RESEARCH TITLE

ASSESSMENT OF FAMILY PLANNING UPTAKE AMONG WOMEN

OF REPRODUCTIVE AGE AT KARATU LUTHERAN HOSPITAL,
ARUSHA TANZANIA.
CHAPTER 1
 1.0 INTRODUCTION

BACKGROUND INFORMATION
Family planning (FP) is the information, means, methods and ability of
individual and couples to decide if and when to have children or attain their
desired number of children and spacing timing foe next births. (WHO, 2008).
Family planning is categorized into artificial and natural methods, natural
method include withdraw, lactating amenorrhea as well as non-invasive
methods such as the calendar method and abstinence. Artificial methods include
IUCD and hormonal contraception include pills and depo provera also
permanent methods include vasectomy and tubal ligation (UNFPA, 2018).

FP is also well known to prevent unwanted pregnancies and unsafe abortion and
spread of sexual transmitted infection (STI) including the much-threatened
HIV/AIDS (USAID, 2008). Family planning advances human right, helps
reduce poverty, Family planning contributes to improved nutrition outcomes,
Family planning saves lives, Family planning supports women’s and girls’
education, Family planning advances gender equality and empowerment also
prevent early and unintended pregnancy (Starbidetal, 2016).

Globally, The proportion of women of reproductive age (15-49 years) who have
need of FP satisfied with modern method is 77% so globally 10% increase since
1990 to 67% (UN, 2020). Therefore this progress increased from 0.7 billion in
1990 to 1.1 billion today (WHO, 2022). The greatest increase since 2000 in the
proportion of women need FP is among 15-24 years while adolescent 15-19
years from 45% in 2000 to 61% in 2020, young women aged 20-24 from 57%
to 60% over the same period (Alkema et.al., 2013). Number of women of
reproductive age rose from 1.3 billion in 1990 to 1.9 billion in 2021 this an
increase of 46 per cent (United Nations, 2022).
Sub-Saharan Africa Report everyday 530 women die from pregnancy and child
birth related courses, this is equivalent to about 1 woman in every two minutes.
Though it’s a global problem but it is a highly in African and South Asia at over
85%, despite of effort made to increase the case of access and awareness of FP
services through Ministry of Health and Non-governmental organization but
there is still unmet need for usage of FP which has high at 24% in 2009 but has
decreased to 14% UNPFA (2015).

Tanzania among the African countries has made substantial progress is not only
in promoting FP but also making FP service available and accessible to their
citizen (UN 2010). The government gets aid from financial and technical
support from a donor agency, the aim to such effort is to enhance access to
uptakes of FP especially by poor people in rural areas and urban slums, having
hope to poverty alleviation, child health, improving maternal health and
fostering development (WHO &UNICEF, 2012).

The problem of unmet need for uptake of FP service, and contributing high rate
of population growth currently 2.6% are presenting major challenge to social
and economic development in Tanzania. Tanzania is one of the countries with
low rate of 32% of uptake of FP compared to developed and other developing
countries (Tanzania demographic health survey, 2015).

WHO (2014), Ratio of maternal death are 18 to 100,000 and according to recent
estimate each year more than 500,000 women between age of 15-49 die out of
related pregnancy and child birth which is a leading cause of death among
women on that age (Hill et.al., 2016).

National Family Planning Coasted Implementation Program NFPCIP (2010-

2015) to guide effort to reposition access the usage of FP service in Tanzania.
So this research is done to assess uptake of family planning methods among
women of reproductive age attending at Karatu Lutheran hospital.

PROBLEM OF STATEMENT

Problem and nature of problem

Poor FP intervention is a problem since it has encountered negative effects
rather than positive effects. Women of reproductive age 15-49 years are having
low rate of FP uptake these has resulted into increase number of children,
unplanned delivery, uneven birth spacing, unwanted pregnancies, unsafe
abortion and maternal mortality (Wasti SP et al.,2017). Family planning will
cause different challenges and negative impacts including menstrual changes,
weight changes, mood changes, headache, dizziness, also user tend to fear cost
of managing side effects.

