International Research Journal of Innovations in Engineering and Technology - IRJIET International Open Access, Monthly, Peer Reviewed, Reputed Journal ISSN (online): 2581-3048

Impact Factor (2025): 6.9

DOI Prefix: 10.47001/IRJIET

FAMAPP: A Mobile System to Improve Family Planning Uptake among Ugandan Youth

Abstract

Low utilization of family planning (FP) among Ugandan youth contributes to unintended pregnancies, sexually transmitted infections, and maternal morbidity and mortality. To address this, we designed, implemented, and evaluated a mobile system (FamApp) to improve FP uptake among youth in Uganda, following a Design Science Research approach. We investigated needs and iteratively developed an mHealth artifact informed by surveys of young adults (n=369; ages 20–35) and stakeholder input. The prototype integrates an information library on FP methods, a healthcare provider finder, a peer discussion/news feed, menstrual and contraceptive tracking, teleconsultations, and an in-app shop for contraceptives. Findings indicate that many youths are familiar with modern methods but cite non-use due to lack of sexual activity, waiting until marriage, and concerns about side effects. Notably, 58% (214/369) reported using FP-related mobile apps, and 89% agreed a purpose-built mobile system could increase adoption. Participants prioritized period tracking, detailed method information, and access to expert advice, underscoring the value of a user-centred, comprehensive design. Overall, the results suggest that FamApp can help bridge information and access gaps by delivering accurate content, personalized reminders, and linkages to services; effective scale-up should pair the app with education and awareness efforts and integration into existing service delivery to maximize impact.

Country : Uganda

1 Twinomugisha E.L. Jenkins2 Robert Ssali Balagadde3 Margaret Kareyo

  1. School of Mathematics and Computing, Kampala International University, Uganda
  2. Department of Computing and Informatics, Bugema University, Uganda
  3. School of Business and Applied Technology, Clarke International University, Uganda

