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Voluntary Liquidation of Zambian Financial Service Providers and Depositor Protection: Comparative Study with Nigeria, Kenya and South Africa
(2017) CHINYAMA, Arnold
Financial services providers are, by their nature, special due to a unique role they play in the economy of any country through financial intermediary. Consequently, they are subject to a distinct set of rules that may not apply to ordinary entities. The special status of financial services providers is widely recognized. Financial service providers play a key role in financial stability in respect of the financial system and the economy as a whole. Growth of financial services industry has led financial services provider to become too big and too interconnected and in terms of supervisory authorities too important for financial stability.2 Further, the intensification of the linkages between banks through interbank payments and interbank deposits has greatly expanded the scope of financial shocks.
Voluntary Liquidation of Zambian Financial Service Providers and Depositor Protection: Comparative Study with Nigeria, Kenya and South Africa
(The University of Lusaka, 2017) CHINYAMA, Arnold
Financial services providers are, by their nature, special due to a unique role they play in the economy of any country through financial intermediary. Consequently, they are subject to a distinct set of rules that may not apply to ordinary entities. The special status of financial services providers is widely recognized. Financial service providers play a key role in financial stability in respect of the financial system and the economy as a whole. Growth of financial services industry has led financial services provider to become too big and too interconnected and in terms of supervisory authorities too important for financial stability. Further, the intensification of the linkages between banks through interbank payments and interbank deposits has greatly expanded the scope of financial shocks.
Assessing Factors Influencing Utilization of HIV Post Exposure Prophylaxis among Health Care Workers at Matero General Hospital in Lusaka, Zambia
(2020) MUTONDO, Monica
HIV is an infectious disease and occupational injuries or exposure of healthcare workers to this deadly virus threaten the functionality of health systems, especially in developing countries such as Zambia, which ranks among the top countries with high HIV prevalence. in Sub Saharan Africa with a prevalence of 3.4 million. Human Immunodeficiency Virus (HIV) as a result of occupational exposure during the treatment of infected patients. Exposure differs by occupation, based on factors such as frequency of handling specific devices, time spent in patient care or sample handling, and use of specific standard precautions, in particular never recapping needles. Underreporting of this exposure is common, therefore, it was important to evaluate the factors that influence the use of post-exposure prophylaxis among health professionals as a way to improve the health status not only of health professionals, but also of patients. This study was to assess the factors influencing utilization of HIV post exposure prophylaxis among health care workers at Matero general hospital, Lusaka, Zambia. The study used an analytical cross-sectional approach that made use questionnaires with all categorizes of health care workers available at Matero level one hospital. Participants in the study were selected using purposive and criterion sampling and the data was analyzed using STATA version 14 and presented in tables, pie charts and graphs. The study found that all the variables tested where well known by the health care workers as factors that influence the utilization of PEP. There where knowledge (86%), attitude (89%) and practice at (85%). The findings also revealed that these variables where statistically significant in influencing the utilization of PEP among health care workers with a P<0.05. Participants were aware of the existence of the PEP for HIV and were familiar with the program. Although the participants were well informed, they showed inadequate practices regarding PEP for HIV, therefore, this should be seized and treated as an opportunity to improve PEP practices among health workers. This indicates that there is a need to improve preventive measures among health professionals.
Factors that cause Late Detection of Breast and Cervical Cancer among Women in Zambia: An Inestigative Cross-sectional Study conducted at The Cancer Diseases Hospital
(2021) MALEYA, Victoria Maambo
INTRODUCTION: Malignant growth is without a doubt one of the most widely recognized happening and driving non-transferable sicknesses. It dates as far back as 3000 BC when the primary malignant growth like illness was first announced in antiquated Egypt. In the year 2020, it was accounted for by the World Health Organization that an expected number of 2.3 million ladies were determined to have bosom disease and 685,000 deaths were accounted for universally. As of the year's end 2020, there were 7.8 million ladies alive who were determined to have bosom disease in the beyond 5 years, making it the most pervasive malignant growth. Worldwide, cervical disease is the fourth most successive malignant growth in ladies with a gauge of 570,000 new cases in 2018 representing 7.5 percent of all female disease deaths. On a worldwide scale, Zambia is assessed to have the second most elevated disease rates on the planet. This is credited to unfortunate admittance to screening administrations, portrayed by high death paces of cervical malignant growth at 58.0 and 36.2 per 100,000 ladies, separately. Thus, bosom and cervical disease has turned into a worldwide weight and one of the main sources of deaths among ladies in the Sub-Saharan Africa. METHODS: This study employed the qualitative approach method and used an investigative cross sectional study design to analyze a data saturation sample of 33 respondents. The respondents were selected through a purposive sampling procedure of data saturation method, the data was collected through interview using an interview guide and the data was analyzed using thematic analysis table. RESULTS: In this study, it was found that low levels of awareness and knowledge was the leading cause of late detection of cervical cancer and cancer of the breast among women in Zambia as the majority of the participants stated that they had little or knowledge on breast and/or cervical cancer. Source of information to be a contributing factor to women presenting with late presentation of cancer. In addition, it was also found from the majority that the perception and alternative medical preference by women are among the contributing factors causing women to present with late staged cancer when they go to the health facilities. CONCLUSION: In general, the inadequacy of knowledge and low awareness, cultural factors, socio economic status among others have continued to be important measures to determining the late detection of both cervical and breast cancer.
