Maruwo George Baxton, Ng'ambi Wingston Felix, Muula Adamson Sinjani, Zonda Khumbo, Kachale Fannie
Management Sciences for Health, Lilongwe, Malawi.
Department of Public Health, College of Medicine, Kamuzu University of Health Sciences, Blantyre, Malawi.
Front Reprod Health. 2022 Sep 20;4:949458. doi: 10.3389/frph.2022.949458. eCollection 2022.
Evidence suggests that Malawi continues to register substantial progress on key Family Planning (FP) indicators. However, FP adoption is still low among married youth (15-24 years old), only 38% of married girls use modern contraceptive methods coupled with high-unmet needs (22%) in the same age group.
Identifying factors associated with long-acting (LARC) and short-acting (SARC) reversible contraceptive use among 10-24-years-old youth in Lilongwe, Malawi.
A retrospective study using secondary data from 64 youth outreach clinic sites in the Lilongwe district. A quantitative approach using secondary data that was analyzed in STATA version 14 was used. A sample of 14,954 youth who accessed FP and Reproductive Health (RH) services during youth outreach clinics were included in the study.
SARC uptake was higher than LARC ( < 0.01). Of the youths who accessed FP methods, LARC uptake was 25% ( = 3,735). Variations were noted in the uptake of LARC, especially on age, education level, client status occupation, and marital status. Factors associated with LARC uptake varied; new clients were almost twice likely to use LARC (AOR = 1.87, CI: 1.59-2.19, < 0.01) while youth aged 20-24, the single, and student youth were less likely to use LARC. Compared to young women with formal occupations, students were less likely to use LARC (AOR = 0.30, CI: 0.158-0.58, < 0.01). Related to the number of living children, youths with a living child were likely to use LARC (AOR = 6.40, CI: 3.91-10.48, < 0.01).
This study showed that LARC uptake in youth outreach clinics in Lilongwe is low, though increasing over time. In addition to this, this study shows that SARC uptake is high among youth compared to LARC. Furthermore, LARC uptake varied by age education, client status (new, existing, and unknown client), occupation, number of living children, and marital status, and there were variations in LARC uptake by the clinic. Current outreach services reach youth with LARC services, but gaps exist for underserved youths.
有证据表明，马拉维在关键的计划生育（FP）指标方面持续取得重大进展。然而，已婚青年（15 - 24岁）中计划生育措施的采用率仍然很低，同一年龄组中只有38%的已婚女孩使用现代避孕方法，未满足的需求率较高（22%）。
确定马拉维利隆圭10 - 24岁青年中与长效（LARC）和短效（SARC）可逆避孕方法使用相关的因素。
一项回顾性研究，使用来自利隆圭区64个青年外展诊所的二手数据。采用在STATA 14版本中分析二手数据的定量方法。研究纳入了14954名在青年外展诊所期间获得计划生育和生殖健康（RH）服务的青年样本。
短效避孕方法的采用率高于长效避孕方法（<0.01）。在采用计划生育方法的青年中，长效避孕方法的采用率为25%（=3735）。在长效避孕方法的采用方面存在差异，特别是在年龄、教育水平、客户身份职业和婚姻状况方面。与长效避孕方法采用相关的因素各不相同；新客户使用长效避孕方法的可能性几乎是原来的两倍（调整后比值比[AOR]=1.87，置信区间[CI]：1.59 - 2.19，<0.01），而20 - 24岁的青年、单身青年和学生青年使用长效避孕方法的可能性较小。与有正式职业的年轻女性相比，学生使用长效避孕方法的可能性较小（AOR = 0.30，CI：0.158 - 0.58，<0.01）。与在世子女数量相关，有在世子女的青年可能使用长效避孕方法（AOR = 6.40，CI：3.91 - 10.48，<0.01）。
本研究表明，利隆圭青年外展诊所中长效避孕方法的采用率较低，不过随着时间推移有所增加。除此之外，本研究表明，与长效避孕方法相比，青年中短效避孕方法的采用率较高。此外，长效避孕方法的采用因年龄、教育程度、客户身份（新客户、现有客户和未知客户）、职业、在世子女数量和婚姻状况而异，并因诊所不同而在长效避孕方法采用方面存在差异。目前的外展服务为青年提供长效避孕方法服务，但在服务不足的青年中仍存在差距。
