Boosting Contraceptive Uptake in Urban Uganda: Older Women Benefit When Layering Adolescent and Youth Interventions Onto Existing Family Planning Programming
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Date
2024-05
Journal Title
Journal ISSN
Volume Title
Publisher
Global Health: Science and Practice
Abstract
Introduction: Uganda has a large young population with a high
unmet need for family planning (FP). Although there have been
many efforts to improve access to and uptake of contraception,
improvements have been slow. The Ministry of Health Uganda
partnered with The Challenge Initiative (TCI) to implement a novel
multipronged approach layering adolescent and youth sexual reproductive health (AYSRH) onto a functioning general FP program
for women of reproductive age in 3 local governments of Buikwe,
Mukono, and Iganga. We describe the approach and aim to
determine whether layering AYSRH interventions onto an existing program resulted in increased contraceptive uptake among
adolescents and youth aged 10–24 years and among women
aged 25–49 years.
Methods: We analyzed service statistics from the Uganda Health
Management Information System to assess contraceptive uptake
for adolescents and youth (aged 10–24 years) and older women
(aged 25–49 years) before and after the implementation of the
AYSRH approach in 3 areas (Buikwe, Iganga, and Mukono) compared to 11 areas where only the general FP program was implemented and the Uganda country total.
Results: This analysis showed that before the start of TCI’s support,
levels of contraceptive uptake were similar in all local governments.
However, after implementation, there was an increase in uptake for
general FP program only areas (1.7-point advantage over country
total) and an even greater increase in general FPþAYSRH areas
(2.4-point advantage over FP only programming). This was observed
in both adolescents and youth aged 10–24 years and among women
aged 25–49 years.
Conclusion: The layering of TCI’s AYSRH interventions onto a wellfunctioning FP platform not only increased contraceptive uptake
among adolescents and youth aged 10–24 years but also boosted
uptake among women older than age 25 years.
Description
Keywords
Contraceptive Uptake in Urban Uganda; Older Women Benefit; Youth Interventions; Family Planning Programming
Citation
Bwire, Albert, Denis Joel Sama, Jessica Mirano, et al. 'Boosting Contraceptive Uptake in Urban Uganda: Older Women Benefit when Layering Adolescent and Youth Interventions Onto Existing Family Planning Programming', Global Health Science and Practice, vol. 12/no. Suppl 2, (2024), .