Therefore this study seek to provide uptake number of family planning user in
reproductive age, family planning is important since it reduce unwanted
pregnancy and birth interval ,despite that the uptake of family planning is poor
this will lead to higher number of unwanted pregnancy.

Scope of problem
An effective use of family planning becomes a health problem to woman in the
community.According to the ministry of health instituted national policy
guidelines and standard for family planning services and training state that, “all
males and female of reproductive age including adolescence irrespectively of
their parity and marital status, shall have the right of access to family planning
information education and services”, (Paschal 2015).

Despite the government of Tanzania has introduced the family planning

methods to save their people but still the total fertility rate is as follows.The
current fertility rate for Tanzania in 2023 is 4.629 births per woman, a 1.26%
decline from 2022. The fertility rate for Tanzania in 2022 was 4.688 births per
woman, a 1.24% decline from 2021(Tanzania census 2022)

Effect of problem identified

The problem is still a burden in the community because of the consequences
which occur in the community such as unwanted pregnancy, unsafe abortion,
maternal mortality rate and sexually transmitted diseases are very high.

Gaps of research and proposed solution

Most of women have no correct information about the use of family planning
methods, also others have desire for more children while others fear of
undesirable effect on the use of family planning methods and this is due to lack
of education.The ministry of health should supervise on provision of health
education about the use and importance of family planning methods, this should
be done in order for the reproductive age to be aware on family planning in
order to reduce unwanted pregnancy and maintain birth intervals.

RESEARCH OBJECTIVES

BROAD OBJECTIVE
To assess family planning uptake among women of reproductive age at Karatu
Lutheran hospital.

SPECIFIC OBJECTIVE
1. To assess knowledge on family planning uptake among women of
reproductive age at Karatu Lutheran hospital

2. To identify the factors associated with family planning uptake among

women of reproductive age at Karatu Lutheran hospital.
RESEARCH QUESTIONS
1. What is the knowledge of family planning uptake among the women of
reproductive age at Karatu Lutheran hospital?

2. What are the factors associated with family planning uptake among
women of reproductive age at Karatu Lutheran hospital?

SIGNIFICANCE OF STUDY
The role of family planning is important, not only to reduce fertility rates by
providing contraceptives, but also to expand the understanding that all people
have a right to control their fertility and understand on the importance of family
planning.

Since uptake of family planning is problem, this study will help reproductive
age, families and the whole community to be aware on FP methods. Also, this
study will help Karatu Lutheran staff together with Ministry of health to
determine which area need more effort on providing health education about
family planning. This study will play part on contribution of FP knowledge to
community and other stakeholders in health field which will bring positive
impacts on FP toward the whole country.

RATIONALE / JUSTIFICATION OF STUDY.

The rationale of this study is to assess family planning uptake among
reproductive age.

The decision done to target the study to reproductive age is because that most
of family suffer from unwanted pregnancy, abortion, poor development within
 families but also high population pressure due to lack of education on birth
interval and child spacing among family members.

LIMITATIONS OF STUDY
1. Failure of some respondents to complete questions over a given time this
may lead to sampling error when analyzing the data, this will be avoided
through uses of closed ended question and using simple language.

2. Language barrier, some of respondents speak their mother tongue this

lead to miscommunication, I will overcome this by finding out interpreter
who will assist in interpreting questioners and share their responses.

3. Some of the respondents are not educated, don’t know how to read and
write it will be difficult to fill questions due to this will use interview
reading questions to them and ask for response.

CONCEPTUAL FRAME WORK

The conceptual framework is introduced to show relationship among the ideas
and how they relate to the research study, this help a researcher to develop the
knowledge that will help women of reproductive age, aged 15-49 attending at
Karatu Lutheran hospital to increase their uptake on family planning methods.

