乌干达卢韦罗医院人类免疫缺陷病毒感染者利用现代计划生育服务的影响因素。
Factors influencing utilization of modern family planning services by persons living with Human Immunodeficiency Virus at Luwero Hospital, Uganda.
机构信息
Lecturer, Uganda Martyrs University, Faculty of Health Sciences, Kampala, Uganda.
MPH Specialist, Kampala University, Department of Public Health, Kampala, Uganda.
出版信息
Afr Health Sci. 2022 Sep;22(3):463-476. doi: 10.4314/ahs.v22i3.50.
INTRODUCTION
The use of modern family planning methods is key for achieving the prevention of unintended pregnancies among women living with HIV, in the prevention of Mother-to-child transmission (PMTCT) package. The purpose of this study was to examine the factors influencing the utilization of modern family planning services by persons living with HIV at Luwero Hospital, Uganda.
METHODS
The study was conducted among 210 persons living with HIV attending the ART clinic and was based on cross-sectional descriptive and analytical design. Sampling was by simple random techniques. Data was collected using researcher-administered questionnaires.
RESULTS
The uptake of Modern FP services is low (36.7%) among persons living with HIV. It was attributed to client-related factors such as being married [AOR: 2.2, 95% CI [1.123-4.140], p = 0.038]) and other factors. These are; religious views discouraging use of modern FP (p= 0.034), negative side effects (AOR: 1.8, 95% CI [0.043-1.968], p = 0.044) and services being unfriendly for persons living with HIV (p=0.000]).
CONCLUSIONS
Despite the presence of modern family planning services, uptake among persons living with HIV is low. Poor utilization is a recipe for unintended pregnancy and thus jeopardizes efforts in the elimination of mother-to-child transmission of HIV.
简介
在预防母婴传播（PMTCT）方案中，艾滋病毒感染者使用现代计划生育方法是预防意外怀孕的关键。本研究旨在探讨乌干达卢韦罗医院艾滋病毒感染者利用现代计划生育服务的影响因素。
方法
该研究在 210 名接受抗逆转录病毒治疗（ART）门诊的艾滋病毒感染者中进行，采用横断面描述性和分析性设计。采用简单随机技术进行抽样。使用研究人员管理的问卷收集数据。
结果
艾滋病毒感染者中现代 FP 服务的使用率较低（36.7%）。这归因于与患者相关的因素，如已婚[优势比（AOR）：2.2，95%置信区间（CI）[1.123-4.140]，p = 0.038]和其他因素。这些因素包括：宗教观点反对使用现代 FP（p = 0.034）、副作用（AOR：1.8，95%CI [0.043-1.968]，p = 0.044）和对艾滋病毒感染者不友好的服务（p = 0.000）。
结论
尽管存在现代计划生育服务，但艾滋病毒感染者的使用率仍然很低。利用率低是意外怀孕的根源，从而危及消除艾滋病毒母婴传播的努力。
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