Socio-demographic and individual factors influencing female condom use among women aged 18-49 years at Mubende Regional Referral Hospital. A cross-sectional study.
DOI:
https://doi.org/10.71020/jq2dzs78Keywords:
Socio-demographic and individual factors, female condom use, Mubende regional referral hospitalAbstract
Background: Female condoms offer unique, female-controlled dual protection against unintended pregnancy and sexually transmitted infections. This study assessed socio-demographic and individual factors influencing female condom utilization among women aged 18-49 years at Mubende Regional Referral Hospital.
Methodology: A descriptive, cross-sectional study was adopted. Using convenience sampling, 100 women aged 18-49 years attending outpatient, ANC, PNC, and FP clinics were selected. Data were collected using structured interviewer-administered questionnaires, analyzed using SPSS version 26, and presented as frequencies and percentages.
Results: Respondents were predominantly young, 90(90% aged 18-35 years, married or cohabiting, 86 (86%), and educated to at least secondary level, 75(75%). Key barriers to utilization included: Socio-demographic: Lack of male partner support, 79(79%), and unaffordability at nearby facilities, 88(88%). Individual factors: Lack of knowledge on correct usage 73(73%), low confidence in partner persuasion 55(55%), and preference for male condoms 70(70%). While 75(75% believed female condoms are effective, only 20(20% intended future use.
Conclusions: Female condom utilization is low, driven by poor knowledge, lack of male support, and unaffordability.
Recommendations: Conduct practical demonstrations, integrate couple counseling, and strengthen supply lines. The district health team must decentralize free distribution to HC II/III levels and engage community leaders.
References
1. Ananga, M. K., Kugbey, N., Akporlu, J. M., & Oppong Asante, K. (2017). Knowledge, acceptance and utilisation of the female condom among women of reproductive age in Ghana. Contraception and Reproductive Medicine, 2, 15. https://doi.org/10.1186/s40834-017-0042-9
2. Boraya, J. O., Githae, C., Atandi, T. A., & Gachau, A. (2018). Social and psychological factors affecting utilization of female condom among youths in Migori County, Kenya. Health Psychology Open, 5(2), 2055102918815336. https://doi.org/10.1177/2055102918815336
3. Burton, J. (1965). Principles of field survey design and sample size determination in resource-limited settings. Public Health Research Manuals, 12(3), 45-52.
4. Fasehun, L.-K., Lewinger, S., Fasehun, O., & Brooks, M. (2022). Barriers and Facilitators to Acceptability of the Female Condom in Low- and Middle-Income Countries: A Systematic Review. Annals of Global Health, 88(1), 20. https://doi.org/10.5334/aogh.3612
5. James, P. B., Osborne, A., Babawo, L. S., Bah, A. J., & Margao, E. K. (2022). The use of condoms and other birth control methods among sexually active school-going adolescents in nine sub-Saharan African countries. BMC Public Health, 22(1), 2358. https://doi.org/10.1186/s12889-022-14855-6
6. Kawiche, L. I. (2024). Knowledge, Accessibility and Use of Female Condoms in Tabora Region, Tabora Municipality, Tanzania. East African Journal of Health and Science, 7(2), 28-39. https://doi.org/10.37284/eajhs.7.2.2383
7. Kyomuhangi, B., Namasambi, S., Kanyesigye, S. M., Arineitwe, T., Ankunda, C., & Asiimwe, S. (2025). Assessing knowledge and utilization of female condoms among undergraduate female students at Makerere University, Kampala: A cross-sectional study. Reproductive Health, 22, 251 https://doi.org/10.1186/s12978-025-02020-2
8. Mokgetse, M., & Ramukumba, M. M. (2018). Female condom acceptability and use amongst young women in Botswana. Curationis, 41(1), 1887. https://doi.org/10.4102/curationis.v41i1.1887
9. Schuyler, A. C., Masvawure, T. B., Smit, J. A., Beksinska, M., Mabude, Z., Ngoloyi, C., & Mantell, J. E. (2016). Building young women's knowledge and skills in female condom use: Lessons learned from a South African intervention. Health Education Research, 31(2), 260-272.
https://doi.org/10.1093/her/cyw001
10. Shannon, A., Kevin, N. U., & Gbadamosi, M. A. (2025). Predictors of female condom utilisation among women of reproductive age (15-49 years) in Rakai district, Uganda: A cross- sectional study. BMC Women's Health, 25, 436. https://doi.org/10.1186/s12905-025-03977-9
11. Ting, R. S.-K., Wong, E.-L., & Tnay, J. K.-S. (2018). A pilot study on the functional performance and acceptability of an innovative female condom (Wondaleaf®) in Malaysia. Open Access Journal of Contraception, 9, 11-20. https://doi.org/10.2147/OAJC.S152505
12. Zhou, C., Hsieh, E., Rou, K., Tillman, J., Dong, W., Feng, X., Yang, Y., Yang, Y., Sun, X., Zang, H., Wu, Y., & Wu, Z. (2019). Short-term acceptability of female condom use among low- fee female sex workers in China: A follow-up study. BMC Women's Health, 19, 77.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 William Mwesigwa, Hasifa Nansereko, Frank Ssemuwemba, Immaculate Prosperia Naggulu, Dr. Jane Frank Nalubega

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in any of our journals retain the copyright to their work but agree to grant Burundi Publishing the right of first publication. All articles are published under a Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This promotes transparency and fosters wide dissemination of the research.