METHODS OF FAMILY PLANNING

EDUCATION LEVEL FACTORS ASSOCITIANG FAMILY PLANNING SOCIAL ECONOMIC

UPTAKE
 CHAPTER 2

LITERATURE REVIEW

INTRODUCTION

This chapter tries to explore information from different articles and researchers
on what other authors have done concerning the releted topic.

KNOWLEDGE ON FAMILY PLANNING UPATAKE AMONG WOMEN OF

REPRODUCTIVE AGE.

Study by(Joseph KB Matovu et al.,2016) Lack of knowledge of where to obtain

correct family planning (FP) information and methods can be a critical barrier to
eventual uptake of FP services.Knowledge of FP methods was universal
(98.1%). Clinic providers (60.4%), friends (56.9%) and the media (51.3%) were
the most trusted sources of contraceptive information. Government (27.6%) and
private (21.1%) health facilities were the main sources of modern FP methods.
Sixty two per cent of women reported current use of any FP method. Among
non-users of FP, injectables (50.4%), implants (22.8%) and pills (20.2%) were
the most preferred FP methods. Conclusion: Our findings show that knowledge
of FP methods is almost universal and that six in ten women use any FP
method. Clinic providers, friends and the media are the most trusted sources of
FP information. Government and private health facilities are the main sources of
FP services.

(GhulamMustafaetal.,2015) The men and women across the regions were

familiar with different family planning methods, especially modern
contraception except vasectomy. Among traditional methods, the majority of
participants had little knowledge and were indifferent toward breast feeding as a
HEALTH CARE SERVICES
natural way to avoid pregnancy. A male from Sindh said, “We have heard that
some women breast feed their children and don’t get pregnant whereas in some
cases women breast feed their children and from the second month they start
getting their menses.”

FACTORS ASSOCIATED WITH FAMILY PLANNING UPTAKE AMONG

WOMEN OF REPRODUCTIVE AGE

EDUCATION LEVEL ON FAMILY PLANNING UPATAKE

Uptake of modern family planning services

isaffectedbyknowledge.Previousstudies(Diamond-
Smithetal.,2012;Safarietal.,2019)indicatedthatmanywomenarenotusingfamilypla
nning services due to low education level.

Most rural areas in Africa believed that many couples have low acceptance of
family planning because their families depend on subsistence farming where
children are considered as free labour force, apractice which facilitates
preference for a high number of children and large family (Mbizvo and Philips,
2014; Apanga and Anyamba, 2015).

A study by Islametal.(2016) in Pakistan indicate Partners education has a

significant effect on the uptake of family planning. It is furthernoted that
women educational has effect on FP Mpuga(2011);Johnson(2017) have shown
that women with secondary education are more likely to use FP services
thanthosewithout.Thisimpliesthateducationgivesthemskillsandknowledgetodeci
deontheirreproductivehealth, therefore upatke of family planning is still
problem toward women of low level of education.
HEALTH CARE SERVICES

Furthermore, another factor that seems to influence FP uptake is the availability

and accessibility of FP services. In terms of availability, a study by (Eliason et
al., 2014) from Ghana has shown that the location of modern FP facilities less
than five kilometers away from users home was more likely to influence FP
uptake.

METHODS OF FAMILY PLANNING

Current use of family planning nearly 4 in 10 (38%) married women age 15-49
currently use any method of family planning—32% use a modern method and
6% use a traditional method. Injectable are the most popular modern method
(13%), followed by implants (7%) and the pill (6%).

