Boosting Contraceptive Uptake in Urban Uganda: Older Women Benefit When Layering Adolescent and Youth Interventions Onto Existing Family Planning Programming

dc.contributor.authorBwire, Albert
dc.contributor.authorSama, Denis Joel
dc.contributor.authorMirano, Jessica
dc.contributor.authorNyachae, Paul
dc.contributor.authorOwino, Kenneth
dc.contributor.authorNabukeera, Josephine
dc.contributor.authorTumuhairwe, Juliet
dc.contributor.authorMalik, Maheen
dc.contributor.authorSalas, Ian
dc.contributor.authorMitchell, Vanessa
dc.contributor.authorBose, Krishna
dc.date.accessioned2024-05-28T09:03:30Z
dc.date.available2024-05-28T09:03:30Z
dc.date.issued2024-05
dc.description.abstractIntroduction: 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.en_US
dc.identifier.citationBwire, 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), .en_US
dc.identifier.issnEISSN 2169-575X
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/9545
dc.language.isoenen_US
dc.publisherGlobal Health: Science and Practiceen_US
dc.subjectContraceptive Uptake in Urban Uganda; Older Women Benefit; Youth Interventions; Family Planning Programmingen_US
dc.titleBoosting Contraceptive Uptake in Urban Uganda: Older Women Benefit When Layering Adolescent and Youth Interventions Onto Existing Family Planning Programmingen_US
dc.typeArticleen_US
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