Acceptability of family planning in a changing context in Uganda: a realist evaluation at two time points.

Objectives: This study sought to understand, during an intervention which integrated family planning (FP) and immunisation, (1) if and how prevailing contextual factors influenced acceptability and use of modern contraceptive methods (MCMs) in a pastoral community in Uganda, (2) what mechanisms were triggered by these contextual factors (3) if these contextual factors changed between two time points 2 years apart and (4) the impact of contextual changes on mechanisms triggered and acceptability and use outcomes.

Design: Qualitative realist evaluation over two time points.

Setting: Government health facilities in Moroto District, Karamoja, Uganda.