Fertility desires, unmet need for family planning, and unwanted pregnancies among HIV-infected women in care in Kinshasa, DR Congo
INTRODUCTION: we assessed the fertility desires, utilization of family planning (FP) methods, and incidence of pregnancies among HIV-infected women receiving care in an HIV clinic with an onsiteFP services in Kinshasa, Democratic Republic of Congo. METHODS: between November 2011 and May 2012, all HI...
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| Format: | Article |
| Language: | English |
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The Pan African Medical Journal
2015-03-01
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| Series: | The Pan African Medical Journal |
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| Online Access: |
https://www.panafrican-med-journal.com/content/article/20/235/pdf/235.pdf
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| _version_ | 1819001985098055680 |
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| author | Marcel Yotebieng Alison Norris Jean Lambert Chalachala Yori Matumona Habib OmariRamadhani Frieda Behets |
| author_facet | Marcel Yotebieng Alison Norris Jean Lambert Chalachala Yori Matumona Habib OmariRamadhani Frieda Behets |
| author_sort | Marcel Yotebieng |
| collection | DOAJ |
| description | INTRODUCTION: we assessed the fertility desires, utilization of family planning (FP) methods, and incidence of pregnancies among HIV-infected women receiving care in an HIV clinic with an onsiteFP services in Kinshasa, Democratic Republic of Congo. METHODS: between November 2011 and May 2012, all HIV-infected women who attended a routine visit at the clinicwere interviewed about their fertility desires and utilization of contraceptive methods using a structured questionnaire. Routine follow-up visit data were used to identify pregnancies recorded between the interview and June 2013. RESULTS: overall, of the 699 HIV-infected women interviewed. 249 (35.7%) reported not wanting another child. Of the 499 (72.2%) participants who were sexually active at the time of interview, 177 (35.5%) were using an effective contraceptive method, including 70 (14.0%) women who reported using condoms consistently and 104 (20.8%) who were using injectable contraception. Overall, 88 (17.6%) sexually active participants who did not want another child were not using an effective FP method, and thus are considered to have had unmet need. During the median follow-up time of 22.2 (IQR: 20.2, 23.6) months, among all women interviewed, 96 (14.1%) became newly pregnant [pregnancy rate9.3 (95%CI: 7.6, 11.4) per 100 women-years) including 21 (8.7%) among women who initially reported not wanting another child [unwanted pregnancy rate 5.8 (95%CI: 3.6, 9.3) per 100 women-years). CONCLUSION: the persistence of relatively high unmet need among women receiving HIV care in a clinic with onsite FP services suggests the existence of barriers that must be identified and addressed. |
| first_indexed | 2024-12-20T22:57:54Z |
| format | Article |
| id | doaj.art-8e6d12678bcc4510beaedf47eb5eaf00 |
| institution | Directory Open Access Journal |
| issn | 1937-8688 1937-8688 |
| language | English |
| last_indexed | 2024-12-20T22:57:54Z |
| publishDate | 2015-03-01 |
| publisher | The Pan African Medical Journal |
| record_format | Article |
| series | The Pan African Medical Journal |
| spelling | doaj.art-8e6d12678bcc4510beaedf47eb5eaf002022-12-21T19:24:05ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882015-03-012023510.11604/pamj.2015.20.235.58595859Fertility desires, unmet need for family planning, and unwanted pregnancies among HIV-infected women in care in Kinshasa, DR CongoMarcel Yotebieng0Alison Norris1Jean Lambert Chalachala2Yori Matumona3Habib OmariRamadhani4Frieda Behets5 Ohio State University, College of Public Health, Division of Epidemiology, Columbus, OH Ohio State University, College of Public Health, Division of Epidemiology, Columbus, OH University of Kinshasa, School of Public Health, Kinshasa, DR Congo University of Kinshasa, School of Public Health, Kinshasa, DR Congo University of North Carolina at Chapel Hill, Department of Epidemiology, Chapel Hill, NC University of North Carolina at Chapel Hill, School of Medicine, Chapel Hill, NC INTRODUCTION: we assessed the fertility desires, utilization of family planning (FP) methods, and incidence of pregnancies among HIV-infected women receiving care in an HIV clinic with an onsiteFP services in Kinshasa, Democratic Republic of Congo. METHODS: between November 2011 and May 2012, all HIV-infected women who attended a routine visit at the clinicwere interviewed about their fertility desires and utilization of contraceptive methods using a structured questionnaire. Routine follow-up visit data were used to identify pregnancies recorded between the interview and June 2013. RESULTS: overall, of the 699 HIV-infected women interviewed. 249 (35.7%) reported not wanting another child. Of the 499 (72.2%) participants who were sexually active at the time of interview, 177 (35.5%) were using an effective contraceptive method, including 70 (14.0%) women who reported using condoms consistently and 104 (20.8%) who were using injectable contraception. Overall, 88 (17.6%) sexually active participants who did not want another child were not using an effective FP method, and thus are considered to have had unmet need. During the median follow-up time of 22.2 (IQR: 20.2, 23.6) months, among all women interviewed, 96 (14.1%) became newly pregnant [pregnancy rate9.3 (95%CI: 7.6, 11.4) per 100 women-years) including 21 (8.7%) among women who initially reported not wanting another child [unwanted pregnancy rate 5.8 (95%CI: 3.6, 9.3) per 100 women-years). CONCLUSION: the persistence of relatively high unmet need among women receiving HIV care in a clinic with onsite FP services suggests the existence of barriers that must be identified and addressed. https://www.panafrican-med-journal.com/content/article/20/235/pdf/235.pdf hivunwanted pregnancyfamily planningcontraceptivesdr congo |
| spellingShingle | Marcel Yotebieng Alison Norris Jean Lambert Chalachala Yori Matumona Habib OmariRamadhani Frieda Behets Fertility desires, unmet need for family planning, and unwanted pregnancies among HIV-infected women in care in Kinshasa, DR Congo The Pan African Medical Journal hiv unwanted pregnancy family planning contraceptives dr congo |
| title | Fertility desires, unmet need for family planning, and unwanted pregnancies among HIV-infected women in care in Kinshasa, DR Congo |
| title_full | Fertility desires, unmet need for family planning, and unwanted pregnancies among HIV-infected women in care in Kinshasa, DR Congo |
| title_fullStr | Fertility desires, unmet need for family planning, and unwanted pregnancies among HIV-infected women in care in Kinshasa, DR Congo |
| title_full_unstemmed | Fertility desires, unmet need for family planning, and unwanted pregnancies among HIV-infected women in care in Kinshasa, DR Congo |
| title_short | Fertility desires, unmet need for family planning, and unwanted pregnancies among HIV-infected women in care in Kinshasa, DR Congo |
| title_sort | fertility desires unmet need for family planning and unwanted pregnancies among hiv infected women in care in kinshasa dr congo |
| topic | hiv unwanted pregnancy family planning contraceptives dr congo |
| url |
https://www.panafrican-med-journal.com/content/article/20/235/pdf/235.pdf
|
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