tailieunhanh - Báo cáo y học: "Family planning among people living with HIV in post-conflict Northern Uganda: A mixed methods study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Family planning among people living with HIV in post-conflict Northern Uganda: A mixed methods study. | Nattabi et al. Conflict and Health 2011 5 18 http content 5 1 18 CONFLICT AND HEALTH RESEARCH Open Access Family planning among people living with HIV in post-conflict Northern Uganda A mixed methods study 34 5 1 Barbara Nattabi 1 Jianghong Li Sandra C Thompson 1 Christopher G Orach and Jaya Earnest Abstract Background Northern Uganda experienced severe civil conflict for over 20 years and is also a region of high HIV prevalence. This study examined knowledge of access to and factors associated with use of family planning services among people living with HIV PLHIV in this region. Methods Between February and May 2009 a total of 476 HIV clinic attendees from three health facilities in Gulu Northern Uganda were interviewed using a structured questionnaire. Semi-structured interviews were conducted with another 26 participants. Factors associated with use of family planning methods were examined using logistic regression methods while qualitative data was analyzed within a social-ecological framework using thematic analysis. Results There was a high level of knowledge about family planning methods among the PLHIV surveyed 96 . However there were a significantly higher proportion of males 52 than females 25 who reported using contraception. Factors significantly associated with the use of contraception were having ever gone to school adjusted odds ratio AOR 95 confidence interval CI p .015 discussion of family planning with a health worker AOR 95 CI p .046 or with one s spouse AOR 95 CI p .000 not attending the Catholic-run clinic AOR 95 CI p .000 and spouses non-desire for children AOR 95 CI p .025 . Qualitative data revealed six major factors influencing contraception use among PLHIV in Gulu including personal and structural barriers to contraceptive use perceptions of family planning decision making covert use of family planning methods and targeting of .