Among sexually active, unmarried women age 15-49, use of family planning is
higher. More than half (54%) of these women use any method of family
planning; 46% use a modern method and 8% use a traditional method. The male
condom and inject able are the most popular methods among this group (15%
each), followed by implants (8%) and the pill (6%). Use of modern methods of
family planning by married women increases with economic status. While 35%
of married women in the wealthiest households use a modern method, only 20%
of married women in the poorest households do. Modern method use is also
higher in urban areas (35%) than in rural areas (31%). Use of modern methods
is highest in Lindi (52%) and lowest in Kusini Pemba (7%). Use of traditional
methods is highest in Dar es Salaam (18%) compared to other regions. The use
of modern family planning methods has more than quadrupled since the first
TDHS survey, from 7% in 1991-92 to 32% in and in Percent of married women
age 15-49 using a modern method of family planning in Kilimanjaro (48%),
(2015-2016 TDHS).

TheuptakeofmoderncontraceptivehasbeenreportedtobegenerallypoorinMiddlean
dWesternAfrica;withvaluesaslowas25%comparedtoEurope,LatinAmericaandCa
ribbeanwithupto70%uptake(United,2017).Theconsiderablylowcontraceptivepre
valencerate(CPR)of15%inNigeriaisvery worse some(Npopc[Nigeria],2014).

SOCIAL ECONOMIC FACTORS

Tanzania maternal mortality ratio 432 per 100000 live birth in urban, 360 per
100000 live birth in rural and teenage 15-19 years 341 per 100000 live birth,
(WHO, 2015). There are factors which make ineffective use of contraceptives
such as culture, example when a women decide to practice FP methods cannot
do without concern of their husbands. They tend to hide their contraceptives
hence reduce the effective use of family planning. In regard to perception:
some of women perceive on contraceptive usage as sexually immoral.

Economic factors; there is lack of contraceptives in government

hospitals/dispensary hence some women are not able to buy or to follow the
services in private hospital. Therefore many women are unwere on FP methods
(WHO 2009).

There are many reasons for not using family planning method,most top rated
reasons for not using family planning method among women at Cameroon
includes lack of information (31.4%), uselessness (31.4%), and fear of side
effects(14.3%),(Nansseu JN et .al., 2015).
 CHAPTER THREE:

RESEARCH METHODOLOGY

STUDY AREA

The study will be conducted at KARATU LUTHERAN HOSPITAL which

involves women aged 15-49years

Karatu Lutheran Hospital (KLH) is a rural Mission Hospital owned by the

Evangelical Lutheran church in Tanzania Northern Diocese. The hospital is
located at Arusha region, in Tanzania, about 150 kilometers Southern West
from Arusha town. Karatu Lutheran Hospital started a way back in 1954 as a
health post for the settlers and missionaries on transit to Sonjo area in Loliondo
and Ngorongoro Districts. This Health post was established by the German
Medical Missionaries.. In 1960 it became a hospital with 52 patients bed
capacity, in 2000 it was expanded to the capacity of accommodating 100
patients .It has the status of a Council Designated Hospital (CDH), meaning it
serves as a referral hospital within the Karatu district, for dispensaries and
health centres.(elcthealth.tz>karatu -hospital)

It is run in collaboration with the government of Tanzania under Karatu District

Council.It is having department including outpatients Department, Medical -
Surgical male and female Ward, Pediatrics Ward, Intensive Care Unit,
Gynecology and obstrectics Ward, Reproductive and child health services,
Radiology Department, Theatre,Dental, Laboratory and pharmacy.

Reproductive child health department provide services like child health service
include vaccination to underfive children, antenatal and family planning
services.

Karatu Lutheran hospital RCHs it's having 4 total number of staff,where by

three of them are Enrolled Nurse and one is medical attendant where they
provide family planning service both natural and artificial family planning
methods. Karatu Lutheran Hospital RCHs have the capability of receiving up to
25 clients per week and 105 per month for different family planning service
(MTUHA book October, 2023).

STUDY DESIGN

Research design refer to the strategy, the plan and structure of conducting a
research project. Study design ensure that requisite data in accordance with
problem at hand is collected accurately and economically (Creswell,J.W. 2014).