Solid Waste Disposal and Management Practices in the Central Business District Of Lusaka, Zambia
(2021) CHIBESA, Robert
The study assessed how solid waste is managed and disposed off by the local authorities. The study also looked at the effects or diseases that may arise due to the improper management and disposal of solid waste in the central business district of Lusaka. The method used was the case study and the study population was selected using the simple random sampling technique. The results show that the study population has knowledge on how solid waste is managed and disposed off. Also revealed is that local authorities face a lot of challenges due to lack of resources for the proper implementation of improved solid waste management and disposal practices. The study concludes that there is need to sensitize the general public on the importance of proper solid waste management and disposal practices and for production companies to take responsibility of their waste products and disposal methods.
Effects of Solid Waste Management in Mtendere Compound
(2021) PEELE, Stephanie
This study sought to assess the effects of poor solid waste management in Mtendere compound. In order to achieve this research, objectives included; to identify the health and environmental effects of poor solid waste management & determine the factors contributing to poor state of waste management. This research relied on qualitative methods and collected data from a random sample of 12 residents from the study area using questionnaires. It was found that the environment in the study area has been highly polluted with solid wastes from poor disposal practices. With regard to waste collection, private firms have been helping the compound, collecting waste at least once or twice a week at affordable fee. The study concluded that commercial businesses and households should have storage containers: establish land for use as dumpsites while engaging community participation in promoting proper waste management. The study recommended policies relating to solid waste collection and disposal in the area, reducing solid waste through waste management value chain and establishment of properly constructed landfills site at a suitable location.
Understanding and Describing How E-Waste Is Being Managed At Mtendere Market
(2021) NYIRENDA, Christine
The study aim was to understand and describe how e-waste is being managed at Mtendere market. The method used was cross sectional qualitative study approach, data was collected through semi structured interview guides and was analysed through themes and coding. The findings reveal that (23.8%) had not attended any level of education, (42.9%) at least made it to primary school and the rest (33.3%) attained secondary education. However, most of the participants (86.4%) had no knowledge on e-waste management despite their education background. Also revealed is that participants (86%) were not aware of the existence of electronic waste, only (14%) had an idea on what e-waste was with most of them generally treating everything as cabbage. The study concludes that participants were not aware of the existence of e-waste and that social factors like education and knowledge played a part in the management of e-waste. The study recommends sensitization programs in local communities aimed at reducing or eliminating mismanagement of e-waste
The Effectiveness of the Exclusionary Rules of Evidence in Upholding Fundamental Human Rights
(2021) CHILUBA, Chilando Reuel
In Zambia, the General rules surrounding the admissibility of evidence are considered to be a settled matter, in that, should the evidence in question be relevant and carry with it sufficient weight, it will be rendered admissible and as such, the Judge can rely on or consider such evidence so as to render judgment in a particular matter, be it a matter emanating from the civil or criminal jurisdictions. Common law principles regulating the admissibility of evidence have however placed restrictions on the use of certain pieces of evidence. In accordance with the decision rendered in the case of R v Sang, “evidence will be admitted by the courts where the probative value of the evidence outweighs its prejudicial effect.” Thus, evidence that may lead to an injustice during trial is precluded from being disclosed as it poses a threat to fairness during court room proceedings.
