Missed opportunities for family planning counselling among HIV-positive women receiving HIV Care in Uganda
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Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
BMC Women's Health
Abstract
HIV-positive women who are still in the reproductive years need adequate sexual and reproductive
health information to make informed reproductive health choices. However, many HIV-positive women who
interface with the health system continue to miss out on this information. We sought to: a) determine the
proportion of HIV-positive women enrolled in HIV care who missed family planning (FP) counselling; and b) assess if
any association existed between receipt of FP counselling and current use of modern contraception to inform
programming.
Methods: Data were drawn from a quantitative national cross-sectional survey of 5198 HIV-positive women
receiving HIV care at 245 HIV clinics in Uganda; conducted between August and November 2016. Family planning
counselling was defined as provision of FP information (i.e. available FP methods and choices) to an HIV-positive
woman by a health provider during ANC, at the time of delivery or at the PNC visit. Analyses on receipt of FP
counselling were done on 2760 HIV-positive women aged 15–49 years who were not currently pregnant and did
not intend to have children in the future. We used a modified Poisson regression model to determine the
Prevalence Ratio (PR) as a measure of association between receipt of any FP counselling and current use of modern
contraception, controlling for potential confounders. Analyses were performed using STATA statistical software,
version 14.1.
Results: Overall, 2104 (76.2%) HIV-positive women reported that they received FP counselling at any of the three
critical time-points. Of the 24% (n = 656) who did not, 37.9% missed FP counselling at ANC; 41% missed FP
counselling during delivery; while 54% missed FP counselling at the post-natal care visit. HIV-positive women who
received any FP counselling were significantly more likely to report current use of modern contraception than
those who did not (adjusted PR [adj. PR] = 1.21; 95% Confidence Interval [CI]: 1.10, 1.33).
Description
Keywords
Contraceptives, Family planning counselling, HIV positive women, Postnatal, Antenatal care, Delivery
Citation
Nabirye, J., Matovu, J. K., Bwanika, J. B., Makumbi, F., & Wanyenze, R. K. (2020). Missed opportunities for family planning counselling among HIV-positive women receiving HIV Care in Uganda. BMC Women's Health, 20(1), 1-12.https://doi.org/10.1186/s12905-020-00942-6