A cross-sectional descriptive study design will be used in this research because

cross sectional study design is useful for measuring current situation of family
planning uptake in a short period of time. In addition, descriptive analysis will
be used because that approach seeks to describe and analyze the knowledge,
factors associated with family planning uptake from their own point of view.

STUDY POPULATION

Population refers to the group of people, organization,events behaviours or

other element that are the focus of a research.

The population study will be women of reproductive age (15 to 49) attending
family planning service at KARATU LUTHERAN HOSPITAL

INCLUSION AND EXCLUSION CRITERIA

INCLUSION CRITERIA

All women aged 15-49 and who will be willing to participate in the study and
available during data collection day.

EXCLUSION CRITERIA
All women below age 15 and all women above age 49 and those who are not
willing to participate in the study and not available during data collection day.

SAMPLE SIZE

The formula below shows how to calculate sample size

N= Z2 P (1 – P)

E2

Where;

N = sample size

Z = standard normal deviation set at 1.96

P = proportion of family planning uptake among reproductive age (15-49 years)

is 0.043 (Kabir A.Durowade et al.,2017).

E = maximum error is 0.05

N= (1.96)2 0.043(1-0.043)

(0.05)2

N= 63.2342726 ≈63 participants

SAMPLING TECHNIQUE

Sampling technique refer to specific method,design, approach, or strategy that a

researcher decides to use to select a sample from a larger population.

In this study probability sampling technique will be used, where by every

member of population has chance being selected to form sample.

Simple random sampling technique will be used where every member of

population has equal chance of being selected.

METHOD OF DATA COLLECTION

Data will be collected by quantitative data collection methods, where by

administration of questionnaire to research participants and structured
interviewing by using interview schedule containing questions.

DATA COLLECTION INSTRUMENT

Questionnaires and interview guides or schedules will be used as data

collection tools in this study.

VALIDITY AND RELIABILITY OF DATA

Validity, this study will have time to discuss and check the study tools with
other expert. Valid data collection instrument contain questions or statement
relevant to the construct or variable measured.Validity will look on
appropriateness, meaningful and usefull of specific data collection tools.

Reliability, the study pilot questionnaire will be set to at least 15 medical

personnel attending women at Karatu Lutheran hospital to answer some
questions as pre-test exercise before the actual study. Pre-testing of data
collection tools need to be done before the actual data collection and is done to
determine whether the tool used for data collection allows in collection of
information and less random errors.
DATA ANALYSIS AND PRESENTATION

Data will be analyzed manually by using master sheet and simple manual
calculator. Data will be presented in frequency, proportion, means, pie chart and
percentage data to describe categories data.

ETHICAL CONSIDERATION

The Ethical Clearance will come from Karatu Health Training Institute (KHTI)
and Permission will be obtained from Karatu Lutheran Hospital (KLH), then
monopolizing consent will be obtained from the participants of reproductive age
(15-49) before distributing questionnaires. Also, privacy and confidentiality of
the information will be ensured at all participants.

REFERENCE

Eliason,S.,Awoonor-
Williams,J.K.,Eliason,C.,Novignon,J.,Nonvignon,J.andAikins,M.
(2014).Determinantsofmodernfamilyplanninguseamongwomenofreproductive.

Tanzaniademographichealthsurvey(2015-
2016)currentuseandmodernfamilyplanningservice.

Creswell,J.W.
(2014).Researchdesign:Qualitative,quantitative,andmixedmethodapproaches.London:
Sagepublications

NationalPopulationCommission(NPC)
[Nigeria]andICFInternational.NigeriaDemographicandHealthSurvey2013.Abuja,Niger
ia,andRockville,Maryland,USA:NPCandICFInternational.

