Background Reproductive planning by HIV-infected women is essential, as it helps to prevent transmission of HIV to their unborn babies. Integrating contraceptive services to routine HIV care significantly increases the use of modern contraceptive methods, thus reducing vertical transmission of HIV. Objectives To determine the prevalence and factors associated with contraceptive use among HIV-infected women attending Infectious Disease Clinic (IDC) at Gulu Regional Referral Hospital (GRRH) in Northern Uganda. Methodology A hospital-based cross-sectional study was performed. We used simple random sampling to recruit HIV-infected women receiving routine care from IDC, GRRH, into our study. Sample size was estimated using modified Kish-Leslie formula and semistructured questionnaire was used for data collection. Data was entered into EpiData version 3.1 and analysed using Stata v11.0. We used logistic regression model to assess the associations and any factor with p≤0.05 was considered statistically significant. Results The prevalence of contraceptive use was found to be 36% (95% CI 31 – 40%). Factors which promoted contraceptive use were as follows: being married (aOR=2.68, 95% CI 1.54-4.65, p<0.001) and monthly income of $35 -250 (aOR= 2.38, 95% CI: 1.39- 4.09, p=0.002). Factors that hindered contraceptive use were having no child (nulliparity) (aOR= 0.16; 95% CI: 0.05-0.49; p=0.002) and age range of 31-49 years (aOR= 0.53; 95% CI: 0.33 - 0.84; p=0.007). Conclusion In this study, just over a third of sexually active HIV-infected women reported use of modern contraceptives. This is a low level of usage and, therefore, clinicians and stakeholders should sensitise HIV-infected women on the importance of contraceptive use in the fight against HIV/AIDS and encourage them to use contraceptives to avoid vertical transmission of HIV through unintended pregnancy.
Bambara groundnut (Vigna subterranea) is a highly nutritious legume with good drought tolerance attributes and is therefore a suitable candidate for food and nutritional security especially in drought prone areas. This study was conducted to determine the nutritional and phytochemical composition of seventeen Bambara groundnut landraces that were collected from Vihiga, Kakamega, Bungoma, Busia, and Kisumu Counties in Kenya. Prior to characterization, a field experiment was set up in Ishiara Ward in Mbeere North Sub-County in Embu County for two cropping seasons to standardize and multiply the seeds. The experiment was laid out in a Randomized Complete Block Design with three replicates. The harvested seeds were analyzed for their proximate, nutritional, and phytochemical composition using standard procedures. The moisture content ranged from 3.47 to 6.24%, total ash from 3.17 to 4.69%, crude protein from 21.18 to 26.00%, and fats from 4.56 to 7.02%. Iron levels ranged from 4.07 to 5.13 mg/100 g, sodium from 25.14 to 129.66 mg/100 g, potassium from 819.34 to 1,131.80 mg/100 g, and zinc from 0.06 to 0.42 mg/100 g. The tannin levels ranged from 0.01 to 0.04 mg/g, saponins from 0.82 to 1.06 mg/100 g, alkaloids from 0.01 to 0.12 mg/100 g, and flavonoids from 4.07 to 8.45 mg/100 g. The landraces BG-125, BS-148, and BS-145 with relatively higher nutrients composition and those with high levels of phytochemicals such as BS-104 and MU-137 are recommended to plant breeders for further selection and production of certified seeds. These selections will also be promoted to the farmers for production through various extension programs.
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