Missed opportunities for family planning counselling among HIV-positive women receiving HIV Care in Uganda
Loading...
Date
2020
Authors
Nabirye, Juliet
Matovu, Joseph K. B.
Bwanika, John B.
Makumbi, Fredrick
Wanyenze, Rhoda K.
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