KabirA.Durowade,LukmanO.Omokanye,OlusegunE.Elegbede,StellaAdetokunbo,Char
lesO.Olomofe,AkinyosoyeD.Ajiboye,MakindeA.Adeniy,TaofikA.Sanni..BarrierstoCo
ntraceptiveUptakeamongWomenofReproductiveAgeinaSemi-
UrbanCommunityofEkitiState,SouthwestNigeria

NationalPopulationCommission(NPC)
[Nigeria]andICFInternational.NigeriaDemographicandHealthSurvey2013.Abuja
,Nigeria,andRockville,Maryland,USA:NPCandICFInternational.KabirA.Durow
ade,LukmanO.Omokanye,OlusegunE.Elegbede,StellaAdetokunbo,CharlesO.Ol
omofe,AkinyosoyeD.Ajiboye,MakindeA.Adeniy,TaofikA.Sanni..BarrierstoCont
raceptiveUptakeamongWomenofReproductiveAgeinaSemi-
UrbanCommunityofEkitiState,SouthwestNigeria

WorldHealthOrganizationandJohnsHopkinsBloombergSchoolofPublicHealth(20
20)).FamilyPlanning:

Alkema,L.,andothers(2013).National,regional,andglobalratesandtrendsincontrac
eptiveprevalenceandunmetneedforfamilyplanningbetween1990and2015:Asyste
maticandcomprehensiveanalysis.TheLancet,vol.381,Issue9878,pp.1642–
1652.Availableathttps://doi.org/10.1016/S0140-6736(12)62204-
1.UnitedNationsDepartmentofEconomicandSocialAffairs,PopulationDivision(2
022a).WorldPopulationProspects2022.

DemographicHealthSurvey(2011)EthiopiaGirlsEducationonFamilyPlanninguses
.

StephenGallaAlegeet.,Al2016:Knowledge,sourcesanduseofFamilyPlanningmeth
odsamongwomenaged15-49yearsinUganda.

KabirAD,LukmanOO,OlusegunE(2017)."BarrierstoContraceptiveUptakeamong
WomenofReproductiveAgeinaSemi-UrbanCommunityofEkitiStateSouthwest.

Stephen Galla Alege, Joseph KB Matovu,Simon Ssensalire, Elizabeth

Nabiwe( 2016) , Knoweldge, sources and use of family planning methods
among women of reproductive age 15-49 in Uganda.

Ghulam Mustaya,waqas Hamed,Aftab Ahmed and Erick Munroe (2015) Family

planning knoweldge, attitudes and practices among married men and women in
rural areas of Pakistan.

APPENDIX I
DODOSO

UTAFITI JUU YA UCHUKUAJI WA NJIA ZA UZAZI WA MPANGO

KWA WANAWAKE KATIKA HOSPITALI YA KARATU LUTHERANI

MAELEZO:

(A)Usiandike jina lako kwenye karatasi hii, namba zitatumika ili kutunza siri ya
kutofahamika kwa watu wengine.

(B) Weka vema (√) kwenye jibu sahihi.

Mdodoswaji ana haki ya kujibu swali lolote kuhusiana na uelewa wake

SEHEMU A: TAARIFA BINAFSI:

1. Jinsia

A. Msichana ( )

B. Mvulana ( )

2. Umri

A. 15-26 ( )

B. 27-38 ( )

C. 39-50 ( )

3. Dini yako

A. Mkristo ( )

B. Muislamu ( )
 C. Nyinginezo eleza ________________________________________

4. Hali ya ndoa

A. Sijaolewa ( )

B. Nimeolewa ( )

(C)Mjane ( )

5. Elimu yako

A. Msingi ( )

B. Sekondari ( )

C. Elimu ya juu (Chuo) ( )

D. Nyinginezo (bainisha)
__________________________________________________

SEHEMU B: UFAHAMU JUU YA NJIA ZA UZAZI WA MPANGO

KWA WANAWAKE WANAO HUDHURIA KLINIKI KATIKA
HOSPITALI YA KARATU LUTHERANI.

6.Je, unauelewa wowote kuhusu njia za uzazi wa mpango?

