Contraceptive use, prevalence and predictors of pregnancy planning among female sex workers in Uganda: a cross sectional study

Bukenya, Justine; Wanyenze, Rhoda K.; Barrett, Geraldine; Hall, Jennifer; Makumbi, Fredrick; Guwatudde, David

doi:10.1186/s12884-019-2260-4

Cited by 21 publications

(29 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several factors encourage couples to use family planning effectively, including regular sexual activity, good communication between partners regarding their reproductive health and child-rearing, nancial hardship, and job instability (75). Thus, older couples and well-educated spouses engage in fertility regulation interventions, which reduces unwanted pregnancies and induced abortions and contributes to small family size (69,76,77).…”

Section: Discussionmentioning

confidence: 99%

Factors related to Pregnancy Outcome Among Lebanese Women During COVID-19 Confinement

Haddad

Malhab

Sacre³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: During the coronavirus disease confinement, couples are likely to spend more free time together at home, which could have a positive impact on the amount and level of intimacy. However, home confinement and lockdowns have created challenges and vulnerabilities, causing relevant changes in sexual health and couple stability, particularly in women. The objective of this study was to evaluate the socio-economic and psychological factors related to current pregnancy status and unwanted pregnancy among a sample of Lebanese women during the COVID-19 lockdown.Methods: A cross-sectional online-based study was conducted between June 8 and August 1, 2020, among 369 Lebanese women. The questionnaire developed on Google Forms was distributed through social media and WhatsApp groups, using the snowball technique. The current pregnancy status and unwanted pregnancy were assessed using binary questions (Yes/No).Results: Our results showed that 11.1% of women were pregnant, of whom 22.0% reported unwanted pregnancies. Having children (ORa=0.183) and using contraceptives (ORa=0.231) were at lower odds of getting pregnant. Higher psychological violence would negatively affect pregnancy, but the association tended to significance (p=0.065). Also, regular visits to the physician for routine checkups (ORa=0.053) were significantly associated with lower odds of unwanted pregnancy. Higher psychological violence would affect unwanted pregnancy; however, the association tended to significance (p=0.056). Conclusion: Our main findings indicate that women of younger age, smoking less, and never working were at a higher probability of being pregnant. Furthermore, psychological violence tended to be an associated factor for current pregnancy status and unwanted pregnancy. More information and awareness are needed to encourage women to conceive and maintain their well-being during a pandemic.

show abstract

Section: Discussionmentioning

confidence: 99%

Factors related to Pregnancy Outcome Among Lebanese Women During COVID-19 Confinement

Haddad

Malhab

Sacre³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…The data collection methods of this study have been described elsewhere [33]. Brie y, 819 participants who had a pregnancy within the last two years and aged 15-49 years were systematically recruited from four "Most at Risk Program Initiative" (MARPI) clinics in the central, northern, eastern and western regions of Uganda in 2017.…”

Section: Methodsmentioning

confidence: 99%

Factors associated with utilization of maternal health services by female sex workers in Uganda: a Health facility-based survey

Bukenya

Barrett

Kaharuza

et al. 2019

Preprint

Self Cite

View full text Add to dashboard Cite

Introduction Female sex workers (FSWs) are marginalized due to social rejection and stigma, especially in countries where the practice is illegal. Many FSWs are mothers but little is known about their utilization of maternal services. This study investigated the determinants of utilization of maternal services by FSWs in Uganda. Methods FSWs were recruited from the “Most at-Risk Initiative” clinics in Uganda. We analyzed data for 318 FSWs who had given birth within two years of the study to estimate the proportion of FSWs who used all the components of maternal services (antenatal, facility-based delivery and postnatal). The outcome variable (utilization of maternal services) was categorized as “recommended package” if the women received all the three services, “moderate” if they received any two and “limited/none” if they received only one or none of the services. Multinomial logistic regression analysis was used to quantify the impact of pregnancy planning and other factors on the utilization of maternal services. Results Overall, 25.2% (80) utilized all the three services in the recommended package of maternal services, 47.5% (151) had moderate utilization, while 27.3% (87) utilized limited or no services. Factors that influenced utilization of the recommended package compared to “limited/none” use were having a planned pregnancy (adjusted RRR (aRR) = 3.87; 95% CI = 1.40-10.67), knowing four as the minimum number of ANC visits (aRR = 2.43; 95% CI = 1.22-4.87), never having been criminalized for sex work (aRR = 2.48; 95% CI = 1.30-4.74) and not believing that health providers deny services to FSWs believing (aRR = 2.63; 95% CI = 1.37-5.07). Conclusion These findings confirm the relevance of pregnancy planning in the utilization of maternal services among FSWs. However, maternal health service utilization was generally low and interventions to reduce barriers including inadequate knowledge of ANC visits, internal stigma and criminalization of sex work are required. These are necessary steps in the move towards universal health coverage.

