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Contraceptive need and use among individuals with HIV/AIDS living in the slums of Nairobi, Kenya

Wekesa, Eliud and Coast, Ernestina (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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Identification Number: 10.1016/j.ijgo.2015.05.001

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
Sets: Departments > Social Policy
Research centres and groups > LSE Health
Date Deposited: 22 May 2015 14:36
Last Modified: 10 Oct 2017 14:49
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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