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Contraceptive need and use among individuals with HIV/AIDS living in the slums of Nairobi, Kenya
Author(s) -
Wekesa Eliud,
Coast Ernestina
Publication year - 2015
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2015.05.001
Subject(s) - medicine , psychological intervention , family planning , marital status , fertility , human immunodeficiency virus (hiv) , population , qualitative research , developing country , family medicine , environmental health , research methodology , nursing , sociology , economic growth , social science , economics
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.