Pregnancy Planning among Female Sex Workers in Uganda: Evaluation of the Psychometric Properties of the London Measure of Unplanned Pregnancy
Abstract
scale was well targeted, Cronbach‘s alpha was 0.82, weighted Kappa was 0.78, measurement was unidimensional, and all construct validity hypotheses were met. Likewise, with the Acholi, Lugisu, and Runyankole translations, field testing showed that there were no missing data, the scales were well targeted, Cronbach‘s alpha were>0.70, and measurement was unidimensional.
We concluded that the Luganda LMUP is a valid and reliable tool for assessing pregnancy planning among FSWs in Uganda and that the Acholi, Lugisu, and Runyankole versions of the LMUP also had good initial psychometric properties. (Afr J Reprod Health 2019; 23[3]: 79-95).
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Vandepitte J, Lyerla R, Dallabetta G, Crabbé F, Alary M
and Buvé A. Estimates of the number of female sex
workers in different regions of the world. Sexually
Transmitted Infections, 2006. 82(Suppl 3): p. iii18-
iii25.
WHO. Preventing HIV among sex workers in sub-Saharan Africa: A literature review Geneva,
Switzerland. 2011, World Health Organization
Geneva, Switzerland
Crane Survery Report. High Risk Group Surveys
Conducted in 2008/9‖ Kampala, Uganda. Makerere
University, PEPFAR, United States Centers for
Disease Control and Prevention, and Republic of
Uganda Ministry of Health. 2010.
The Republic of Uganda. Panel code act cap. 120. 1950,
Kampala Uganda.
Luchters S, Bosire W, Feng A, Richter ML, King'ola N,
Ampt F, Temmerman M and Chersich M F. "A
Baby Was an Added Burden": Predictors and
Consequences of Unintended Pregnancies for
Female Sex Workers in Mombasa, Kenya: A
Mixed-Methods Study. PLoS One, 2016. 11(9): p.
e0162871.
Sherwood JA, Grosso A, Decker MR, Peitzmeier S,
Papworth E, Diouf D, Drame FM, Ceesay N and
Baral S. Sexual violence against female sex workers
in The Gambia: a cross-sectional examination of the
associations between victimization and reproductive, sexual and mental health. BMC Public Health, 2015. 15(1): p. 270.
Weldegebreal R, Melaku YA, Alemayehu M and
Gebrehiwot T G. Unintended pregnancy among
female sex workers in Mekelle city, northern Ethiopia: a cross-sectional study. BMC Public Health, 2015. 15: p. 40.
Duff P, Muzaaya G, Muldoon K, Dobrer S, Akello M.
Birungi J and Shannon K, High rates of unintended
pregnancies among young women sex workers in
conflict-affected Northern Uganda : the social contexts of brothels/lodges and substance use. African Journal of Reproductive Health, 2017. 21(2): p. 64-72.
Chanda MM, Ortblad KF, Mwale M, Chongo S,
Kanchele C, Kamungoma N, Barresi LG, Harling
G, Barnighausen T and Oldenburg CE.
Contraceptive use and unplanned pregnancy among
female sex workers in Zambia. Contraception, 2017.
Ministry of Health. Reducing Morbidity and Mortality
from Unsafe Abortion in Uganda: Standards and
Guidelines. 2015, Ministry of Health,Uganda.
Uganda Bureau of Statistcs (UBOS) and ICF. Uganda
Demographic and Health Survey 2016. 2018,
UBOS and ICF: Uganda and Rockville, Maryland,
USA.
Erickson M, Goldenberg SM, Ajok M, Muldoon KA,
Muzaaya G and Shannon K. Structural determinants
of dual contraceptive use among female sex workers
in Gulu, northern Uganda. Int J Gynaecol Obstet,
131(1): p. 91-5.
Namyalo S and Nakayiza J. Dilemmas in implementing
language rights in multilingual Uganda. Current
Issues in Language Planning, 2015. 16(4): p. 409-
Uganda Bureau of Statistics. The National Population
and Housing Census 2014 – Main Report. 2016:Kampala, Uganda.
Schwartz SR and Baral S. Fertility-related research needs
among women at the margins. Reproductive Health
Matters. 23(45): p. 30-46.
Yam EA, Kidanu A, Burnett-Zieman B, Pilgrim N, Okal
J, Bekele A, Gudeta D and Caswell G. Pregnancy
Experiences of Female Sex Workers in Adama City, Ethiopia: Complexity of Partner Relationships and Pregnancy Intentions. Studies in Family Planning, 2017. 48(2): p. 107-119
Uganda Bureau of Statistics and ICF International Inc.
Uganda Demographic and Health Survey 2011. 2012, UBOS and Calverton, Maryland: ICF International Inc.: Kampala, Uganda.
