Unplanned pregnancy-risks and use of emergency contraception: a survey of two Nigerian Universities

Ajayi, Anthony Idowu; Nwokocha, Ezebunwa E.; Adeniyi, Oladele Vincent; Goon, Daniel Ter; Akpan, Wilson

doi:10.1186/s12913-017-2328-7

Cited by 40 publications

(58 citation statements)

References 19 publications

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“…e finding was lower than a study done Pakistan (38.2%) [14]. It was also lower than studies done in Ghana (70%) [5], Malawi (55.6%) [15], Democratic republic of Congo (51.4%) [6] and Nigeria (35.9%) [16]. e variations might be explained due to study period and study area differences.…”

Section: Discussioncontrasting

confidence: 62%

Magnitude and Associated Factors of Unintended Pregnancy among Pregnant Women at Saesie Tsaeda Emba Woreda Eastern Zone of Tigray, North Ethiopia, 2018

Weldearegawi

Tekola

Teklehaymanot

2019

Journal of Pregnancy

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Background. Each year there were about 80 million women who experienced unintended pregnancy in the globe. In Ethiopia, around one third of women have experiences of unintended pregnancy. However, the magnitude of unintended pregnancy was not determined in the study area. Hence the aim of the study was to assess the magnitude and associated factors of unintended pregnancy among pregnant women. Methods. Institutional based cross-sectional study design was employed among 345 participants. Participants were selected by systematic random sampling. Data was collected though face to face interview by structured questioner. It was entered, clean and analyzed using SPSS version 20. Descriptive analysis was done to see the frequency, percentage, mean and standard deviation. Adjusted odds ratio was computed at 95% confidence level to determine the effect of independent variable on the outcome variable. Variable at p value < 0.05 was declared as statistically significant variable. Model goodness of fit was checked using Hosmer lemeshow test. Result. The overall magnitude of unintended pregnancy was 24.9%. Employed women were 60% less likely having unintended pregnancy (AOR 0.4, 95% CI: 0.015, 0.785).Single women were 1.4 times more likely reported unintended pregnancy (AOR 1.4, 95% CI: 1.005, 3.675). Unintended pregnancy among ever visited by health extension workers was 1.7 times higher than not visited (AOR 1.7, 95% CI: 1.09, 5. 128). Unintended pregnancy among who had information about family planning were about 70% less likely reported unintended pregnancy than their counterparties (AOR 0.3, 95% CI: 0 .067, 0.845). Marital status, occupational status, visited by health extension workers, having information about family planning, discussing with their partners about contraceptive were found the major factors of unintended pregnancy. Thus the district health office, Tigray regional health office and other stakeholder should work to improve family planning accessibility, awareness, and utilization to overcome the problem.

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Section: Discussioncontrasting

confidence: 62%

Magnitude and Associated Factors of Unintended Pregnancy among Pregnant Women at Saesie Tsaeda Emba Woreda Eastern Zone of Tigray, North Ethiopia, 2018

Weldearegawi

Tekola

Teklehaymanot

2019

Journal of Pregnancy

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“…The question to ask is, “Why is unplanned pregnancy so high despite the availability of family planning services at the health facility level?”. As shown in the literature, contraceptive failure, incorrect and inconsistent condom use, and lack of knowledge of emergency contraception are among the reasons for high prevalence of unplanned pregnancy [ 21 – 23 ]. Absent father—a common phenomenon in South Africa context—has been linked to increased risk for early sexual activities and adolescent unplanned pregnancy [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

High rate of unplanned pregnancy in the context of integrated family planning and HIV care services in South Africa

