Acayo Judith P, Oryema Simon Peter, Edilu Robert, Ochola Henry, Ojara Sande, Pebolo Pebalo Francis, Bongomin Felix, Otim Raymond, Akello Harriet, Ochola Emmanuel
St. Mary's Hospital Lacor, Juba Road, P.O. Box 180, Gulu, Uganda.
Makerere University College of Health Science, Kampala, Uganda.
Ther Adv Reprod Health. 2025 Jul 3;19:26334941251338139. doi: 10.1177/26334941251338139. eCollection 2025 Jan-Dec.
Preventing unintended pregnancies among reproductive-aged women with HIV (WWH) is crucial in combating mother-to-child transmission (MTCT) of HIV. We assessed the utilization of modern contraceptives and related factors among WWH attending the antiretroviral therapy (ART) clinic at a faith-based tertiary hospital in northern Uganda.
To determine the proportion of and factors associated with the utilization of modern contraceptives among WWH of reproductive age attending the ART clinic in St. Mary's Hospital Lacor.
This cross-sectional study was conducted at the HIV clinic within St. Mary's Hospital Lacor, from February to May 2023.
Between February and May 2023, we conducted a cross-sectional study among randomly selected WWH of reproductive age attending the ART clinic at a faith-based health facility, St. Mary's Hospital Lacor in Gulu city, northern Uganda. Quantitative data were collected using semi-structured questionnaires and analyzed using STATA version 16. Factors associated with the utilization of modern contraceptives were assessed using multivariable logistic regression. < 0.05 was considered statistically significant.
Of the 385 enrolled participants, 94 (24.4%) reported current modern contraceptive use, and 58 (15.1%) were using natural methods. Being referred to another facility to access modern contraceptives (adjusted odds ratio (aOR): 2.60, 95% confidence interval (CI): 1.31-5.17, < 0.01), prior use of modern contraceptive (aOR: 32.47, 95% CI: 3.56-300.94, < 0.01), and age (aOR: 0.92, 95% CI: 0.87-0.98, < 0.01) were all statistically associated with uptake of modern contraceptives.
Only about one in every four WWH was currently using modern methods of contraceptives. There is a need to provide regular counseling to WWH on modern contraceptive methods to create awareness of the vital connection between modern contraceptive use and MTCT, as well as strengthen referral of clients opting to use modern contraceptives to facilities providing these services.
预防感染艾滋病毒的育龄妇女（WWH）意外怀孕对于抗击艾滋病毒母婴传播（MTCT）至关重要。我们评估了乌干达北部一家基于信仰的三级医院接受抗逆转录病毒治疗（ART）门诊的WWH对现代避孕方法的使用情况及相关因素。
确定在圣玛丽医院拉科尔接受抗逆转录病毒治疗门诊的育龄WWH中使用现代避孕方法的比例及相关因素。
这项横断面研究于2023年2月至5月在圣玛丽医院拉科尔的艾滋病毒门诊进行。
2023年2月至5月期间，我们对乌干达北部古卢市一家基于信仰的医疗机构圣玛丽医院拉科尔接受抗逆转录病毒治疗门诊的随机选择的育龄WWH进行了横断面研究。使用半结构化问卷收集定量数据，并使用STATA 16版进行分析。使用多变量逻辑回归评估与现代避孕方法使用相关的因素。P < 0.05被认为具有统计学意义。
在385名登记参与者中，94人（24.4%）报告目前正在使用现代避孕方法，58人（15.1%）使用自然避孕方法。被转诊到另一家机构获取现代避孕方法（调整后的优势比（aOR）：2.60，95%置信区间（CI）：1.31 - 5.17，P < 0.01）、以前使用过现代避孕方法（aOR：32.47，95% CI：3.56 - 300.94，P < 0.01）和年龄（aOR：0.92，95% CI：0.87 - 0.98，P < 0.01）均与现代避孕方法的使用在统计学上相关。
目前每四名WWH中只有约一人使用现代避孕方法。有必要就现代避孕方法定期为WWH提供咨询，以提高对现代避孕方法使用与母婴传播之间重要联系的认识，并加强将选择使用现代避孕方法的客户转诊到提供这些服务的机构。