Barrett G, Smith S and Wellings K. Conceptualisation,
development and evaluation of a measure of unplanned pregnancy. J Epidemiol Community Health, 2004. 58(5): p. 426-33.
Population Council. Conceptualizing and Measuring
Unintended Pregnancy and Birth: Moving the Field
Forward. 2015, Population Council: Accra, Ghana
p. 20.
Singh S, Sedgh G and Hussain R. Unintended pregnancy: worldwide levels, trends, and outcomes. Stud Fam Plann, 2010. 41(4): p. 241-50.
Blackwell M, Honaker J and King G. A Unified Approach to Measurement Error and Missing Data: Overview and Applications. Sociological Methods and Research, 2017. 46(3): p. 303-341.
Roshanaei S, Shaghaghi A, Jafarabadi MA and Kousha
A. Measuring unintended pregnancies in postpartum
Iranian women: validation of the London Measure
of Unplanned Pregnancy. East Mediterr Health J,
21(8): p. 572-8.
Habib MA, Raynes-Greenow C, Nausheen S, Soofi SB,
Sajid M, Bhutta ZA and Black KI. Prevalence and
determinants of unintended pregnancies amongst
women attending antenatal clinics in Pakistan. BMC
Pregnancy and Childbirth, 2017. 17(1): p. 156.
Morof D, Steinauer J, Haider S, Liu S, Darney P and
Barrett G. Evaluation of the London Measure of
Unplanned Pregnancy in the a United States
population of women. PloS One, 2012. 7.
Borges ALV, Barrett G, Santos OAD, Nascimento NDC,
Cavalhieri FB and Fujimori E. Evaluation of the
psychometric properties of the London Measure of
Unplanned Pregnancy in Brazilian Portuguese.
BMC Pregnancy and Childbirth, 2016. 16(1): p.
Hall J, Barrett G, Mbwana N, Copas A, Malata A and
Stephenson J. Understanding pregnancy planning in
a low-income country setting: validation of the
London measure of unplanned pregnancy in
Malawi. BMC Pregnancy and Childbirth, 2013.
(1): p. 200.
Almaghaslah E, Rochat R and Farhat G. Validation of a
pregnancy planning measure for Arabic-speaking
women. PLoS One, 2017. 12(10): p. e0185433.
Rocca CH, Krishnan S, Barrett G and Wilson M.Measuring pregnancy planning: An assessment of the London Measure of Unplanned Pregnancy among urban, south Indian women. Demogr Res, 2010. 23.
Goossens J, Verhaeghe S, Van Hecke A, Barrett G,
Delbaere I and Beeckman D. Psychometric
properties of the Dutch version of the London
Measure of Unplanned Pregnancy in women with
pregnancies ending in birth. PloS one, 2018. 13(4):
p. e0194033.
Hall JA, Barrett G, Phiri T, Copas A, Malata A and
Stephenson J. Prevalence and Determinants of Unintended Pregnancy in Mchinji District, Malawi; Using a Conceptual Hierarchy to Inform Analysis. PLoS One, 2016. 11(10): p. e0165621.
Namyalo S. Terminological modernization of Luganda in
the field of linguistics. 2010, Ph. D. thesis,
Makerere University.
Collins GS, Ogundimu EO and Altman DG. Sample size
considerations for the external validation of a
multivariable prognostic model: a resampling study.
Statistics in Medicine, 2016. 35(2): p. 214-226.
Streiner DI. Sample-size formulae for parameter
estimation 1994. p. 75-284.
Roscoe JT. Fundamental Research Statistics for the
Behavioral Science, International Series in Decision
Process, 2nd Edition, Holt, Rinehart and Winston,
Inc., New York 1975.
Luchters S, Richter ML, Bosire W, Nelson G, Kingola
N, Zhang X D, Temmerman M and Chersich MF.
The contribution of emotional partners to sexual
risk taking and violence among female sex workers
in Mombasa, Kenya: a cohort study. PLoS One,
8(8): p. e68855.
Vandepitte J, Bukenya J, Weiss HA, Nakubulwa S,
Francis SC, Hughes P, Hayes R and Grosskurth H.
HIV and Other Sexually Transmitted Infections in a
Cohort of Women Involved in High-Risk Sexual
Behavior in Kampala, Uganda. Sexually
Transmitted Diseases, 2011. 38(4): p. 316-323
1097/OLQ.0b013e3182099545.
Bishai D, Patil P, Pariyo G and Hill K. The Babel Effect:
Community Linguistic Diversity and Extramarital
Sex in Uganda. AIDS and Behavior, 2006. 10(4): p.
-376.
