Browsing by Author "Sseninde, Julius"

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    Analysis of the Prevalence of the Preferred Methods of Contraception During the COVID 19 Lockdown in Uganda: A Multinomial Logistic Regression Study
    (A Multinomial Logistic Regression Study, 2021) Sseninde, Julius; Kabagenyi, Allen; Kyadondo, Betty; Nyachwo, Evelyne; Kiragga, Agnes; Wasswa, Ronald
    In 2020 limitations to family planning information, access and utilization were exacerbated by the COVID-19 pandemic and lockdown, globally incapacitating various channels to family planning information, access and, utilization. This study sought to analyze the prevalence of the preferred methods of contraception during the COVID 19 lockdown in Uganda using multinomial logistic regression. Method Data were analyzed using univariate, bivariate, logistic, and multinomial logistic regression models from the post-intervention telehealth cross-sectional survey. Results Out of the 244 women surveyed, more than three quarters (80%) used their preferred methods of family planning, while almost half of the participants (46%) used the Short-Acting Methods as a preferred method of Family planning. The logistic regression showed that older-aged participants, fear of security personnel, and fear that my spouse will know that the partner is using family planning as their biggest challenge plus participants who agreed that they won’t continue using family planning after the lockdown were less likely to use the preferred method of family planning. However, participants whose biggest challenge to accessing family planning information, and utilization was lack of money, those who received an extremely adequate number of messages during the intervention, and those who were already using family planning before the intervention were more likely to use their preferred method of family planning. From the multinomial model, participants whose biggest challenges in accessing family planning services during the lockdown were fear of unwanted pregnancy, and fear if implant expires in her body were relatively more likely to use Long-term Acting Reversible Contraceptives than Short-Acting Contraceptives as their preferred method of Family Planning. While participants who were relatively less likely to use LARC compared to SAC were those already using family planning before the start of the intervention. Conclusions We recommend prioritizing family planning information, access and utilization as one of the essential services during the lockdown, with more emphasis on an intervention that addresses age-specific needs and partner privacy issues. Addressing the use of LARC among women who are already using contraceptives is equally paramount in cases of lockdown and health facility closures
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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.