Unintended pregnancy in sub-Saharan Africa: magnitude of the problem and potential role of contraceptive implants to alleviate it

Hubacher, David; Mavranezouli, Ifigeneia; McGinn, E

doi:10.1016/j.contraception.2008.03.002

Cited by 219 publications

(197 citation statements)

References 11 publications

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“…This proportion is also similar to those presented in other international reports identifying unintended pregnancy rates in HIV-positive women [7,9]. Gogna et al [7] found that 55% of women and 30% of men in their study had children after their HIV diagnosis and that half of those pregnancies had been unintended.…”

Section: Discussionsupporting

confidence: 76%

“…A study conducted in Argentina reported that 55% of HIVpositive women had at least one pregnancy after their HIV diagnosis and that more than half of those pregnancies were accidental [7]. In a survey of 42 sub-Saharan African countries, where the prevalence of HIV infection is high, 10-65% of women responded that their last pregnancy had been unintended [9]. In the United States of America (USA), Koenig and colleagues found that, of 1183 births to 1090 adolescent HIV-positive girls, only 50% knew their HIV status prior to the pregnancy, 67% had been previously pregnant and 83.3% of the pregnancies were unplanned [8].…”

Section: Introductionmentioning

confidence: 99%

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High prevalence of unintended pregnancies in HIV‐positive women of reproductive age in Ontario, Canada: a retrospective study

et al. 2011

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There is speculation, but there are few data, on the high rates of unintended pregnancies in HIV-positive women. We investigated rates and correlates of unintended pregnancies among HIV-positive women of reproductive age. MethodsA cross-sectional study was conducted with recruitment stratified to match the geographical distribution of HIV-positive women of reproductive age (18-52 years) living in Ontario, Canada. Women, recruited from 38 sites between October 2007 and April 2009, were invited to complete a 189-item self-administered survey. This analysis focused on questions relating to pregnancy and whether the last pregnancy was intended. Logistic regression models were fitted to calculate unadjusted and adjusted odds ratios of correlates of unintended pregnancies occurring after HIV diagnosis. Happiness with unintended pregnancies was also assessed. ResultsThe median age at the time of the survey of the 416 participating HIV-positive women who were previously pregnant (53% before and 47% after HIV diagnosis) was 38 years [interquartile range (IQR) 33-44 years] and their last pregnancy was a median of 8 years (IQR 3-14 years) prior to the survey (n 5 283). Fifty-nine per cent were born outside Canada and 47% were of African ethnicity. Of the 416, 56% [95% confidence interval (CI) 51-61%] identified that their last pregnancy was unintended (57% before and 54% after HIV diagnosis). In the multivariable model, significant correlates of unintended pregnancy after HIV diagnosis were: marital status (P 5 0.01) and never having given birth (P 5 0.01). Women were less happy if their pregnancy was unintended (Po0.01). ConclusionsThe prevalence of unintended pregnancy was high in this cohort. Pregnancy planning programmes are needed for this population to decrease fetal and maternal complications and reduce vertical and horizontal transmission.

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Section: Discussionsupporting

confidence: 76%

Section: Introductionmentioning

confidence: 99%

High prevalence of unintended pregnancies in HIV‐positive women of reproductive age in Ontario, Canada: a retrospective study

et al. 2011

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“…Recently, unintended pregnancy in Africa was reported to be 57 per 1000 women. The observed intended and unintended pregnancy rates are highest in Africa (136 and 86 respectively) than in other regions [6]. In Sub-Saharan Africa, it is estimated that 14 million unintended pregnancies occur every year, with almost half occurring among women aged 15-24 years.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Unwanted Pregnancy and Associated Factors among Women in Reproductive Age Groups at Selected Health Facilities in Addis Ababa, Ethiopia

Mulatu¹,

Cherie²,

Negesa³

2017

J Women's Health Care

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“…The burden of unwanted pregnancy is highest in low and middle income countries (LMIC) where one-third of all pregnancies are unintended [2]. In Sub Saharan Africa the unmet need for contraception is very high leading to high prevalence of unwanted pregnancies [3]. This unmet need for family planning is a result of poor knowledge, inadequate logistics, lack of contraceptive access to women and limited availability of skilled health care providers who can provide some family planning methods [1].…”

Section: Introductionmentioning

confidence: 99%

“…LARC methods are non user dependent and do not rely on continuing user motivation for their effectiveness [3] [18]. However, LARC is underutilized in sub-Saharan Africa countries including Uganda [3] [21] [22].…”

Section: Introductionmentioning

confidence: 99%

Post Abortion Women’s Perceptions of Utilizing Long Acting Reversible Contraceptive Methods in Uganda. A Qualitative Study

Kakaire¹,

Nakiggude²,

Lule³

et al. 2014

OJOG

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Background: About one-third of all pregnancies that occur in low income countries are unintended. An estimated 1.2 million unwanted pregnancies occur in Uganda annually. The majority of the unwanted pregnancies end in unsafe abortion which is one of the five direct causes of maternal mortality. Abortion related complications are responsible for 26% of all maternal deaths in Uganda. Abortion complications can be avoided if women appropriately use contraception to avoid unwanted pregnancy. However, in Uganda the contraceptive prevalence is low at 30% and less than 4% of women rely on long acting reversible contraceptives. Aim: We aimed to explore post-abortion women's perceptions of using of long acting reversible contraception (LARC). Methods: A qualitative research design was used for data collection and analysis. Thirty in-depth interviews with post abortion women in Mulago hospital were carried out using an interview guide. Interviews were transcribed and coded using nodes and subsequently through query, we derived themes. Results: Emergent themes regarding women perceptions of using LARC methods were myths and misinformation, fear of side effects, women's lived experiences, relatives' influence, health providers' perceptions, lack of knowledge and women desire for spacing children for a long time. Conclusion and recommendations: The majority of women were skeptical about using LARC. There is a need to educate women to dispel myths, misinformation and quality counseling to address the benefits and side effects of LARC. There is also a need to revamp the knowledge and * Corresponding author.O. Kakaire et al. 1088 skills of the healthcare providers regarding LARC methods.

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Unintended pregnancy in sub-Saharan Africa: magnitude of the problem and potential role of contraceptive implants to alleviate it

Cited by 219 publications

References 11 publications

High prevalence of unintended pregnancies in HIV‐positive women of reproductive age in Ontario, Canada: a retrospective study

High prevalence of unintended pregnancies in HIV‐positive women of reproductive age in Ontario, Canada: a retrospective study

Prevalence of Unwanted Pregnancy and Associated Factors among Women in Reproductive Age Groups at Selected Health Facilities in Addis Ababa, Ethiopia

Post Abortion Women’s Perceptions of Utilizing Long Acting Reversible Contraceptive Methods in Uganda. A Qualitative Study

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