Contraception and reproductive medicine最新文献

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Acceptability and utilization of family planning benefits cards by youth in slums in Kampala, Uganda. 乌干达坎帕拉贫民窟青年接受和使用计划生育福利卡的情况。

Contraception and reproductive medicine

Pub Date : 2019-08-05 eCollection Date: 2019-01-01 DOI: 10.1186/s40834-019-0092-2

Afra Nuwasiima, Elly Nuwamanya, Janet U Babigumira, Robinah Nalwanga, Francis T Asiimwe, Joseph B Babigumira

Background: This study was conducted to test the acceptability and utilization of family planning benefits cards (FPBCs) as incentives to increase family planning uptake among youth living in urban slums in Uganda.

Methods: We conducted a one-year pilot study with two sub-studies on acceptability and utilization of FPBCs. The acceptability study utilized a quantitative cross-sectional design and was part of a baseline household survey while the utilization study was a primary analysis of claims and clinic data. We performed descriptive analyses and analyses of the association between different variables using binary logistic regression.

Results: The acceptability study included 280 eligible females. The majority were married (52%), Christian (87%), and aged 20 and above (84%). Acceptability of the program was high (93%). Seventy-two percent of females used the card at least once to access reproductive health services. Twenty-seven percent of female users discontinued family planning and 14% changed family planning methods during the study. Female users of short-term contraceptive methods were 11 times more likely to discontinue use of FPBCs compared to those who used long-term methods (adjusted OR = 10.9, P = 0.011). Participants in professional/managerial employment were 30 times more likely to discontinue compared to the unemployed (adjusted OR = 30.3, P = 0.015). Participants of parity equal to two were 89% less likely to discontinue use of FPBCs compared to those of parity equal to zero (adjusted OR = 0.1, P = 0.019).

Conclusion: Family planning benefits cards, deployed as incentives to increase uptake of family planning, exhibited high acceptability and utilization by youth in urban slums in Uganda. There was evidence that use of short-term contraception methods, professional employment, and lower parity were associated with discontinuation of modern family planning methods after initial enrolment.

Trial registration: MUREC1/7 No. 10/05-17. Registered 19th, July 2017.

背景：本研究旨在测试计划生育福利卡（FPBCs）的可接受性和利用率，作为提高乌干达城市贫民窟青年计划生育率的激励措施。可接受性研究采用了定量横断面设计，是基线家庭调查的一部分，而利用率研究是对索赔和临床数据的主要分析。我们使用二元逻辑回归对不同变量之间的关联进行了描述性分析和分析。结果：可接受性研究包括280名符合条件的女性。大多数人已婚（52%），信奉基督教（87%），年龄在20岁及以上（84%）。该方案的可接受性很高（93%）。72%的女性至少使用过一次该卡来获得生殖健康服务。研究期间，27%的女性用户停止了计划生育，14%的用户改变了计划生育方法。短期避孕方法的女性使用者停止使用FPBC的可能性是长期避孕方法的11倍（调整OR = 10.9，P= 0.011）。与失业者相比，从事专业/管理工作的参与者中断工作的可能性高出30倍（调整OR = 30.3，P= 0.015）。与奇偶性等于零的参与者相比，奇偶性等于2的参与者停止使用FPBC的可能性降低了89%（调整OR = 0.1，P= 0.019）。结论：计划生育福利卡作为提高计划生育率的激励措施，在乌干达城市贫民窟的青年中表现出很高的可接受性和利用率。有证据表明，短期避孕方法的使用、专业就业和较低的生育率与首次登记后停止现代计划生育方法有关。试验注册：MUREC1/7编号10/05-17。2017年7月19日注册。

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引用次数: 7

Factors associated with long acting and permanent contraceptive methods use in Ethiopia 埃塞俄比亚使用长效和永久性避孕方法的相关因素

Contraception and reproductive medicine

Pub Date : 2019-08-01 DOI: 10.1186/s40834-019-0091-3

G. Fekadu, A. Omigbodun, O. Roberts, A. Yalew

引用次数: 16

Prevalence of unintended pregnancy and associated factors among pregnant mothers in Jimma town, southwest Ethiopia: a cross sectional study 埃塞俄比亚西南部吉玛镇孕妇意外怀孕发生率及相关因素:一项横断面研究

Contraception and reproductive medicine

Pub Date : 2019-07-08 DOI: 10.1186/s40834-019-0090-4

G. Beyene

引用次数: 28

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