To determine commonly used methods of contraception at Monkey Bay Community hospital, to compare different methods of contraception used by people of various age groups, parity, Human Immunodeficiency Virus (HIV) and Marital status, a clinical audit of family planning methods used by clients at Monkey Community hospital from January 2018 to June 2019 was done. Data was collected from the registers. A total number of 1734 clients reported at family planning clinic of Monkey-Bay Community Hospital between January 2018 and June 2019. All the clients were females. Most of these clients were in the age range of 15 -34 years (83.33%). There were 1,486 (87%) HIV negative clients, 208 (12%) HIV positive clients and 24 (1%) had unknown HIV status. Most clients had a parity of 1 -2 (905, 52.71%) followed by 3 -4 (540, 31.45%) and 5 or plus (272, 15.84%). There were more married people (1641, 97.23%) than unmarried ones (46, 2.73%). There was only one person who was divorced (1, 0.05%). Education status was not recorded. The five commonly used contraceptive methods were: Intramuscular (IM) injectable Depo-IM (1366, 79.51%), Jadelle (122, 7.10%), Subcutaneous (SC) injectable Depo-SC (65, 3.78%), Combined Oral Contraceptives (COC) (60, 3.49%) and Implanon (40, 2.33%). None of the clients was used female condoms as a method of contraception. The contraceptive use was common between the age group of 15 -24 (707, 44.92%) and 25 -34 (709, 45%). Depo-IM was most used in age group 25 -34 (44.5%) while Jadelle was mostly used by 15 -24 years old (48%). 1181 clients (79.5%) of HIV negative clients used Depo-IM as the contraceptive method while 164 clients (78.
Sub-Saharan Africa is faced with weak health systems and disproportionately inadequate number of health workers. Some studies have shown high vulnerability of these workers to occupational health infections from their patients. The COVID-19 pandemic which is spreading to the region and has affected the health work force in the west is likely to do the same in Sub-Saharan Africa. Non-availability or inadequate supply of good personal protective equipment (PPE) may become a disincentive to caring for the diagnosed cases and slow uptake for clinical research in the region. Slow manufacturing plans, poor supply chain and poor adherence by health workers could all contribute to the scarcity and effectiveness of PPE to the region if not well managed. Ensuring PPE are adequately available may be a big challenge for many of the poor countries in sub-Saharan Africa, but it is huddle that needs to be avoided for better uptake of clinical care and research.
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