Abstract:
Unplanned pregnancy is a major social and reproductive health challenge, given the commitment of the Kenyan government to provide affordable, reliable, accessible and sustainable contraception to all Kenyans through favourable policies. Despite these immense efforts to safeguard the reproductive health of the young people, cases of unplanned pregnancies and sexually transmitted diseases still occur. This study therefore sought to investigate the determinants of contraceptive use among Kisii university students. It was based on the theory of planned behaviour, health belief model and theory of reasoned action. Objectives of the study were: to assess the level of availability contraceptives to Kisii university students, establish which contraceptive methods they use and to investigate the reasons for selection of some contraceptive methods over others. The study adopted a mixed method design, employing a survey, interview schedules and focused group discussions concurrently. It was done in Kisii University, targeting a population of 10,750 students. A sample of 385 was used,10 interviews and 2 focused group discussions were done. Random sampling technique was applied to choose the respondents. Quantitative data was processed with the help of STATA tool, analysed by use of descriptive statistics; percentages and rates, and presented by use of bar graphs, charts and tables. Qualitative data was coded, categorized and analysed by themes and the findings corroborated with the survey. Findings indicated that 66.23% of students used contraceptives, male condoms were rated the most available contraceptives by 88.5% and the most preferred by 75.3% of students. Main reasons for use were having knowledge on contraceptives and prevention of pregnancy and STIs. Main reason for non-use was fear of side effects (56.6%). These results will enable university management, policy makers and the government to come up with programs that respond more effectively to the unique reproductive needs of university students.