(A)Ndiyo ( )

(B)Hapana ( )
7.Kama ndiyo, kwa mara ya kwanza ulipata wapi taarifa ya njiaza uzazi wa
mpango kwa wanawake?

(A)Vyombo vya habari ( )

(B)Kliniki ( )

(C)Vikundi vya jamii ( )

(D)Wahudumu wa afya ( )

Wengineo______________________________________________________

8. Uzazi wa mpango ni nini?

(A) Ni maamuzi ya kuwa na watoto wengi. ( )

(B)Ni maamuzi ya hiari kati ya wazazi au mtu mmoja juu ya idadi ya watoto
wanaopenda kuwa nao na lini wengependa kuwapata. ( )

(C) Nimaamuzi ya lazima juu ya uzazi wa mpango

( )

9. Je unatumia njia yeyote ya kupanga uzazi?

(A)Ndiyo ( )

(B)Hapana ( )

10. Unafikiri kuna vikwazo vyovyote vinavyozuia kutojua njia za uzazi wa

mpango kwa wanawake?
(A)Ndio ( )

(B)Hapana ( )

11.Je, unafikiri ni njia gani zitumike kutatua sababu zinazoadhiri matumizi ya

uzazi wa mpango kwa wanawake?

(A) Elimu itolewa juu ya Huduma ya uzazi wa mpango ( )

(B) Watu washirikishe kwenye uzazi wa mpango ( )

(C)Kuongezwa kwa huduma za uzazi wa mpango ( )

Nyinginezo(Taja)__________________________________________________
_

12. Unadhani kuwa na idadi kubwa ya watoto inaweza kusababisha kushindwa

kuwalea ipasavyo?

(A) Ndio ( )

(B) Hapana ( )
APPENDIX II

QUESTIONNAIRE (ENGLISH VERSION)

TO ASSESS UPTAKE OF FAMILY PLANNING AMONG WOMEN OF

REPRODUCTIVE AGE ATTENDING AT KARATU LUTHERAN
HOSPITAL.

INSTRUCTION

(A)Do not write your name in this paper use number due to confidentiality

(B)Fill the appropriate information in space provided.

Put tick (√) in the space provided in correct answer

SECTION A: PERSONAL PARTICULARS:

1. Sex

(A)Female ( )

(B)Male ( )

2. Age
 (A)15- 26 ( )

(B)27-38 ( )

(C) 39-50 ( )

3. Religion

(A)Christian ( )

(B)Muslim ( )

Other, mention ________________________

4. Marital Status

(A)Single ( )

(B)Married ( )

(C)Divorce ( )

(D)Widow ( )

5. Education level

(A)Primary education ( )

(B)Secondary education ( )

(C)College/University ( )

6. What is your occupation?

 (A)Unemployed ( )

(B)Self-employed ( )

(C)Farmer ( )

(D)Student ( )

(E)Employed ( )

SECTION B: EDUCATION FACTORS THAT HINDERING UPTAKE

OF FAMILY PLANNING AMONG WOMEN OF REPRODUCTIVE
AGE.

7. Do you have any information about family planning services?

(A)Yes ( )

(B)No ( )

8. If yes, where did you hear it for the first time?

(A)Media ( )

(B)RCH clinic ( )

(C)Community Group ( )

(D)Medical personal ( )

Others_____________________________________________________
9. what is the meaning of family planning

(A)Is the decision of having many children ( )

(B) Is the decision among parents or a single personal about the number of
children they need to have and when they will have them ( )

(C) Is the necessary decision about the number of children someone need to
have ( )

(D)All of the above is correct ( )

10. Are you using any family planning methods?

(A) Yes ( )

(B) No ( )

11.Do you think are there any factors that hinder the upake of family planning
methods?

