Challenges of Contraceptive Use among Pastoral Adolescent Girls in Karamoja in Uganda

Stella Achen, Makerere University
Charles B. Rwabukwali, Department of Sociology and Anthropology, Makererre University
Peter Atekyereza, Department of Sociology and Anthropology, Makererre University

Use of contraception prevents unintended pregnancies, reduces maternal mortality, and transmission of HIV/AIDS. However, contraceptive use continues to be low in sub-Saharan Africa (SSA) with only 28.5 percent of women aged 15-49 using modern contraception. In Uganda, despite the efforts to reduce unintended pregnancies, unmet need for contraception is still high (30.4 percent) among adolescents. Recognizing the experiences of adolescent girls in using contraception is relevant in increasing access to contraception for pastoral adolescent girls. The study aimed at examining the challenges of pastoral adolescent girls in Karamoja in the use of modern contraception. Data were obtained through in-depth interviews, Focus Group discussions, and key informant interviews. Results showed that the nature of livelihoods limits uses of contraception for adolescent girls. Furthermore, experiences of adolescents in using contraception is linked to low use of services. Increasing use of contraception for pastoral adolescents requires first tackling contextual issues that impede access.