Adeniyi

Ajayi

Moyaki

et al. 2018

BMC Health Serv Res

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BackgroundIntegration of family planning services into HIV care was implemented in South Africa as a core strategy aimed at reducing unintended pregnancies among childbearing women living with HIV. However, it is unclear whether this strategy has made any significant impact at the population level. This paper describes the prevalence and correlates of self-reported unplanned pregnancy among HIV-infected parturient women attending three large maternity centres in the Eastern Cape, South Africa. We also compare unplanned pregnancy rates between HIV-infected parturient women already in care (who have benefitted from services’ integration) and newly diagnosed parturient women (who have not benefitted from services’ integration).MethodsDrawing from the baseline data of the East London Prospective Cohort Study (ELPCS), data of 594 parturient women living with HIV in the Eastern Cape were included. Chi-square statistics and binary logistics regression were employed to determine the correlates of unplanned pregnancy among the cohort.ResultsThe prevalence of unplanned pregnancy was 71% (n = 422) with a higher rate among parturient women newly diagnosed during the index pregnancy (87%). Unplanned pregnancy was significantly associated with younger age, single status, HIV diagnosis at booking, high parity and previous abortion. Women who reported unplanned pregnancy were more likely to book late and have lower CD4 counts. After adjusting for confounding variables, having one child and five to seven children (AOR = 2.2; CI = 1.3–3.1), age less than 21 years (AOR = 3.3; CI = 1.1–9.8), late booking after 27 weeks (AOR = 2.7; CI = 1.5–5.0), not married (AOR = 4.3; CI = 2.7–6.8) and HIV diagnosis at booking (AOR = 3.0; CI = 1.6–5.8) were the significant correlates of unplanned pregnancy in the cohort.ConclusionUnplanned pregnancy remains high overall among parturient women living with HIV in the region, however, with significant reduction among those who were exposed to integrated services. The study confirms that integration of HIV care and family planning services is an important strategy to reduce unplanned pregnancy among women living with HIV. The study’s findings have significant implications for the elimination of mother-to-child transmission of HIV in South Africa. Innovative interventions are needed to further consolidate and maximise the benefit of the integration of family planning services with HIV care.

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“…[ 7 – 9 ] To avert this trend, it is critical that access to HIV preventive strategies, such as pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis [ 10 ] be expanded, especially in sub-Saharan Africa, where young adults are known to engage in risky sexual practices. [ 11 – 18 ]…”

Section: Introductionmentioning

confidence: 99%

Awareness and use of pre-exposure and postexposure prophylaxes among Nigerian university students

et al. 2018

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Despite the recent advances in biomedical preventive strategies, young adults—especially adolescent girls— continue to be disproportionately at risk of acquiring HIV. To avert this trend, it is critical that access to HIV preventive strategies, such as pre-exposure prophylaxis (PrEP) and postexposure prophylaxis be expanded, especially in sub-Saharan Africa, where young adults are known to engage in risky sexual practices. This study examined awareness levels and use of pre-exposure prophylaxis (PrEP) and postexposure prophylaxis (PEP) among Nigerian university students.A cross-sectional survey was conducted among 800 students selected using stratified random sampling at 2 Nigerian universities. Descriptive and inferential statistics were used for data analysis on 784 complete responses.The levels of awareness of PrEP and PEP were 18.9% and 25.4%, respectively. Ever tested for human immunodeficiency virus [HIV] (AOR: 1.58; 95% CI: 1.04–2.42) and knowledge of partner's HIV status (AOR: 1.87; 95% CI: 1.25–2.79) were the significant determinants of awareness to PrEP. In contrast, only ever tested for HIV (AOR: 1.50; 95% CI: 1.02–2.19), knowledge of partner's HIV status (AOR: 1.55; 95% CI: 1.07–2.24), ever used condoms (AOR: 1.65; 95% CI: 1.04–2.62), and nude exchanges (AOR: 1.62; 95% CI: 1.13–2.31) were independent determinants of awareness of PEP. Only a few students had seen (5.6%) or used (1.5%) any prophylaxes.The study findings indicate a low level of awareness and use of PrEP and PEP. To ensure no one is left behind in the goal of elimination of new HIV infections, intervention to expand access to these preventive strategies is needed in the study settings.

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Unplanned pregnancy-risks and use of emergency contraception: a survey of two Nigerian Universities

Cited by 40 publications

References 19 publications

Magnitude and Associated Factors of Unintended Pregnancy among Pregnant Women at Saesie Tsaeda Emba Woreda Eastern Zone of Tigray, North Ethiopia, 2018

Magnitude and Associated Factors of Unintended Pregnancy among Pregnant Women at Saesie Tsaeda Emba Woreda Eastern Zone of Tigray, North Ethiopia, 2018

High rate of unplanned pregnancy in the context of integrated family planning and HIV care services in South Africa

Awareness and use of pre-exposure and postexposure prophylaxes among Nigerian university students

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