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Prevalence and predictors of use of long-term and short-acting reversible contraceptives among women of reproductive age in Wakiso and Hoima districts, Uganda: A cross-sectional study. | LitMetric

AI Article Synopsis

  • - Modern contraceptive use in Uganda is low, with only 30% of women using short-acting reversible contraceptives (SARC) and 18% using long-term methods, highlighting a significant unmet need in the region.
  • - Education plays a crucial role in contraceptive use, as women with formal education are three times more likely to utilize long-term methods, while joint decision-making in couples increases SARC usage.
  • - Urbanization affects contraceptive use, with women in urban areas like Wakiso less likely to use modern methods compared to those in more rural Hoima; thus, improved access to contraception education is essential for enhancing usage among all women, especially in diverse living conditions.

Article Abstract

Modern contraceptive use has increased globally, but unmet needs persist in low- and middle-income countries. This study in Uganda aimed to examine the prevalence and factors influencing the use of short-acting reversible contraceptives (SARC) like pills and long-term methods such as intrauterine devices. Limited evidence exists on the use of SARC and long-term methods in Uganda. Data from the Africa Medical and Behavioural Sciences Organization (AMBSO) Population Health Surveillance (APHS) in Hoima and Wakiso districts were analysed. Among the 1642 women aged 15-49 years, the prevalence of modern contraceptive use was 30% for SARC, and 18% for long-term method. Women with formal education were three times more likely to use long-term methods than those without formal education, relative risk ratios (RRR), 3.1-3.4, (95%CI 1.2-8.2). Joint decision-making for contraceptive use increased SARC usage, RRR 1.4 (95%CI 1.1-1.8). Urbanization played a role, with women in more urbanized Wakiso district less likely to use any modern contraception, RRR 0.6-0.7 (95%CI 0.5-0.9) compared to those living in the less urbanized Hoima. About half of the women in the study used modern contraceptives and the use of SARC was almost twice that of long-term methods. Increased access to contraception education for all women of reproductive age could significantly improve the use of long-term methods which offer more reliable protection against unintended pregnancies. The findings shed light on the need to strengthen both general and sexuality education to girls and women and to tailor contraception access for all in need, for mobile semi-urban as well as rural women. Well-informed strategies that engage young men and male partners in informed decision-making for contraceptive use could enhance progress.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10712849PMC
http://dx.doi.org/10.1371/journal.pgph.0002688DOI Listing

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