The Impact of an Integrated Vector Management Approach in Malaria Reduction: A Case Study of Mangelengele Village of Luangwa District, Zambia
(2022) NKOTASHI, Mahlon
Malaria is a major public health challenge and one of the leading causes of maternal and child deaths particularly in Africa. Globally, 229 million cases of malaria occurred in 2019 and the disease resulted in 409,000 deaths (WHO, 2019). According to the World Health Organization report (2020) an estimate of 94% of all malaria deaths occurred in Africa and 67% (274,000) of these deaths occurred in children under five. The method used was cross sectional research design, which took a qualitative approach. Purposive sampling technique was employed to select 30 community members of Mangelengele village. The interview guide was used to collect data. The findings revealed that the combined use of Long-lasting Insecticide Treated Net contributed to Malaria reduction in Mangelengele village. The knowledge levels by respondents was found to be high and utilization levels of Long-Lasting Insecticide Treated Nets were high, even though they were low in some households due to inadequate number received during the distribution time. Therefore, there is a gap between distribution of Long-Lasting Insecticide Treated Nets and its utilization. The conclusion is that the simple act of co-application of larviciding, sleeping under a long-lasting insecticide treated net and having a house sprayed against mosquitoes reduced the incidence of Malaria in Mangelengele and can reduce this disease burden globally significantly.
Barriers to Accessing Health Care Services for people Living with Disability in Bauleni Compound
(2022) MUTSVAKIWA, Divine
Background: Inequalities are evident in the differences in health outcomes of various sub-groups within the communities. One of those groups is the world’s largest minority group, people living with disabilities. When it comes to accessing health care services, people living with disabilities are two times less likely to find the providers’ skills and equipment adequate, three times more likely to be denied care and four times more likely to be treated badly in health care systems. General Objective: To identify the barriers to accessing health care services among people living with disabilities in Bauleni compound of Lusaka. Methodology: A qualitative phenomenological study design was used in this study. Persons with physical disabilities who are eighteen (18) years and above, and caregivers of persons living with disabilities in Bauleni compound were included in this study. Focus group discussions were conducted with the two groups of participants and the discussions were recorded with an audio recording device. The data was then analyzed through narrative analysis where the data from the focus group discussions was transcribed and developed into predetermined themes. Findings: Long distances to healthcare facilities, inability to pay for health expenses, and negative attitudes of healthcare providers to people living with disabilities were some of the barriers reported as affecting the accessibility of healthcare services for persons with disabilities in Bauleni compound. Conclusion: In conclusion this study highlights that features of the physical environment, attitudinal barriers especially from health care providers and the affordability of services make it difficult for people living with disability to have access to healthcare services in Bauleni compound. Therefore, more needs to be done to raise awareness about and improve the implementation of policies aimed at promoting the well-being of people living with disabilities.
Factors Affecting the Delivery of Essential Newborn Care at Kanyama Level One Hospital in Lusaka, Zambia
(2022) HASALAMA, Matongo
Investing more resources in proven low-cost therapies aimed to address neonatal requirements could prevent millions of newborn deaths. Almost two-thirds of baby deaths are predicted to occur in the first month of life, with more than two-thirds dying in the first week and two-thirds dying in the first 24 hours. The goal of this study was to determine the characteristics that influence the delivery of critical infant care at Kanyama level one hospital in Lusaka. A cross sectional study was carried out on 370 women of procreative age at Kanyama level one hospital in Lusaka who had given birth during the previous year. A semi-structured questionnaire was used to collect data, which was then analyzed descriptively in SPSS version 16.0. The chi-square test was used to examine the relationship between the components, with a 5% cut-off point for statistical significance. The findings show that attendants cleansed hands 90.29 percent of the time, 83.78 percent had their perianal part cleaned, and 95.41 percent of babies were inoculated with OPV/BCG after birth. The findings showed that 86% o f t h e p a r t i c i p a n t s gave breast milk as the first feed to newborns. majority of participants (68%) breastfed their children within 30 minutes and 1 hour following birth. 64% of those polled washed their breasts before breastfeeding. The study also showed that when either of them gets sick, the majority of participants (91.35 percent) indicated they'll go to the hospital, and 60% said they'll go to the drug shop to get medication. To keep their newborns from getting sick, about 85 percent of the participants said they bathed them with soap, sponge, and water, with or without disinfection (detol), while 7% of mothers washed their kids in herbal preparations. Except for the first feed after delivery, which was associated with age at p-value.16111, and feeding times, which was associated with marital status at p-value. 845287.This was based on self-reported data, and participants might not have remembered all of the events surrounding the childbirth episodes, resulting in ambiguous responses to the questions. It's also worth noting that the findings of this study are unique to Kanyama level one hospital, despite the fact that identical scenarios could arise in other contexts. Recommendations: To investigate other factors determining vital newborn care, more research with large sample numbers and multivariate models is needed. Keywords: Delivery, Essential, Newborn care
