do you spend on family planning every month?

1. Below 2000 
2. 2000 – 10,000 
3. Above 10,000 

14 Have you noticed any side effects from using the method you use?

Yes  No 

v
15 If yes, which ones.

Heavy bleeding
Abdominal pain
Headache
Other (specify)

-END-

vi
APPENDIX III: APPROVAL LETTER
Section A: Study topic Approval

Name of candidate ….

Research Topic: KNOWLEDGE, ATTITUDES AND PRACTICES TOWARDS FAMILY

PLANNING USE AMONG WOMEN AGED 18 TO 35 YEARS ATTENDING MATERNAL
AND CHILD HEALTH CLINIC AT JINJA REGIONAL REFERRAL HOSPITAL

Approved by: Chairperson of the Research Committee

Name ……………………………..………… Signature…………………..….

Date ……………………………..………

Section B: Approval of Research proposal

Research Topic KNOWLEDGE, ATTITUDES AND PRACTICES TOWARDS FAMILY

PLANNING USE AMONG WOMEN AGED 18 TO 35 YEARS ATTENDING MATERNAL
AND CHILD HEALTH CLINIC AT JINJA REGIONAL REFERRAL HOSPITAL

Approved by : Chairperson of the Research Committee

Name ………………………………………… Signature ……………………

Date …………………………………………….

Section C: Supervisor’s Acceptance

Name of candidate …..

Title of Research Topic KNOWLEDGE, ATTITUDES AND PRACTICES TOWARDS

FAMILY PLANNING USE AMONG WOMEN AGED 18 TO 35 YEARS ATTENDING
MATERNAL AND CHILD HEALTH CLINIC AT JINJA REGIONAL REFERRAL
HOSPITAL

I …………………………………………here by agree to supervise the above - named candidate.

Signature………………………………. Date……………………..

vii
Approved by: The Research Committee.

Chairman ………………………………. Signature …………………….

Date …………………………..

SECTION D: PROPOSAL APPROVAL FORM

a. Proposal approval

Print Name of Candidate ….

Title of Research Study: KNOWLEDGE, ATTITUDES AND PRACTICES TOWARDS

FAMILY PLANNING USE AMONG WOMEN AGED 18 TO 35 YEARS ATTENDING
MATERNAL AND CHILD HEALTH CLINIC AT JINJA REGIONAL REFERRAL
HOSPITAL

I hereby accept this proposal for the above names research study and approve it for submission
to…………………………………………….School and other concerned organization’s
Institution Review Board / Research and Ethics Committee.

Approved by

Supervisor (Signature): ……………………………….. Date:…………………..

Principal (Signature):……………………………………Date:…………………..

viii
APPENDIX IV: PROPOSED WORKPLAN
A proposed timeline for the activities to be undertaken during the process of this study from
topic identification to submission of the research report

Feb Mar May Jul Aug Sep Oct

2024 2024 2024 2024 2024 2024 2024

Number Activity

1 Proposal
writing

2 Submit
proposal
3 Collecting
letters

4 Collecting
data

5 Analyzing
data

6 Compiling
results

7 Writing
report

8 Submit
report

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 APPENDIX V: PROPOSED BUDGET
A proposed budget for the study.
[Link] ITEM QUA UNIT TOTAL SOURCE OF
NTI COST(Sh) COST(Sh) FUNDING
TY
01 Stationary & material

Ream of paper 1 17,000 17,000 Researcher

Pencil 5 200 1000 Researcher
Eraser 1 500 500 Researcher
Notebook 1 3,000 3,000 Researcher
Parcel 3 1,000 3,000 Researcher
Pens 5 500 1,500 Researcher
02 Secretarial
Proposal printing 3 5,000 10,000 Researcher

Dissertation printing 1 8,000 8,000 Researcher

Photocopyingproposal 3 5,000 10,000 Researcher

Binding proposal 3 3,000 9,000 Researcher

Binding dissertation 3 3,000 9,000 Researcher

Printing consent form 140 300 30,000 Researcher

03 Others
Airtime 30 1,000 30,000 Researcher
Transport 10 1,000 10,000 Researcher
Research assistants training 2 20,000 200,000 Researcher
Supervisor 1 20,000
Grand total 342,000 Researcher

x
APPENDIX V: MAP SHOWING LOCATION OF JINJA REGIONAL REFERRAL
HOSPITAL

xi