Wekesa, Eliud and Coast, Ernestina 
ORCID: 0000-0002-8703-307X
(2015)
Contraceptive need and use among individuals with HIV/AIDS living in the slums of Nairobi, Kenya.
International Journal of Gynecology and Obstetrics, 130 (S3).
E31-E36.
ISSN 0020-7292
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Abstract
Objective To understand contraceptive need and use among individuals with HIV/AIDS living in slums. Methods A sequential mixed-methods study was conducted in two slums in Nairobi, Kenya, from November 6th, 2009 to April 18th, 2010. Data were obtained by quantitative survey (n = 513), qualitative in-depth interviews (n = 41), and key informant interviews (n = 14). Results In all, 250 (55.5%) participants used contraceptives. Condoms were the most frequently reported modern method (n = 142; 60.4%), followed by injectables (n = 55; 23.4%) and dual methods (n- = 38; 15.3%). Unmet need was reported by 151 (33.6%) individuals. Factors associated with contraceptive use were education, marital status, number of living children, discussion of contraception with a provider, and social support. Personal, conceptual, and structural barriers to contraceptive use were identified. Conclusions Individuals with HIV/AIDS wished to limit their fertility but experienced high unmet need for contraception. Multi-level interventions, including educational campaigns and integration of HIV and family planning services, are required to overcome barriers.
| Item Type: | Article |
|---|---|
| Official URL: | http://www.sciencedirect.com/science/journal/00207... |
| Additional Information: | © 2015 The Authors |
| Divisions: | Social Policy LSE Health |
| Subjects: | H Social Sciences > HQ The family. Marriage. Woman R Medicine > RG Gynecology and obstetrics |
| Date Deposited: | 22 May 2015 14:36 |
| Last Modified: | 17 Oct 2024 17:17 |
| Projects: | 078471/Z/05/A |
| Funders: | Wellcome Trust, Fred H. Bixby Fellowship |
| URI: | http://eprints.lse.ac.uk/id/eprint/62079 |
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