Abstract

This study investigates the knowledge and barriers to contraceptive utilization among women of reproductive age in Chief Street, Bomaka, Buea. Despite the proven effectiveness of contraceptives in preventing unplanned pregnancies and improving reproductive health, utilization rates remain suboptimal. Various social, cultural, and structural factors influence contraceptive use, and understanding these factors can guide efforts to improve access and uptake.

Using a cross-sectional survey design, data was collected from 100 women aged 18-49. The structured questionnaire assessed participants’ knowledge of different contraceptive methods, perceived benefits, and general awareness of family planning services available in their community. The study also explored specific barriers, including cultural opposition, partner disapproval, concerns over potential side effects, costs, and service accessibility. The data were analyzed using descriptive statistics to highlight patterns in knowledge levels and barriers faced by these women.

The findings show that 60% of the participants were aware of at least one contraceptive method, with oral contraceptives and injectable methods being the most commonly recognized. However, only 40% reported having used any form of contraception, and a mere 25% indicated regular use. Cultural beliefs emerged as a significant barrier, with 45% of respondents citing this factor as a primary reason for non-use. Other notable barriers included concerns about health side effects (35%), lack of partner support (30%), and financial constraints (20%). The age breakdown further revealed that younger women (ages 18-29) frequently encountered cultural and familial opposition, while older women (ages 30-49) expressed greater concern over perceived health risks and side effects associated with contraceptive methods.

The study suggests that while general knowledge of contraceptives exists, deep-rooted cultural beliefs and misconceptions limit their effective utilization among women in Bomaka. Additionally, the influence of partner disapproval, perceived health risks, and limited financial resources further compounds the issue. This highlights the need for community-centered interventions that can address cultural resistance and correct misinformation. Family planning initiatives should prioritize community education to demystify contraceptives and underscore their health benefits. Community leaders and healthcare workers can play a key role in challenging harmful cultural norms and fostering discussions that promote reproductive health awareness. Subsidizing contraceptive costs and enhancing service availability are also crucial steps to improve access and uptake.

In conclusion, this study demonstrates that significant barriers persist despite moderate contraceptive awareness among women in Chief Street, Bomaka. Addressing these challenges through targeted educational programs and support initiatives could positively impact contraceptive utilization rates and, consequently, reproductive health outcomes for women in this community.

Keywords: Contraceptive knowledge, barriers, reproductive health, family planning, Bomaka, cultural beliefs, partner support