Exposure to Occupational Biological Hazards among Health Care Workers at Mazabuka General Hospital
(2022) PEZO, Cheche Sophie
A hospital is not an exception to exposure to biological hazards, while healthcare workers are saving lives, they deserve to be protected from harm especially from biological hazards. With the coming of COVID-19 the number of health care workers getting exposed to biological hazards (tissue, mucus, faeces, and saliva) and some dying has risen, taking into consideration that this has been happen even before despite the measures put in place such as the personal protective clothing and vaccines to protect health care worker not much difference has been observed. According to World Health Organization (2015) twelve percent (12%) workforce is comprised of health care workers around the world. Health care workers conduct their duties in environment considered more hazardous in terms of occupation setting. In addition to exposures related to their workplaces, health care workers come across various hazards owing to their work related duties. The main aim of this study was to assess exposure to occupational biological hazards among health care workers at Mazabuka General Hospital. The study approach and design for this research was quantitative and a cross-sectional respectively. The study was conducted using descriptive research design by describing the situations as they are to provide factual descriptions. Majority of the respondents (52%, 52/100) had agreed to have contracted an illness due to occupational hazards. 66% of the respondents reported to have been exposed to at least a type of biological hazard and this was accompanied by the process of waste disposal. This research concluded that bacteria is the commonest (55%: 55/100) type of biological hazards, at Mazabuka General Hospital in Mazabuka District. It clearly indicated that the hospital still has loopholes in their safety and hygiene practices and needs to scale up interventions for improvement.
Comparative Study on The Healthcare Seeking Practices of Insured and Uninsured Residents of Lusaka
(2022) TEMBO, Chiteau
Health insurance is a type of insurance that covers medical expenses that arise due to an illness. These costs can be related to hospitalization costs, costs of medicines or doctor consultation fees. Due to differences in seeking practices it has led to health seeking disparities among citizens that are medically insured and those that are not especially in the effort of Zambia is trying to achieve health for all by 2030. This study aimed to understand the differences in patients seeking health care services, and also ascertain if there were differences in health seeking practices between medically health insured personals and non-medically insured persons. In addition, to determine whether moral hazard is present among medically insured personals and if moral hazard is present from the health facility when somebody is medically insured. A descriptive analytical study was conducted among 116 participants who sought medical care from south point hospital. The primary data was collected using a structured questionnaire and was analysed using statistical package for social sciences (SPSS) and association of factors was tested using the chi-square test at 5% significance level. The results showed minimal differences in the health seeking behaviour among the insured and uninsured residents of Lusaka. The results also revealed that the number of visits to health facility was associated to the presence of insurance (p=0.003). In conclusion, outcomes of this study have shown that people who are covered by medical insurance make more frequent visits to the health facilities than those without medical insurance. In addition, there is a significant association between frequency of visits to the hospital among the insured and uninsured participants.
Assessing the Mental Health Care and Theraphy Service Delivery at Lewanika General Hospital, Mongu
(2022) SIMANDI, Monde
Access to mental health services is a serious issue worldwide, but it is particularly acute in underdeveloped nations like Zambia. Mental disorders, despite their importance in the comparison to other maladies such as infectious conditions, the global burden of disease receives less attention at the global, regional, and local levels. The objectives were to identify systems of treatment for mental illnesses, explore local concepts about mental illness and how these influence access to mental health services and to find out the experiences of people in accessing mental health services at Lewanika hospital in Mongu. A qualitative study was used in this research Study design It's exploratory because it goes further into an issue that hasn't previously been completely studied, with the purpose of identifying priorities, generating operational definitions, and refining the final. The study population was drawn from the residents of Mongu .An upper limit of 15 participants was used in the study according to the recommended number for qualitative type of research Data collection technique. Thematic analysis was used to analyse the data obtained, which involved use of services has also been hampered by stigma from health care practitioners, the community, and family members. Lack of prioritising of mental health services in primary and certain secondary health institutions, as well as a lack of or limited awareness of mental health disorders, have contributed to the stigma. Despite its neglect, excellent mental health benefits everyone, thus these barriers must be overcome.The provided information that might be valuable in resolving obstacles at three levels: policy, facility, and individual, based on the research conducted. It can also help with the implementation of mental health policies because the roots of these impediments have been identified.
