Factors associated with uptake of contraceptives among HIV positive women on dolutegravir based anti-retroviral treatment-a cross sectional survey in urban Uganda

Mbabazi, Leah; Nabaggala, Mariah Sarah; Kiwanuka, Suzanne N; Kiguli, Juliet; Laker, Eva; Kiconco, Arthur; Okoboi, Stephen; Lamorde, Mohammed; Castelnuovo, Barbara

doi:10.1186/s12905-022-01842-7

Cited by 3 publications

(1 citation statement)

References 15 publications

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“… 15 , 16 However, the uptake is higher than 38.4% reported in urban Uganda. 17 This discrepancy may be attributed to differences in sample size and geographic settings.…”

Section: Discussionmentioning

confidence: 99%

Uptake and Associated Factors of Male Contraceptive Method Use: A Community-Based Cross-Sectional Study in Northern Uganda

Tumwesigye,

Kigongo,

Nakiganga

et al. 2023

OAJC

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Background: Uganda has one of the highest fertility rates in Sub-Saharan Africa (SSA). Improving contraceptive uptake in all genders, including males, may be critical to meeting family planning goals in such a setting. Yet, data on male contraception uptake and associated factors in SSA, including Uganda, are limited. We determined the uptake and associated factors of male contraception use in Lira City, Northern Uganda. Methods: We conducted a community-based cross-sectional study from November 12, 2022, to December 12, 2022, among men aged ≥18 years. We used multi-stage sampling to select participants from 12 cells of Lira City divisions of East and West. Data were collected using interviewer-administered structured questionnaires. We defined uptake in males who had used any contraceptive method, including periodic abstinence, withdrawal, condoms, and vasectomy in the previous four weeks. We performed modified Poisson regression to identify associated factors of male contraception uptake. Results: We recruited 401 participants with mean age of 30.4 (±9.3) years. Male contraceptive uptake was 46.4%, 95% CI: 41.5-51.3%. Ever heard about male contraception (adjusted prevalence ratio [aPR] =1.73, 95% CI: 1.172-2.539, p=0.006), willingness to use novel methods (aPR=2.90, 95% CI: 1.337-6.293, p=0.007), both partners being responsible for contraception (aPR: 1.53, 95% CI: 1.113-2.119, p=0.009) were the factors associated with male contraception uptake. Conclusion:We found that nearly half of the men surveyed had used male contraceptive methods in Lira City. Factors associated with the uptake of male contraception included having heard about male contraception, joint couple decision regarding contraception, and the use of novel methods of male contraception. We recommend comprehensive education and awareness campaigns to promote male contraception, with a particular emphasis on encouraging shared decision-making within couples and introducing innovative contraceptive options.

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“… 15 , 16 However, the uptake is higher than 38.4% reported in urban Uganda. 17 This discrepancy may be attributed to differences in sample size and geographic settings.…”

Section: Discussionmentioning

confidence: 99%

Uptake and Associated Factors of Male Contraceptive Method Use: A Community-Based Cross-Sectional Study in Northern Uganda

Tumwesigye,

Kigongo,

Nakiganga

et al. 2023

OAJC

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Prevalence of risk factors for human immunodeficiency virus among sexually active women in Rwanda: a nationwide survey

