Modern contraceptive use among postpartum women living with HIV attending mother baby care points in Kabarole District, Uganda

Tusubira, Andrew K.; Kibira, Simon P. S.; Makumbi, Fredrick

doi:10.1186/s12905-020-00944-4

Cited by 4 publications

(2 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Low contraceptive use, especially modern methods like condoms and hormonal contraceptives, contributes to the high prevalence of unintended pregnancy among YWLHIV. For example, in Uganda, only 39.8% of adolescent girls and young women use modern contraceptives, and male condom use is as low as 19.7% [ 13 ]. Similarly, in South Africa, only 12.4% of the adolescent mothers living with HIV were found to use male condoms [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Female-controlled dual protection methods: Prevalence, predictors, experiences and perceptions among young women living with HIV in northern Uganda–A mixed-method study protocol

Kumakech,

Acen,

Musinguzi

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

Study background The use of dual protection methods among young women living with HIV (YWLHIV) aged 15–24 years in sub-Saharan Africa (SSA) is poorly researched despite the double risk of unintended pregnancy and HIV. Even more scanty is literature on the use of female-controlled dual protection methods. We propose to determine the female-controlled dual protection prevalence, and the predictors among YWLHIV in northern Uganda. The study will also explore the YWLHIV’s experiences and perceptions regarding the female-controlled dual protection methods. Materials and methods This study will employ a mixed-methods design. The study area will be Lira district and Lira city located in northern Uganda. The setting for recruitment of participants will be the public health facility–based anti-retroviral therapy (ART) clinics. These ART clinics serves a total of about 1,771 YWLHIV. A sample of 425 YWLHIV will be selected by stratified random sampling from the ART clinic registers. The three strata of interest will be the YWLHIV attending the ART clinic at referral hospitals, health centers level IV (primary healthcare centers), and health centers level III (dispensaries). The primary outcome will be the use of the female-controlled dual protection methods. The outcome will be measured by asking the YWLHIV ‘what methods under their control as YWLHIV do they use to protect against both unintended pregnancy and HIV during sexual intercourse with their male partners.’ The questionnaire also has measures for the unintended pregnancy, HIV status, and the potential predictors. Qualitative component of the study will be in-depth interviews of the participants about their experiences and perceptions regarding the female-controlled dual protection methods. Data collection was still ongoing at the time of first submission of this study protocol to the journal (14th March 2023). The Statistical Package for Social Sciences (SPSS) version 23.0 will be used for the statistical analyses. Descriptive statistics, bivariate and multivariate regression analyses will be used to establish the prevalence, associated factors and the predictors of the outcome respectively. The statistical significance level of 5% and 95% confidence interval will be considered. In-depth interviews will be manually analyzed using a thematic analysis approach for codes, themes, and categories.

show abstract

Section: Introductionmentioning

confidence: 99%

Female-controlled dual protection methods: Prevalence, predictors, experiences and perceptions among young women living with HIV in northern Uganda–A mixed-method study protocol

Kumakech,

Acen,

Musinguzi

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…The finding that receipt of FP information during delivery is not associated with contraceptives contradicts findings by Jalang'o and colleagues [18] in which uptake of postpartum FP was significantly associated with counseling of women on various types of contraceptives. Findings from a similar study in Uganda showed that there are still missed opportunities for FP service provision at the mother-baby care points despite integration of services at such outlets [30]. As such even when postpartum women have numerous encounters with healthcare providers, they are unable to receive timely FP services.…”

Section: Plos Global Public Healthmentioning

confidence: 99%

Determinants of contraceptive use among women 0–23 months postpartum in Kitui County, Kenya: A cross-sectional study

Mutea¹,

Kathure²,

Kadengye

et al. 2022

PLOS Glob Public Health

View full text Add to dashboard Cite

The risk of unintended pregnancy is high in the postpartum period, especially during the first year of delivery. Yet, short birth intervals are associated with increased risk of adverse maternal and infant outcomes. In Kenya, despite women having multiple contacts with healthcare providers during their pregnancy and postpartum journeys, uptake of contraceptives during the postpartum period remains low. We examine factors that determine contraceptive use among postpartum women in Kitui County, Kenya.A cross-sectional study was conducted in six sub-counties of Kitui County covering a random sample of 768 postpartum women in April 2019. Logistic regression was used to study the association between uptake of contraceptives among women 0–23 months postpartum and several explanatory variables that included socio-demographic characteristics and facility-level factors. Overall, 68% of women in Kitui County reported using contraceptives. The likelihood of contraceptive use increased with the increase in the number of known family planning methods. Women who discussed family planning with a health worker within the last 12 months were 2.58 (95%CI: 1.73, 3.89) times more likely to use contraceptives during the postpartum period compared to those who did not. There was an increased odds of contraceptive uptake among women who received family planning information or service during postnatal care than those who did not (aOR = 2.04, 95%CI: 1.30, 3.24). A positive association was also found between contraceptive use and receipt of family planning information or service during immunization visits or during child well visits. It is evident that facility-level factors such as discussing family planning with women; educating women about different family planning methods; providing family planning information or services during postnatal care, immunization, or well child visits are associated with increased likelihood of contraceptive uptake by women during postpartum period. Programs targeting enhancing women’s attendance of postnatal care clinics should be encouraged.

show abstract

Real-Life Pregnancy and HIV Care at an Outpatient Clinic in Mexico from 2008 to 2022, Including the COVID-19 Pandemic

Torruco-García,

Abarca de Santos,

García-Solano

et al. 2024

Preprint

View full text Add to dashboard Cite

Modern contraceptive use among postpartum women living with HIV attending mother baby care points in Kabarole District, Uganda

Cited by 4 publications

References 40 publications

Female-controlled dual protection methods: Prevalence, predictors, experiences and perceptions among young women living with HIV in northern Uganda–A mixed-method study protocol

Female-controlled dual protection methods: Prevalence, predictors, experiences and perceptions among young women living with HIV in northern Uganda–A mixed-method study protocol

Determinants of contraceptive use among women 0–23 months postpartum in Kitui County, Kenya: A cross-sectional study

Real-Life Pregnancy and HIV Care at an Outpatient Clinic in Mexico from 2008 to 2022, Including the COVID-19 Pandemic

Contact Info

Product

Resources

About