Factors Associated with Alcohol Consumption among students at Lewanika School of Nursing
(2022) MUBITA, Anthony
Introduction: Alcohol is a common addictive beverage that is mostly consumed in society. The high levels of alcohol consumption have not just centered among the aged, but also among the adolescents. Research findings across the globe have revealed that a sharp increase in alcohol consumption has been identified among students in learning institutions; hence this study was carried out to investigate the factors that were associated with alcohol consumption among students -at Lewanika. The specific objectives of the study assessed how psychological, personal, and socio economic factors were influencing alcohol consumption among students at Lewanika school of nursing. Method: The study was carried out at Lewanika school of nursing using a cross-sectional study approach and the target population were only students that consumed alcohol. Data saturation point was used to arrive to the sample size of 30 students and participants were randomly selected. The snowball sampling technique was utilized in identifying other students who consumed alcohol. Findings: The study revealed that psychological factors such as mood and stress caused school pressure, disappointments, and excitement which influenced the students to consume alcohol. The findings also revealed that alcohol was consumed by students with the motive of coping with the stress they experienced. Personal factors such as peer pressure and age were also identified as contributing factors influencing students to consume alcohol. Some of the students stated that they consumed alcohol because they felt they were old enough, while other students claimed that peer pressure was behind their alcohol consumption behavior. Furthermore, socio-economic factors such as high-income level and having a family that consumes alcohol were also contributing to alcohol consumption among students. The findings further revealed that lack of awareness of alcohol consumption from the families also contributed to alcohol consumption behaviors among students at Lewanika school of nursing. Conclusion: The psychological, personal and socio-economic factors had a huge impact on the prevalence of alcohol consumption among students at Lewanika school nursing, and appropriate mitigation measures that could help reduce the public health problem included implementing good policies and carrying out more research studies. Keywords: alcohol consumption, students in higher learning institutions, factors associated with alcohol consumption.
Justice Delayed or No Justice At All? An Analysis of The Performance of Courts in Zambia
(2022) MUKWANYA, Mweemba
The maxim justice delayed is justice denied emphases the importance of a speedy judicial process and thus as a result, every person has the right to have their case heard before a court within a reasonable time period. Delays in the judicial settlements of cases results in society having little faith and confidence in the justice system. However, it is common practice for court cases to delay and take many years for them to be heard and determined by a court of competent jurisdiction. This problem has been as a result of many factors one of them being the lack of a clear definition of what is considered as reasonable time for disposal of cases.
Barriers to the Utilisation of Mental Health Services at Chainama Hospital in Lusaka, Zambia
(2022) MUSALO, Febby
Worldwide, mental health is one of the major determinants of wellbeing of the people in society. However, even with the recognition of its importance; mental health is one of the most neglected areas in the Zambian healthcare system. In Zambia, Lusaka has the best mental health facilities such as Chainama mental health hospital, yet there is underutilization of the offered services at the many facilities; which makes the situation in other parts of the country with poor mental health services at primary health care level even more worrisome. This review aimed at identifying the barriers to the utilization of mental health services at Chainama hospital. A cross-sectional study design was conducted comprising a survey of 40 participants from Chainama hospital in Lusaka. The data was collected using questionnaires and interview guides. A thematic analysis was conducted to analyze the collected qualitative data. After data analysis, three main themes were developed regarding the barriers to mental health service utilization at Chainama hospital. The developed themes include individual level barriers, facility level barriers and policy level barriers. The created themes explain the various barriers in full details. Equitable access and utilization of mental health services at Chainama hospital is hindered mainly by low funding of mental health programs, lack of knowledge on mental health issues by the people and stigmatization. In order to alleviate these barriers, there is need for adoption of strategies that integrate the mental health policy into the general health policy. There is also need to have an inclusive budget that properly finances mental health programs in various mental health facilities. Consequently, there is also need to sensitize and educate the community on the relevance of mental health issues.
