Missed opportunities for family planning counselling among HIV-positive women receiving HIV Care in Uganda

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dc.contributor.authorNabirye, Juliet
dc.contributor.authorMatovu, Joseph K. B.
dc.contributor.authorBwanika, John B.
dc.contributor.authorMakumbi, Fredrick
dc.contributor.authorWanyenze, Rhoda K.
dc.date.accessioned2022-02-15T13:22:50Z
dc.date.available2022-02-15T13:22:50Z
dc.date.issued2020
dc.description.abstractHIV-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).en_US
dc.identifier.citationNabirye, 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/s12905-020-00942-6en_US
dc.identifier.urihttps://doi.org/10.1186/s12905-020-00942-6
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2150
dc.language.isoenen_US
dc.publisherBMC Women's Healthen_US
dc.subjectContraceptivesen_US
dc.subjectFamily planning counsellingen_US
dc.subjectHIV positive womenen_US
dc.subjectPostnatalen_US
dc.subjectAntenatal careen_US
dc.subjectDeliveryen_US
dc.titleMissed opportunities for family planning counselling among HIV-positive women receiving HIV Care in Ugandaen_US
dc.typeArticleen_US
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