Use of HIV-Related Services and Modern Contraception among Women of Reproductive Age, Rakai Uganda

Fredrick Makumbi, Gertrude Nakigozi, Tom Lutalo, Joseph Kagayi, Joseph Sekasanvu, Absalom Settuba, David Serwada, Maria Wawer, Ronald Gray

Abstract

Voluntary counseling and testing (VCT) and HIV care (HIVC) can be an opportunity for reproductive health messages and services integration. The objective of this study is to assess the association between uptake of HIV-related services and use of modern contraception among reproductive-age women. Data are derived from community cohort data, where HIV+ respondents were referred to the Rakai Health Sciences program’s HIVC clinic. Use of modern contraceptive and VCT receipt were by self-report. Multinomial logistic regression was used to estimate relative risk ratios (RRR) of contraception use by HIVC and VCT. Receipt of VCT was significantly associated with higher use of condoms for FP, adj.RRR 1.78 (1.07, 2.95), and other modern contraceptives, adj.RRR=1.56(1.15, 2.11). Increasing level of HIVC was associated with decreasing level of unmet need for contraception. Use of condoms for family planning is common among HIV-related services attendees. Utilization of other modern contraceptive methods needs to be increased (Afr J Reprod Health 2010; 14[4]: 91-101).

 

Résumé

 

Emploi des services liés au VIH et à la contraception moderne chez les femmes en âge de procréer, Rakai, Uganda. Le Conseil et le Test Volontaire (CTV) et le soin du VIH (SVIH) peuvent constituer une opportunité pour des messages de santé de reproduction et d’intégration des services.  Cette étude a pour objectif d’évaluer l’association entre l’intérêt aux services liés aux VIH et l’emploi de la contraception chez les femmes en âge de procréer.  Les données ont été recueillies à partir des données de la cohorte de la communauté, là où les répondantes séropositives ont été orientées vers la clinique du SVIH du programme des Sciences de Santé de Rakai.  L’emploi du contraceptif et du CTV  était à travers l’auto-déclaration.  On s’est servi de la régression  logistique multinomiale pour évaluer le rapport du risque relatif  (RRR) de l’utilisation de la contraception par le SVIH et le CTV.  La réception du CTV est lié à l’emploi élevé des préservatifs pour la PF,  l’adj.RRR=1,78, 2,95) et d’autres contraceptifs modernes, adj. RRR=1,56(1,15, 2,11).  Le niveau croissant du SVIH était lié au niveau diminuant des besoins non satisfait de la contraception.  L’emploi des contraceptifs pour la planification familiale est commun chez les gens qui profitent des services liés au VIH.  Il faut augmenter l’emploi des autres méthodes contraceptives modernes (Afr J Reprod Health 2010; 14[4]: 91-101).

 

Keywords: VCT, ART, modern contraceptives, condoms-only, HIV status

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