Abstract
The study investigated the determinants of family planning services uptake among women of reproductive age (15 to 49 years) in the Yendi municipality in the northern region of Ghana. A health facility-based cross-sectional study was conducted among 396 reproductive-aged women, sampled from 6 randomly selected health facilities in the Yendi municipality. The child welfare clinic (CWC) served as the point for the sampling of study participants. Data was collected with questionnaires adapted from previously validated tools. Data was analysed using SPSS v27 in descriptive and inferential statistics. The desire to control pregnancy was a key factor for wanting family planning (79.3%). Most respondents (80.6%) had high knowledge of family planning services and injectables (37.1%) and condoms (24.7%) were the preferred family planning methods. The desire to control pregnancy was a key factor for wanting family planning (79.3%). The significant sociodemographic determinants of family planning uptake were Religion (Christians (aOR: 7.51; 95%CI: 1.48–38.00:; p = 0.015), traditionalist (aOR: 12.1; 95%CI: 1.90–78.36; p = 0.009)), education (secondary education (aOR: 84.99; 95%CI: 20.02–360.84:; p = 0.000), tertiary education (aOR: 158.74; 95%CI: 33.71–747.52; p = 0.000), and no formal education (aOR: 11.83; 95%CI: 2.10–46.76:; p = 0.000)), Occupation (farmers (aOR: 12.30; 95%CI: 3.21–47.03; p = 0.000)), Marital status (married (aOR: 0.13; 95%CI: 0.03–0.57; p = 0.007)). Factors that made women less likely to use family planning were unfriendly service providers (aOR: 2.33; 95%CI: 1.28–4.21; p = 0.005), fear of side effects (aOR: 2.19; 95%CI: 1.19–4.05; p = 0.012), and lack of knowledge about available FP services aOR: 0.45; 95%CI: 0.26–0.77; p = 0.004). Though the awareness of family planning was found to be high, there are still Sociodemographic and health-related barriers to family planning utilization.