Browsing by Author "Rusatira, Jean Christophe"

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    Factors that influenced access and utilisation of sexual and reproductive health services among Ugandan youths during the COVID-19 pandemic lockdown: An online cross-sectional survey
    (Research Square, 2021) Binezero Mambo, Simon; Sikakulya, Franck K.; Ssebuufu, Robinson; Mulumba, Yusuf; Wasswa, Henry; Thompson, Kelly; Rusatira, Jean Christophe; Bhondoekhan, Fiona; Kamyuka, Louis K.; Olabisi Akib, Surat; Kirimuhuzya, Claude; Nakawesi, Jane; Kyamanywa, Patrick
    The COVID-19 pandemic has disrupted health care access in many countries. The aim of this study was to explore factors that influenced access and utilization of sexual and reproductive health services among Ugandan youths during the COVID-19 pandemic lockdown. Methods This was across-sectional study carried out from April 2020 to May 2020 in Uganda. A questionnaire was administered online to participants aged 18 to 30 years. Subjects were recruited using a snowballing approach. STATA version 14.2 was used for statistical analysis.
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    Multilevel Mixed Effects Analysis of Individual and Community Factors Associated With Unmet Need for Contraception Among Married Women in Four East African Countries
    (Research Square, 2021) Kabagenyi, Allen; Wasswa, Ronald; Henry, Nsobya; Paulino, Ariho; Sseninde, Julius; Rusatira, Jean Christophe
    Although use of contraceptives is an expression of a woman’s reproductive control, unmet need for contraception remains high and a public concern among married women in East Africa. Limited literature has explored the associated factors in the region. This study examined the individual and community level factors associated with unmet need for contraception among married women in Burundi, Rwanda, Tanzania and Uganda. Methods: The study utilized data from the four most recent demographic and health surveys on the following selected samples of women in Burundi (8767), Rwanda (6472), Tanzania (7417) and Uganda (10288). Analyses were conducted using multilevel mixed effect logistic regressions with random community and country level effects. Results: Findings showed that: 20%, 22%, 28% and 33% of the married women in Rwanda Tanzania, Uganda and Burundi respectively had unmet need for contraception. Young married women, low education level, low wealth quintile, higher number of living children, couples that are not staying together, husband’s desire for more children, history of child death, women who are not working, no access to family planning messages, long distances to health facilities, and husbands as decision-makers on women’s health care were associated with high level of unmet need for contraception. Also, low community wealth, low community use of modern contraceptives, higher community age at marriage, higher community mean number of living children and lower community age at sexual debut were found to be significantly associated with high risk of unmet need for contraception in at least one of the countries. Conclusions: The findings suggest the need to design programs and policies that ensure awareness and access to modern contraceptive services among all disadvantaged communities and unique groups like couples who are not staying together through increased outreaches and increased mass media campaigns. In addition, concerted efforts aimed at raising the educational levels of people to bring about change in social and cultural norms that influence the husbands desire for higher number of children are much needed. Deliberate efforts of empowering women through education, job creation, and reproductive health decisions will significantly reduce the levels of unmet need for contraception in East Africa.
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    Predictors of age at first child’s birth and contraceptive use among men in Uganda [version 1; peer review: 1 approved with reservations, 1 not approved]
    (Gates Open Research, 2019) Nsobya, Henry; Kabagenyi, Allen; Rusatira, Jean Christophe
    Globally, research on age at first child’s birth among men has been neglected especially in Africa. Consequently, little is known about its impact on male involvement in reproductive health. This paper examined the socio-demographic, economic and proximate predictors of age at first child’s birth among men aged 15- 54 years in Uganda. Methods: We used the 2016 Uganda Demographic and Health Survey (UDHS) on a sample of 3,206 men aged 15-54 years who had a biological child. The outcome variable was age at first childbirth categorized as: below 17, 18-24 and 25 years and above (25+). Analysis was done using descriptive statistics, un-adjusted and adjusted multinomial regressions with significance level at 95%. Results: Median age at first child’s birth was 22 years (IQR = 20-25). The majority of men (62.4%) had fatherhood onset between 18 and 24 years. Only 5.2% had fatherhood onset at 17 years or earlier, increasing to 32.4% at 25+. Respondents whose first sexual encounter was before 18 years was 44.3% and 92.7% by 24+. Few respondents (44.1%) reported use of any contraceptive methods. Anglican religion (RRR=1.62; CI 1.06 – 2.46) or not having attended school (RRR=2.20; CI 1.02-4.71) were predictors of childbirth onset before 17 years. Age of sex debut at 18 years or higher (RRR= 2.09, CI 1.72 – 2.54) and secondary and above education (RRR = 1.76, CI 1.42-2.18) were predictors of fatherhood onset at 25+. Contraceptive use among men had no association with age at first child’s birth. Conclusion: These findings are important for strategic allocation of resources to curb early onset of fatherhood among adolescent and young men under the age of 25 years. They highlight the need for gender-sensitive interventions targeting men for behavioral change, participation in Sexual and Reproductive Health Rights (SRHR) programming and improved access to services delivery.