Despite global efforts to enhance contraceptive utilization, adolescent females in Uganda face persistent
challenges accessing and utilizing modern contraceptive methods, resulting in high fertility rates and maternal
mortality. This cross-sectional study investigated the intricate factors influencing contraceptive usage among
adolescent females attending Kasangati Health Center IV in Wakiso District, Uganda. Employing
questionnaire-based surveys, the study targeted adolescent females attending the health center, utilizing
simple random sampling to select 220 participants, as determined by Fisher's formula. Data analysis was
conducted using Microsoft Excel and SPSS version 20, presenting comprehensive findings through tables, piecharts,
bar graphs, and narratives. The study uncovered a concerning contraceptive prevalence rate (CPR) of
19% among adolescent females, despite existing awareness of family planning methods. Key determinants of
contraceptive usage included limited knowledge about contraception, constrained access to services,
entrenched societal norms, and gender dynamics. The findings highlight the urgent need to address these
multifaceted barriers to enhance contraceptive utilization and mitigate unmet needs among adolescent females.
The study's recommendations encompass targeted educational campaigns, improved accessibility of family
planning services, and fostering the engagement of both genders in reproductive health decision-making
processes. Ethical considerations were meticulously observed, with informed consent obtained from
participants and ethical approval secured from relevant authorities. This study contributes seminal insights
into the complex landscape of contraceptive utilization among adolescent females in Uganda, offering critical
guidance for policy formulation and programmatic interventions aimed at improving reproductive health
outcomes and curtailing maternal mortality rates.