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Overcoming Barriers to Contraceptive Uptake among Adolescents: The Case of Kiambu County, Kenya

Journal of Biosciences and Medicines 2016年第9期4卷 1-10页

作者： Mary Murigi Dennis Butto Sammy Barasa Evah Maina Bonnie Munyalo School of Health Sciences Kirinyaga University College Kerugoya Kenya Kenya Medical Training College Chuka Campus Chuka Kenya Department of Medical Services Kirinyaga University College Kerugoya Kenya AMFREF Health Africa Nairobi Kenya

Despite high sexual activity among adolescent girls in Kenya, contraceptive uptake is very low with only about 26 percent sexually active adolescent girls currently using a contraceptive method. This exposes them to HIV infections and unplanned pregnancies which consequently lead to school dropouts, unsafe abortions, and lack of employment opportunities. This cross-sectional study aimed at assessing the utilization of contraceptives among secondary school adolescent girls in Karuri Town Council, Kiambu County. Overall, 421 girls aged between 13.0 to 19.0 years took part in the study. Findings showed that despite majority (77.5%) of the adolescent girls having had sexual debut by the age of 15 years, contraceptive utilization was very low at 43%. The results revealed that age of the adolescent, knowledge of contraceptives options, perception and accessibility of the contraceptives had positive significant effect on contraceptive utilization. Adolescents aged 18 years and above were more likely to utilize contraceptives as compared to those of a lesser age (p ≤ 0.001;OR: 9.870 (95% CI: 3.781 - 25.763)). Those with knowledge on contraceptives were OR 3.2 times more likely to use contraceptives (p = 0.025), similarly, accessibility was significantly associated with increased contraceptive utilization (p = 0.34, 95% CI: 1.054 - 4.187). Adolescents who perceived use of contraceptives as wise were more likely to use a contraceptive than those of a divergent opinion (OR: 2.053 (95% CI: 1.024 - 4.115), p = 0.041). This revealed that high level of knowledge on contraceptives did not always amount to practice. There is therefore a need to develop age specific reproductive health messages to guide school education curriculum as well as parent or guardian-child communication.

关键词： Adolescents Contraceptive Prevalence Rate sexual debut

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Prevalence and Factors Associated with HIV Infection among Teenage Mothers Delivered at Mulago Hospital—A Cross-Sectional Study

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Open Journal of Obstetrics and Gynecology 2022年第7期12卷 661-670页

作者： Aniku Dan Elly Sekikubo Musa Baragaine Justus Kafunjo Department of Obstetrics and Gynecology Makerere College of Health Sciences Makerere University Kampala Uganda

Background: HIV infection during pregnancy is still a grave problem, especially in developing countries;this is especially true for teenage pregnancy. We here attempted to determine the prevalence of HIV among teenage mothers and the factors associated with acquiring HIV infection amongst them. Methods: A cross-sectional study was conducted at a tertiary institute in Uganda from November 2016 to January 2017. We interviewed a total of 395 teenage pregnant women. Bivariate and multivariate analyses were made, with the results presented by odds ratios (OR) with a 95% confidence interval (CI). Results: Of 395, 34 (8.6%) were HIV positive. Of the 34, ten were born when infected and 4 had HIV following defilement. All the mothers were on anti-HIV treatment at the time of the study. The factors associated with HIV infection were: age (AOR = 2.8, CI = 1.50 - 5.33), age at sexual debut (0.6, 0.43 - 0.94), the age difference between couples (1.1, 1.02 - 1.18), and living in a polygamous relationship (10, 2.56 - 17.85). Conclusion: High percentage of teenage pregnant women showed HIV positive. Age of the mother, age at sexual debut, the age difference between the couple, and living in a polygamous relationship was associated with HIV infection in this fraction.

关键词： Teenage Pregnancy’ sexual debut Vertical Transmission

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