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    Improved contraceptive use among women and men in Uganda between 1995-2016: A repeated cross-sectional population study. (2019)

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    Type of Content
    Journal Article
    UC Permalink
    https://hdl.handle.net/10092/18309
    
    Publisher's DOI/URI
    https://doi.org/10.1371/journal.pone.0219963
    
    Publisher
    Public Library of Science (PLoS)
    ISSN
    1932-6203
    1932-6203
    Language
    English
    Collections
    • Health: Journal Articles [177]
    Authors
    Namasivayam A
    Lovell S
    Namutamba S
    Schluter PJ
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    Abstract

    BACKGROUND: Research on contraceptive behaviour changes over time in Uganda is scarce, yet it has among the highest fertility and maternal mortality rates of any country in the East African region. Understanding temporal patterns of contraceptive use for both women and men is vital in evaluating the effectiveness of family planning interventions and strategies, and identifying those with the most unmet need. Using repeated nationally representative cross-sectional samples, this study charts the changes in Uganda's population-based contraceptive use over recent years.

    METHODS: Five Demographic and Health Survey datasets for Uganda over 21 years, from 1995 to 2016, were sourced and interrogated. Eligible participants included all women aged 15-49 years and men aged 15-54 years. Responses to questions on modern and any (modern or traditional) contraceptive use were analysed. Stratified by gender, weighted regression analyses were employed to detect change over time. The patterns associated with key demographic variables were also investigated.

    RESULTS: Overall, 50,027 women and 14,092 men were included within the study. In 2016, 30.3% of women and 39.9% of men were using any contraceptive method, a significant non-linear increase from 13.4% of women and 20.3% of men in 1995. Furthermore, 27.3% of women and 35.9% of men were using modern contraceptive methods in 2016, an increase from 7.4% of women and 10.4% of men in 1995. All considered demographic variables were significantly associated with contraceptive use for both women and men (all P<0.001); and for women, all variables differentially changed over time (all P<0.001). CONCLUSION:This study showed a significant increase and dynamism across key demographic variables in contraceptive uptake by both women and men. Sustained family planning programs and interventions have successfully resulted in behaviour change across the Ugandan population. However, continued efforts are needed to further reduce Uganda's relatively high fertility and associated maternal mortality rates.

    Citation
    Namasivayam A, Lovell S, Namutamba S, Schluter PJ (2019). Improved contraceptive use among women and men in Uganda between 1995-2016: A repeated cross-sectional population study.. PloS one. 14(7).
    This citation is automatically generated and may be unreliable. Use as a guide only.
    ANZSRC Fields of Research
    42 - Health sciences::4203 - Health services and systems::420303 - Family care
    42 - Health sciences::4203 - Health services and systems::420305 - Health and community services

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