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Missed Opportunities for Family Planning Counselling among HIV-Positive Women Receiving HIV Care in Uganda

Missed Opportunities for Family Planning Counselling among HIV-Positive Women Receiving HIV Care in Uganda

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dc.contributor.author JULIET NABIRYE(Former Corresponding Author)
dc.contributor.author Joseph KB Matovu(New Corresponding Author)
dc.contributor.author John Baptist Bwanika
dc.contributor.author Fredrick Makumbi
dc.contributor.author Rhoda K. Wanyenze
dc.date.accessioned 2021-01-11T13:51:40Z
dc.date.available 2021-01-11T13:51:40Z
dc.date.issued 2020
dc.identifier.uri https://combine.alvar.ug/handle/1/49415
dc.description.abstract Abstract; Introduction: HIV-positive women who are still in the reproductive years need adequate sexual and reproductive health information to make informed reproductive health choices. However, many HIV-positive women who interface with the health system continue to miss out on this information. We sought to: a) determine the proportion of HIV-positive women enrolled in HIV care who missed family planning (FP) counselling; and b) assess if any association existed between receipt of FP counselling and current use of modern contraception to inform programming. Methods: Data were drawn from a quantitative national cross-sectional survey of 5,198 HIV-positive women receiving HIV care at 245 HIV clinics in Uganda; conducted between August and November 2016. Family planning counselling was defined as provision of FP information (i.e. available FP methods and choices) to an HIV-positive woman by a health provider during ANC, at the time of delivery or at the PNC visit. Analyses on receipt of FP counselling were done on 2,760 HIV-positive women aged 15-49 years who were not currently pregnant and did not intend to have children in the future. We used a modified Poisson regression model to determine the Prevalence Ratio (PR) as a measure of association between receipt of any FP counselling and current use of modern contraception, controlling for potential confounders. Analyses were performed using STATA statistical software, version 14.1.Results: Overall, 2,104 (76.2%) HIV-positive women reported that they received FP counselling at any of the three critical time-points. Of the 24% (n=656) who did not, 37.9% missed FP counselling at ANC; 41% missed FP counselling during delivery; while 54% missed FP counselling at the post-natal care visit. HIV-positive women who received any FP counselling were significantly more likely to report current use of modern contraception than those who did not (adjusted PR [adj. PR] = 1.21; 95% Confidence Interval [CI]: 1.10, 1.33). Conclusion: Nearly one-quarter of HIV-positive women did not receive any form of FP counselling when they interfaced with the healthcare system. This presents a missed opportunity for prevention of unintended pregnancies, and suggests a need for the integration of FP counselling into HIV care at all critical time-points.
dc.publisher Research Square
dc.title Missed Opportunities for Family Planning Counselling among HIV-Positive Women Receiving HIV Care in Uganda
dc.type Preprint
dc.identifier.doi 10.21203/rs.2.16340/v4
dc.identifier.lens 010-141-145-040-372


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