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Desire for female sterilization among women wishing to limit births in rural Rakai, Uganda.
- Source :
-
Contraception [Contraception] 2015 Nov; Vol. 92 (5), pp. 482-7. Date of Electronic Publication: 2015 Jul 29. - Publication Year :
- 2015
-
Abstract
- Objective: Uganda has an unmet need for family planning of 34% and a total fertility rate of 6.2. We assessed the desire for female sterilization among sexually active women who wanted to stop childbearing in rural Rakai district, Uganda.<br />Study Design: 7192 sexually active women enrolled in a community cohort between 2002 and 2008 were asked about fertility intentions. Those stating that they did not want another child (limiters) were asked whether they would be willing to accept female sterilization, if available. Trends in desire for sterilization were determined by chi-square test for trend, and Modified Poisson regression was used to estimate prevalence rate ratios and 95% confidence intervals of the associations between desire for sterilization and socio-demographic characteristics and HIV status.<br />Results: From 2002 to 2008, the proportion of limiters dropped (from 47.2% to 43.7%; p<.01). Use of pills and injectables among limiters significantly increased, 38.9% to 50.3% (p<.0001), while use of intrauterine devices and implants declined from 3.3% to 1.7% (p<0.001). The desire for sterilization significantly increased from 54.2% to 63.1% (p<0.0001), and this was consistently higher among the HIV-positive (63.6-70.9%, p<0.01) than HIV-negative women (53.3-61.2%, p<0.0001). Factors significantly associated with the desire for sterilization included higher number of living children (>=3), being HIV-infected and having received HIV counseling and testing.<br />Conclusion: There is latent and growing desire for sterilization in this population. Our findings suggest a need to increase permanent contraception services for women who want to limit childbearing in this setting.<br />Implications: A large unmet need for permanent female contraception services exists in Uganda. Efforts to increase the method mix by increasing permanent contraception services could reduce fertility rates and undesired births.<br /> (Copyright © 2015 Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Adult
Chi-Square Distribution
Cohort Studies
Contraception Behavior statistics & numerical data
Female
HIV Seropositivity psychology
Humans
Middle Aged
Poisson Distribution
Pregnancy
Rural Population
Socioeconomic Factors
Uganda
Young Adult
Attitude to Health
Contraception Behavior psychology
Family Characteristics
Family Planning Services statistics & numerical data
Sterilization, Reproductive psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1879-0518
- Volume :
- 92
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Contraception
- Publication Type :
- Academic Journal
- Accession number :
- 26232377
- Full Text :
- https://doi.org/10.1016/j.contraception.2015.07.012