Willis GB and Artino JAR. What Do Our Respondents
Think We're Asking? Using Cognitive Interviewing
to Improve Medical Education Surveys. Journal of
Graduate Medical Education, 2013. 5(3): p. 353-
Knafl K, Deatrick J, Gallo A, Holcombe G, Bakitas M,
Dixon J and Grey M. The analysis and
interpretation of cognitive interviews for instrument
development. Research in Nursing & Health, 2007.
(2): p. 224-234.
Wilson D. HIV Programs for Sex Workers: Lessons and
Challenges for Developing and Delivering
The London Measure of Unplanned Pregnancy (LMUP).
Luganda version. 2019 28th March 2019];
Available from:
www.lmup.org.uk/docs/LugandaLMUP.pdf.
The London Measure of Unplanned Pregnancy L. Acholi
version. 2019 28th March 2019]; Available from:
www.lmup.org.uk/docs/AcholiLMUP.pdf.
The London Measure of Unplanned Pregnancy (LMUP).
Lugisu version. 2019 28th March 2019]; Available
from: www.lmup.org.uk/docs/LugisuLMUP.pdf.
The London Measure of Unplanned Pregnancy (LMUP).
Runyankole version. 2019 28th March 2019];
Available from:
www.lmup.org.uk/docs/RunyankoleLMUP.pdf.
Streiner D and Norman G. Health Measurement Scales: a
practical guide to their development and use. 4th
edition. 2008, Oxford: Oxford University Press.
Cronbach LJ. Essentials of psychologic testing. 1990,
New York: Harper & Row; 1.
Landis JR and Koch GG, The measurement of observer
agreement for categorical data. Biometrics, 1977.
(1): p. 159-74.
Schwartz S, Papworth E, Thiam-Niangoin M, Abo K,
Drame F, Diouf D, Bamba A, Ezouatchi R, Tety J,
Grover E and Baral S. An urgent need for
integration of family planning services into HIV
care: the high burden of unplanned pregnancy,
termination of pregnancy, and limited contraception
use among female sex workers in Cote d'Ivoire. J
Acquir Immune Defic Syndr, 2015. 68 Suppl 2: p.
S91-8.
Uganda National Council for Science and Technology
(UNCST). National Guidelines for Research
involving Humans as Research Participants., in
Informed Consent Process: Informed Consent by
Mature and Emancipated Minors. 2014, UNCST:
Kampala, Uganda.
Beard J, Biemba G, Brooks M I, Costello J, Ommerborn
M, Bresnahan M, Flynn D and Simon JL. Children
of female sex workers and drug users: a review of
vulnerability, resilience and family-centred models
of care. Journal of the International AIDS Society,
13(Suppl 2): p. S6-S6.
Willis B, Welch K and Onda S. Health of female sex
workers and their children: A call for action. Lancet
Global Health 2016. 4(7): p. e438–e439.
Becker M, Ramanaik S, Halli S, Blanchard JF,
Raghavendra T, Bhattacharjee P, Moses S, Avery L
and Mishra S. The Intersection between Sex Work
and Reproductive Health in Northern Karnataka,
India: Identifying Gaps and Opportunities in the
Context of HIV Prevention. AIDS Research and
Treatment, 2012. 2012: p. 9.
Yeatman S and Smith‐Greenaway E. Birth Planning and
Women's and Men's Health in Malawi. Studies in
family planning, 2018. 49(3): p. 213-235.
The London Measure of Unplanned Pregnancy (LMUP).
English version. 2019 Accesed 28th March 2019];
Available from:
www.lmup.org.uk/docs/RunyankoleLMUP.pdf.
Ayalew Y, Mulat A, Dile M and Simegn A, Women‘s
knowledge and associated factors in preconception
care in adet, west gojjam, northwest Ethiopia: a community based cross sectional study. Reproductive Health, 2017. 14(1): p. 15.
Olowokere A, Komolafe A and Owofadeju C.
Awareness, knowledge and uptake of preconception
care among women in Ife Central Local
Government Area of Osun State, Nigeria. Journal of
Community Medicine and Primary Health Care,
27(2): p. 83-92.
Lakha F and Glasier A. Unintended pregnancy and use
of emergency contraception among a large cohort of
women attending for antenatal care or abortion in
Scotland. Lancet, 2006. 368.
Wellings K, Jones KG, Mercer CH, Tanton C, Clifton S,
Datta J, Copas AJ, Erens B, Gibson LJ, Macdowall
W, Sonnenberg P, Phelps A and Johnson AM. The
prevalence of unplanned pregnancy and associated
factors in Britain: findings from the third National
Survey of Sexual Attitudes and Lifestyles (Natsal-
. Lancet, 2013. 382(9907): p. 1807-1816.
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