Analysis of the Prevalence of the Preferred Methods of Contraception During the COVID 19 Lockdown in Uganda: A Multinomial Logistic Regression Study
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Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
A Multinomial Logistic Regression Study
Abstract
In 2020 limitations to family planning information, access and utilization were exacerbated by the COVID-19
pandemic and lockdown, globally incapacitating various channels to family planning information, access and,
utilization. This study sought to analyze the prevalence of the preferred methods of contraception during the
COVID 19 lockdown in Uganda using multinomial logistic regression.
Method
Data were analyzed using univariate, bivariate, logistic, and multinomial logistic regression models from the
post-intervention telehealth cross-sectional survey.
Results
Out of the 244 women surveyed, more than three quarters (80%) used their preferred methods of family
planning, while almost half of the participants (46%) used the Short-Acting Methods as a preferred method
of Family planning. The logistic regression showed that older-aged participants, fear of security personnel,
and fear that my spouse will know that the partner is using family planning as their biggest challenge plus
participants who agreed that they won’t continue using family planning after the lockdown were less likely to
use the preferred method of family planning. However, participants whose biggest challenge to accessing
family planning information, and utilization was lack of money, those who received an extremely adequate
number of messages during the intervention, and those who were already using family planning before the
intervention were more likely to use their preferred method of family planning.
From the multinomial model, participants whose biggest challenges in accessing family planning services
during the lockdown were fear of unwanted pregnancy, and fear if implant expires in her body were relatively
more likely to use Long-term Acting Reversible Contraceptives than Short-Acting Contraceptives as their
preferred method of Family Planning. While participants who were relatively less likely to use LARC compared
to SAC were those already using family planning before the start of the intervention.
Conclusions
We recommend prioritizing family planning information, access and utilization as one of the essential services
during the lockdown, with more emphasis on an intervention that addresses age-specific needs and partner
privacy issues. Addressing the use of LARC among women who are already using contraceptives is equally
paramount in cases of lockdown and health facility closures
Description
Keywords
COVID-19, Lockdown, Contraception, Uganda
Citation
Sseninde, J., Kabagenyi, A., Kyadondo, B., Nyachwo, E., Kiragga, A., & Wasswa, R. (2021). Analysis of the Prevalence of the Preferred Methods of Contraception During the COVID 19 Lockdown in Uganda: A Multinomial Logistic Regression Study. https://doi.org/10.21203/rs.3.rs-635015/v1