(A)Yes ( )

(B)No ( )

12. How are we going to overcome those hindering factors?

 (A) Provision of education on benefits of FP service (
)

(B)Emphasize made involvement on Family planning ( )

(C) Adequate supply of family planning services ( )

Others
specify_____________________________________________________
_

SIGNED ETHICAL CLEARANCE LETEER

KARATU HEALTH TRAINING INSTITUTE

P.O. BOX 165,
KARATU-ARUSHA.
3/12/2023
SCHOOL PRINCIPAL,

KARATU HEALTH TRAINING INSTITUTE

P.O.BOX 165
ARUSHA TANZANIA

U.F.S.

MEDICAL OFFICER IN CHARGE,

KARATU LUTHERAN HOSPITAL,

P.O BOX. 165,

ARUSHA TANZANIA.

Dear Sir/Madam,

REF: REQUEST FOR PERMISION TO CONDUCT RESEARCH AT

KARATU LUTHERAN HOSPITAL.
Kindly referring the head above, I'm Hiltruda Stanslaus Suluo a student at
Karatu Health Training from 2021-2024, third year student, kindly I request for
the permission to conduct my research study on
'‘ASSESSMENT OF FAMILY PLANNING UPTAKE AMONG WOMEN OF
REPRODUCTIVE AGE (15-49) ATTENDING ATKARATU LUTHERAN
HOSPITAL’ I suppose to submit report before completion of my studies. The
finding will kept in private and the result will be used for improvement of health
service data.
I hope my request will be accepted.
Yours Faithful
…………………………
HILTRUDA STANSLSUS SULUO
INFORMED CONSENT FORM FOR PARTICIPANTS

Greetings! I student HILTRUDA STANSLAUS SULUO of diploma in nursing

and midwifery at KARATU HEALTH TRAINING INSTITUTE. I will
conducting a research on
ASSESMENT OF FAMILY PLANNING UPTAKE AMONG WOMEN OF
REPRODUCTIVE AGE AT KARATU LUTHERAN HOSPITAL.
The purpose of this study is to identify knoweldge on family planning uptake
among women of reproductive age (15-49) and different factors which hinders
family planning upatake include social economic, cultural beliefs and
accessibility of health services.
CONFIDENTIALITY
I assure you that all the information collected from you will be kept strictly
confidential. Only people working in this research study will have access to the
information. I will be compiling a report, which will contain responses from
several women without any reference to individuals. I will not put your name or
other identifying information on the records of the information you provide.
Participant Agrees ( ) Participant disagree (
THE STUDY BUDGET

Research budget is a financial plan indicating the amount of financial resources

needed to conduct a research; it answers the following questions: How much
will it cost to conduct a planned research?

SN ACTIVITIES UNITY QUANTITY COST TOTAL

AMOUNT
1 Internet Bundel 4 3000/= 12000/=
services
2 Articles Copy 20 300 6000
3 A4 Papers Ream 2 15000 30000
4 Note book Pc 1 2000 2000
5 Correction Pc 1 1500 1500
fluid
6 Pen Pc 3 500 1500
7 Pensil Pc 5 200 1000
8 Rubber Pc 2 300 6000
9 Proposal Copy 1 15000 15000
printing
10 Photocopy Copy 78 300 23400
questionneir
11 Checklist Copy 2 300 600
12 Compliation Copy 2 300 600
form
13 Interview Copy 2 300 600
guide
14 Proposal Copy 1 2000 2000
 binding
15 Research Copy 1 15000 15000
printing
16 Research Copy 1 2000 2000
binding
TOTAL 119,200

WORK PLAN

Research work plan is a plan (timetable or schedule) that describes time and the
activities that will be done to answer research questions and achieve research
objectives.
Work plan help communicate to research staff and other stakeholders the
activities that need to be done andassists in evaluating research activities in an
organization
ACTIVI 11NO 16NO 21NO 1DEC 3DEC 4FEB- 11FE 21FE
TY V- V- V- - - 10FE B- B-
15NO 20N0 30N0 2DEC 3FEB B2024 20FE 28FE
V2023 V2023 V2023 2023 2024 B2024 B2024
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