IRJIET, Volume 9, Issue 12, December 2025 pp. 19-35

doi.org/10.47001/IRJIET/2025.912004

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References

  1. Susan, B. K. (2013). Uptake of modern contraception among youths (15–24) at community level in Busia District, Uganda.
  2. Kakoko, D., Ruben, R., & Mosha, I. (2013). Family planning decisions, perceptions and gender dynamics among couples in Mwanza, Tanzania: a qualitative study. BMC Public Health.
  3. Labrique, A. B., et al. (2013). mHealth innovations as health system strengthening tools: 12 common applications and a visual framework. Global Health: Science and Practice, 1(2), 160–171. https://doi.org/10.9745/GHSP-D-13-00031.
  4. Tomlinson, M., Rotheram-Borus, M. J., et al. (2013). Scaling up mHealth: Where is the evidence? PLoS Medicine, 10(2), e1001382. https://doi.org/10.1371/journal.pmed.1001382.
  5. United Nations, DESA (2013). Model-based Estimates and Projections of Family Planning Indicators: 2013 Revision. New York.
  6. Singh, S. D. (2014). Adding It Up: The Costs and Benefits of Investing in Sexual and Reproductive Health 2014. Guttmacher Institute.
  7. Kabagenyi, A., et al. (2014). Barriers to male involvement in contraceptive uptake and reproductive health services in rural Uganda. Reproductive Health, 11, 21. https://doi.org/10.1186/1742-4755-11-21.
  8. Kerry, L. M. (2014). Unmet Need for Family Planning among Young Women: Levels and Trends. USAID.
  9. Abdou, G., et al. (2015). Belief in family planning myths and modern contraceptive use in urban Africa. International Perspectives on Sexual and Reproductive Health, 41(4), 191–199.
  10. Adedini, S. A. (2015). Regional variations in infant and child mortality in Nigeria: A multilevel analysis. Journal of Biosocial Science, 165–187.
  11. World Health Organization (2016). Family planning/Contraception (Fact sheet).
  12. Alege, S. G., et al. (2016). Sources and use of family planning methods among women aged 15–49 in Uganda. Pan African Medical Journal, 24(39). https://doi.org/10.11604/pamj.2016.24.39.5836.
  13. Amoakoh-Coleman, M., et al. (2016). Effectiveness of mHealth interventions targeting health care workers in LMICs: a systematic review. Journal of Medical Internet Research, 18(8), e226. https://doi.org/10.2196/jmir.5869.
  14. Uganda Bureau of Statistics (UBOS) & ICF (2017). Uganda Demographic and Health Survey 2016: Key Indicators Report. Kampala/Rockville.
  15. Karra, M., & Canning, D. (2017). The effect of fertility decline on economic growth in Africa: A macrosimulation model. Population and Development Review, 43(1), 237–263. https://doi.org/10.1111/padr.12009.
  16. Uganda Catholic Medical Bureau (2018). Strengthening Family Planning within Faith-Based Organizations in Uganda. IRH Georgetown University.
  17. Joan, M. K., et al. (2018). Dissemination and use of WHO family planning guidance and tools: a qualitative assessment. Health Research Policy and Systems.
  18. Jose, R. G. (2018, Nov 12). Investing in family planning for a lifetime of returns. PSI.
  19. Jennings, L. G., et al. (2019). Planning and implementing mHealth behaviour-change interventions in sub-Saharan Africa: a systematic review. Frontiers in Public Health, 7, 103. https://doi.org/10.3389/fpubh.2019.00103.
  20. Bongaarts, J., & Casterline, J. (2019). Trends in contraceptive prevalence in sub-Saharan Africa. African Journal of Reproductive Health, 23(3), 96–106. https://doi.org/10.29063/ajrh2019/v23i3.10.
  21. Kassahun, E. Z. (2019). Factors associated with unintended pregnancy… Northern Ethiopia. BMC Research Notes, 12, 381. https://doi.org/10.1186/s13104-019-4419-5.
  22. UNFPA (UDNP in thesis) (2019). Costing the Three Transformative Results.
  23. United Nations (2019). Contraceptive use by method 2019.
  24. Ahinkorah, B. (2020). Predictors of unmet need for contraception among adolescent girls and young women in selected high-fertility SSA countries. PLoS ONE. https://doi.org/10.1371/journal.pone.0236352.
  25. Stella, M., Edith, T. A., Agnes, M. F., & Shigeko, H. (2020). Barriers to uptake of modern family planning among female youth in Temeke, Tanzania. Sexual & Reproductive Healthcare, 24, 100499. https://doi.org/10.1016/j.srhc.2020.100499.
  26. Jude, O. (2020). Contraceptive nonuse among women in Uganda: Predictors across regions. BMC Women’s Health, 20, 275.
  27. Johnson, H. L. (2022). Predicting contraceptive use among young adults: A test of the theory of planned behavior. Contraception, 105(2), 188–193.
  28. Knop, M. N.-H., et al. (2022). Impact of mHealth interventions on MNCH in LMICs: a systematic review. BMC Medicine, 22, 196.
  29. UBOS (2022). Uganda Demographic and Health Survey (UDHS) 2022. Kampala.
  30. UNICEF (2022). Young People and HIV/AIDS: Opportunity in Crisis.
  31. Jones, R. K. (2023). Differences in adolescent reproductive behaviors by race and ethnicity. American Journal of Public Health, 113(4), 538–547. https://doi.org/10.2105/AJPH.2022.307144.
  32. Kim, Y. J. (2023). Factors affecting use of mHealth apps for family planning among adolescents (TAM). BMC Medical Informatics and Decision Making, 23(1), 32.
  33. Uganda Bureau of Statistics (2023). Uganda Demographic and Health Survey (portal).
  34. Kigongo, E. (2024). Access to family planning services and associated factors among young people in Lira City, Northern Uganda. BMC Public Health, 24, 1146. https://doi.org/10.1186/s12889-024-18605-8.
  35. Bhanu, B., Sarah, H., Upasona, G., & Fanny, S. (2024). Reimagining gendered community interventions: FP programs in rural Bangladesh. Global Health Research and Policy, 9(3). https://doi.org/10.1186/s41256-023-00337-8.
  36. Bhaskar, R. (1978). A Realist Theory of Science (rev. ed.).
  37. Sayer, A. (2000). Realism and Social Science.
  38. Danermark, B., et al. (2002). Explaining Society: Critical Realism in the Social Sciences. (optional but helpful).
  39. Maxwell, J. A. (2012). A Realist Approach for Qualitative Research. (optional).
  40. Bennett, A., & Elman, C. (2021). (Use your professor’s preferred CR/casual-mechanisms citation; add full bibliographic details.).

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