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Family planning methods among women in a vaginal microbicide feasibility study in rural KwaZulu-Natal, South Africa

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TLDR
Age, marital status, education level and parity were associated with different contraceptive method choices, and contraceptive use increased significantly among women followed longitudinally for 9 months, largely due to increased condom use.
Abstract
This study investigated contraceptive use among women in rural KwaZulu-Natal, South Africa. Of 866 sexually active women not intending pregnancy and screened for a microbicide feasibility study, 466 (54%) reported currently using modern contraceptives: injectables (31%), condoms (12%), sterilization (6%) and pills (4%). Multivariable logistic regression analyses revealed statistically significantly higher odds of current contraceptive use among married vs. engaged/unmarried women (aOR 1.64), multiparous vs. nulliparous (aOR 4.45) and women who completed secondary education or above vs. primary or less (aOR 1.64). Significantly lower odds of use were observed among women aged 40+ vs. age 15-19 (aOR 0.38). Age, marital status, education level and parity were associated with different contraceptive method choices. Among 195 women followed longitudinally for 9 months, contraceptive use increased significantly from 56% to 70%, largely due to increased condom use (15% to 28%). Results highlight the importance of integrating family planning and HIV/STI prevention counseling and informing promotion of further contraceptive uptake among women not intending pregnancy. (Afr J Reprod Health 2008; 12[2]:45-63) RESUME

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Journal ArticleDOI

Attitudes toward family planning among HIV-positive pregnant women enrolled in a prevention of mother-to-child transmission study in Kisumu, Kenya.

TL;DR: A significant gap exists between future FP intentions and current FP practices, and integration of individual and couple FP services into routine HIV care, treatment and support services is needed in order to avoid unintended pregnancies and to prevent mother-to-child HIV transmission.
Journal ArticleDOI

Factors associated with contraceptive use and intention to use contraceptives among married women in Ethiopia.

TL;DR: It is indicated that improving education, providing employment opportunities for women, and providing training to family planning providers are essential to increasing contraceptive use.
Journal ArticleDOI

Socio-Demographic Determinants of Condom Use Among Sexually Active Young Adults in Rural KwaZulu-Natal, South Africa

TL;DR: In this article, the authors investigated patterns, levels and socio-demographic determinants of condom use and consistency of use among young adults aged 15-24 years in rural KwaZulu- Natal.
References
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Journal ArticleDOI

High uptake of postpartum hormonal contraception among HIV-1-seropositive women in Kenya.

TL;DR: In this paper, the authors used a perinatal HIV-1 transmission study to determine patterns of contraceptive utilization among sexually active HIV 1-seropositive women postpartum and identify correlates of hormonal contraception uptake.

Why family planning matters.

Upadhyay Ud, +1 more
TL;DR: The importance of advocacy for the improvement of the family planning programs in developing countries is presented and the benefits include saving the lives of women and children; offering women more choices; and encouraging adoption of safer sexual behavior.
Journal ArticleDOI

Dual method use in South Africa.

TL;DR: Dual method use is featured in South Africa’s new reproductive health policies as an important means of family planning as well as of prevention of infection with HIV and other sexually transmitted infections.
Journal ArticleDOI

Dual protection against sexually transmitted infections and pregnancy in South Africa.

TL;DR: The predominance of hormonal contraceptive use in South Africa means that increasing barrier method use among hormonal contraceptive users is an important strategy for increasing dual protection.
Journal ArticleDOI

Prevalence and determinants of current contraceptive method use in a palm oil company in Cameroon

TL;DR: The level of knowledge about family planning and the prevalence of contraceptive use was significantly higher for women living in industrial environments (such as SOCAPALM), than in the overall population of women in Cameroon, where the economic power of the woman, the presence of a strong social reproductive health network and the positive attitude of men and community leaders were the most important factors affecting the family planning decision of the women.
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