An Assessment of the Use of Home Remedies in treating Cold and Cough in Chongwe District
(2022) DAKA, Showa Taonga
Home remedies are widely used all over the world especially in Africa to treat and cure so many diseases(Anthony et al., 2016 ). These remedies have existed as long as man has existed on earth and a high number of modern medicines are made from these remedies. In Africa, home remedies have been passed on from one generation to the next just like culture and tradition because it is part of their identity as well as natural ways of treating all types of illness and disease. In remote areas of Zambia, there is a high usage of home remedies which is influenced by the following; culture and tradition, lack of health facilities where they can access and receive treatment, little or no knowledge of modern treatment and drugs, they cannot afford modern medicine due to low or no income to mention but a few(Hilding, 2014). The main objective of this study was to assess the use of home remedies in treating cold and cough. The research adopted a qualitative study design which is subjective and allows respondents to express themselves without any manipulation by the researcher. The results depicted that home remedies are safe to use because they have mild or no side effects and they treat cold and cough within a period of three(3) days or even less. The use of home remedies in treating cold and cough was seen to be influenced by factors such as cultural beliefs, low or no income, lack of health facilities and skilled workforce, moving long distances in order to access health care services, knowledge levels among others. Therefore, the researcher recommended that home remedies should be encompassed in the modern medical system so as to increase accessible, affordability as well as making the modern health system friendly for those that strongly believe in home remedies because that way they will accept and access the modern medical services.
A Study to Determine the Prevelance of the use of Traditional Medicine to treat COVID 19 Related Symptoms in Kaoma District
(2022) MALAMBO, Kaluwe
The usage of traditional medicine in the treat Covid-19 related symptoms has been one of the major practice claims by most people in Zambia for the prevention and treatment of Covid 19. The weight of the Covid-19 pandemic has directed many people to opt or rather seek alternative treatment as preventives and treatment options such as herbal plants. The study intended at assessing the prevalence of the use of traditional medicine to treat Covid-19 related symptoms in Kaoma district. This quantitative study was conducted on 100 participants in Kaoma district in order to assess the prevalence of the use of traditional medicine to treat Covid-19 related symptoms. Participants were selected randomly and given closed ended questioners to give their response. In cases where participants had trouble understanding the questions, interpretations were given to them for better understanding. In order to reduce biasness, participants were randomly selected. After collecting data from different individuals, data was analysed using SPSS (statistical package for social sciences). Data was analyzed using SPSS version 25 (IBM SPSS statistical 25). Data was entered in an open IBM SPSS statistics analysis software. Data collected was entered in the variable and data view for the data to be analyzed. Around 97% of the participants had knowledge on how to use traditional medicine to treat Covid-19 related symptoms. The study recorded 79 individuals out of 100 participants that used traditional medicine to treat Covid-19 related symptoms and the study recorded 47% of the participants that used traditional medicine twice in a day to treat Covid 19 related symptoms. Most of the preparation of traditional medicine was done through boring of various plants and the rout of administration which was commonly used was through steaming. Factors such as socio-economic, education level and culture were highly associated with the use of traditional medicine. Different types of herbs were discovered, and the majority of the people indicated using the herbs to treat Covid-19 related symptoms. The study indicated that there were different types of roots and leaves used to treat the related symptoms to Covid-19. The most identified symptom before treating one was cough. A cough was the most identified symptom related to Covid-19 before giving an individual traditional medicine to treat their symptom. The study shows that the majority of the participants have been exposed to the use of traditional medicine. Considering the high frequency in the use of traditional medicine to treat Covid-19 related symptoms. it is therefore important to have the proper quantity for the medicine taken, hence it is important that pharmaceuticals work together to make sure that the health of the public is not harmed. Keywords: Traditional Medicine, Covid-19, Covid-19 related symptoms, prevalence of the use of Traditional Medicine.
Utilisation of Long - term Family Planning Methods among Child Bearing Women aged 18 - 35 years at Mindolo 2 Clinic
(2022) MUGALA, Ellen
Background Low utilisation of long-term family planning method is an important public health issue. The importance of this study was to evaluate the utilisation of long-term family planning methods among child bearing women aged 18-35 years. Method A qualitative cross-sectional study design was used of which the target population were childbearing women aged 18-35 years. A purposive sampling method was used to choose respondents from a population sample size of 40 and 25 questionnaires were analyzed this was determined by data saturation. Data collection was done using semi-structured questionnaires and focused group discussion. Two focused group discussion were conducted of which one health workers of childbearing age (nurses, community health workers and maids) and the other were women of childbearing age from the community under study. Data was analyzed using Nvivo software package. Results The study showed that utilisation of long-term family planning was found to be high among the age group of 18-24 and mostly it was used by married women. Misconception, fear of side effects, educational level, shortage and untrained staff members these were the factors associated with low utilisation of long-term family planning. Conclusion Long term methods of FP allow womenfolk to delay motherhood, space children, shun unplanned pregnancies and termination of pregnancies and stop childbearing when you have the desired number of children and it helps reduce the rate of maternal mortalities. Despite its benefit the study revealed that there was low utilisation of long-term family planning methods.

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