Kawuki,

Nuwabaine,

Namulema

et al. 2023

BMC Public Health

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Background The Human Immunodeficiency Virus (HIV) remains a global health burden, and despite the advancements in antiretroviral therapy and various strategies employed to curb HIV infections, the incidence of HIV remains disproportionately high among women. Therefore, this study aimed to determine the prevalence of the risk factors for the acquisition of HIV among sexually active women in Rwanda. Methods Secondary data from the 2020 Rwanda Demographic Health Survey, comprising 10,684 sexually active women, was used. Multistage stratified sampling was employed to select the study participants. Multivariable logistic regression was conducted to determine the associated risk factors using the SPSS (version 25). Results Of the 10,684 sexually active women, 28.7% (95% confidence interval (CI): 27.5–29.4) had at least one risk factor for HIV acquisition. Having no education (AOR = 3.65, 95%CI: 2.16–6.16), being unmarried (AOR = 4.50, 95%CI: 2.47–8.21), being from female-headed households (AOR = 1.75, 95%CI: 1.42–2.15), not having health insurance (AOR = 1.34, 95%CI: 1.09–1.65), no HIV test history (AOR = 1.44, 95%CI: 1.01–2.08), being from the poorest wealth quintile (AOR = 1.61, 95%CI: 1.14–2.27) and lack of exposure to mass media (AOR = 1.30, 95%CI: 1.07–1.58) were associated with higher odds of exposure to at least one HIV acquisition risk factor. In contrast, age groups of 25–34 (AOR = 0.56, 95%CI: 0.44–0.71) and 35–44 years (AOR = 0.62, 95%CI: 0.48–0.80), rural residence (AOR = 0.63, 95%CI: 0.49–0.81) and being from the western region (AOR = 0.67, 95%CI: 0.48–0.94) were associated with less odds of exposure to at least one HIV acquisition risk factor. Conclusion More than a quarter of sexually active women in Rwanda had exposure to at least one risk factor for HIV acquisition. There is a need to maximize the use of mass media in disseminating HIV prevention and behavioral change messages. Engagement of religious leaders and promotion of HIV testing, especially among the never-testers, may be vital strategies in successful HIV prevention programs.

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Prevalence of risk factors for human immunodeficiency virus among sexually active women in Rwanda: a nationwide survey

Nuwabaine

Kawuki

Namulema

et al. 2023

Preprint

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Background The Human Immunodeficiency Virus (HIV) remains a global health burden and despite the advancements in antiretroviral therapy and various strategies employed to curb HIV infections, the incidence of HIV remains disproportionately high among women. Therefore, this study aimed to determine the prevalence of the risk factors for acquisition of HIV among sexually active women in Rwanda. Methods Secondary data from the 2020 Rwanda Demographic Health Survey comprising 10,684 sexually active women was used. Multistage stratified sampling was employed to select the study participants. Multivariable logistic regression was conducted to determine the associated risk factors, using the SPSS (version 25). Results Of the 10,684 sexually active women, 28.7% (95% Confidence Interval (CI): 27.5–29.4) had at least one risk factor for HIV acquisition. Having no education (AOR = 3.65, 95%CI: 2.16–6.16), being unmarried (AOR = 4.50, 95%CI: 2.47–8.21), being from female-headed households (AOR = 1.75, 95%CI: 1.42–2.15), Protestant (AOR = 1.28, 95%CI: 1.09–1.50) and other religions (AOR = 1.99, 95%CI: 1.41–2.80), not having health insurance (AOR = 1.34, 95%CI: 1.09–1.65), no HIV test history (AOR = 1.44, 95%CI: 1.01–2.08), being from the poorest wealth quintile (AOR = 1.61, 95%CI: 1.14–2.27) and lack of exposure to mass media (AOR = 1.30, 95%CI: 1.07–1.58) were associated with higher odds of risk factors for HIV acquisition. In contrast, age groups of 25–34 (AOR = 0.56, 95%CI: 0.44–0.71) and 35–44 (AOR = 0.62, 95%CI: 0.48–0.80) years, rural residence (AOR = 0.63, 95%CI: 0.49–0.81) and being from western region (AOR = 0.67, 95%CI: 0.48–0.94) were associated with less odds of risk factors for HIV acquisition. Conclusion More than a quarter of sexually active women in Rwanda had exposure to at least one risk factor for HIV acquisition. There is a need to maximize the use of mass media in disseminating HIV prevention and behavioral change messages. Engagement of religious leaders and promotion of HIV testing, especially among the never-testers would also be vital strategies in successful HIV prevention programs.

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Factors associated with uptake of contraceptives among HIV positive women on dolutegravir based anti-retroviral treatment-a cross sectional survey in urban Uganda

Cited by 3 publications

References 15 publications

Uptake and Associated Factors of Male Contraceptive Method Use: A Community-Based Cross-Sectional Study in Northern Uganda

Uptake and Associated Factors of Male Contraceptive Method Use: A Community-Based Cross-Sectional Study in Northern Uganda

Prevalence of risk factors for human immunodeficiency virus among sexually active women in Rwanda: a nationwide survey

Prevalence of risk factors for human immunodeficiency virus among sexually active women in Rwanda: a nationwide survey

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