show abstract

“…Nevertheless, the high unmet need for modern contraception (39.0%) among women of reproductive age in Gulu district ( 4) is an indication that the family planning indicators may be worse among FSWs in the region. Moreover, FSWs in Uganda were noted to have high rates of unplanned pregnancies (5)(6)(7)(8) and post-abortion complications (8)(9)(10). These further suggest a big gap in LARC use among FSWs and threaten future fertility of FSWs who still desire to have children (11).…”

Section: Introductionmentioning

confidence: 99%

Factors associated with use of long-acting reversible contraception among female sex workers operating in Gulu district, Northern Uganda – a cross-sectional study

Ouma

Tumwesigye

Abbo

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Long-acting reversible contraception (LARC) are the most effective and reliable contraceptives for female sex workers (FSWs) and require periodic users’ involvement only at the time of application or re-application. However, information on LARC use among FSWs in Uganda is scarce. To fill this gap, we determined the prevalence of LARC use among FSWs and examined factors associated with LARC use among FSWs operating in Gulu district, Northern Uganda.Methods: Across-sectional study was conducted among 300 FSWs aged 18 years and above and operating in Gulu district. Semi-structured questionnaires were used to measure factors associated with the use of LARC: intrauterine device (IUD), Implants, and injectables. Data analyses were conducted using STATA 14.0 and restricted to 280 non-gravid adult FSWs aged 18-49 years who were not on permanent contraception method. To examine factors associated with LARC use, prevalence ratios (PR) with robust standard errors were computed using Poisson regression.Results: Among the participants, the mean age (SD, range) was 26.5 (5.9, 18 - 45) years, 53.2% never married, 66.1% reported consistent condom use independent of LARC, 58.9% had unintended pregnancy during a lifetime, 48.6% had at least one unintended pregnancy during sex work, and 37.4% had at least one induced abortion. The prevalence of LARC use was 58.6%; the majority were using Implants (48.2%), followed by injectables (42.7%), and IUDs (9.1%). Independent factors associated with LARC use included: longer duration of sex work [≥ two years] (adjusted PR=1.44, 95% CI: 1.03-2.02), higher parity [≥ two] (adjusted PR=1.13, 95% CI: 1.02-1.26), history of unintended pregnancy during sex work (adjusted PR=1.24 CI: 1.01-1.51), and being a brothel/lodge-based FSWs (adjusted PR=1.28, 95% CI: 1.01-1.63).Conclusions: There is a big gap in LARC use with only 58.6% of FSWs using LARC. LARC use was associated with longer duration of sex work, higher parity, history of sex work-related unintended pregnancy, and being a brothel/lodge-based FSW. Therefore, interventions to improve LARC use should intensively target the newly recruited FSWs, FSWs with low parity, and FSWs not based in brothels or lodges.

show abstract

Contraceptive use, prevalence and predictors of pregnancy planning among female sex workers in Uganda: a cross sectional study

Cited by 21 publications

References 37 publications

Factors related to Pregnancy Outcome Among Lebanese Women During COVID-19 Confinement

Factors related to Pregnancy Outcome Among Lebanese Women During COVID-19 Confinement

Factors associated with utilization of maternal health services by female sex workers in Uganda: a Health facility-based survey

Factors associated with use of long-acting reversible contraception among female sex workers operating in Gulu district, Northern Uganda – a cross-sectional study

Contact Info

Product

Resources

About