Family planning methods among women in a vaginal microbicide feasibility study in rural KwaZulu-Natal, South Africa
), Nuala McGrath(2), Hlengiwe Ndlovu(3), Mitzy Gafos(4),
(1)
(2)
(3)
(4)
Corresponding Author
Abstract
This study investigated contraceptive use among women in rural KwaZulu-Natal, South Africa. Of 866 sexually active women not intending pregnancy and screened for a microbicide feasibility study, 466 (54%) reported currently using modern contraceptives: injectables (31%), condoms (12%), sterilization (6%) and pills (4%). Multivariable logistic regression analyses revealed statistically significantly higher odds of current contraceptive use among married vs. engaged/unmarried women (aOR 1.64), multiparous vs. nulliparous (aOR 4.45) and women who completed secondary education or above vs. primary or less (aOR 1.64). Significantly lower odds of use were observed among women aged 40+ vs. age 15-19 (aOR 0.38). Age, marital status, education level and parity were associated with different contraceptive method choices. Among 195 women followed longitudinally for 9 months, contraceptive use increased significantly from 56% to 70%, largely due to increased condom use (15% to 28%). Results highlight the importance of integrating family planning and HIV/STI prevention counseling and informing promotion of further contraceptive uptake among women not intending pregnancy. (Afr J Reprod Health 2008; 12[2]:45-63)
RÉSUMÉ
Méthodes de la planification familiale chez les femmes à travers une étude de faisabilité microbicide à KwaZulu-Natal rural, Afrique du-Sud. Il a s’agit dans cette étude d’examiner l’usage du contraceptif chez les femmes à KwaZulu-Natal en Afrique du Sud. Sur les 866 femmes sexuellement actives qui ne voulaient pas être enceintes et qui ont été préselectionnées pour une étude de la faisabilité microbicide 466(54%) ont signalé qu’ils utilisent actuellement des contraceptifs modernes. Les méthodes primaries comprenaient les injectables (31%), des préservatifs (12%),la stérilisation (6%) et les pilules (4%). Les analyses multifactorielles ont montré des differences statistiques importantes en ce qui concerne l’usage moderne du contraceptif chez les femmes âgées de 40+ans(a OR 0,38 par opposition à l’âge 15-19) qui sont mariées (a OR 1,64 par opposition aux financées/ célibataires),multipares (a ORS de 2,67 à 4,45 par opposition à aucune naissance)et qui .disposent d’un diplôme secondaire ou d’un diplôme supérieur (a OR 1,64 par opposition au primaire ou moins). L’âge, l’ état civil, le niveau d’instruction et la parité sont liés aux méthodes diverses des choix. Chez les 195 femmes que nous avons suivies longitudinalement pendant 9 mois, l’usage du contraceptif a augmenté de mamière significative, de 56% à 70% dû en grande partie à l’augmentation de l’emploi. Les résultats mettent en lumière
l’importance de l’intégration de la planification familale et du conseil pour la prévention du VIH/IST, et en se servant des renseignements sur les indices de l’usage pour la promotion de l’usage du contraceptif chez les femmes qui ne veulent être enceintes. (Rev Afr Santé Reprod 2008; 12[2]:45-63)
KEY WORDS: Family planning, contraception, South Africa, microbicides
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