title: Use of HIV-related services and modern contraception among women of reproductive age, Rakai Uganda.
abstract: Voluntary counseling and testing (VCT) and HIV care (HIVC) can be an opportunity for reproductive health messages and services integration. The objective of this study is to assess the association between uptake of HIV-related services and use of modern contraception among reproductive-age women. Data are derived from community cohort data, where HIV+ respondents were referred to the Rakai Health Sciences program's HIVC clinic. Use of modern contraceptive and VCT receipt were by self-report. Multinomial logistic regression was used to estimate relative risk ratios (RRR) of contraception use by HIVC and VCT. Receipt of VCT was significantly associated with higher use of condoms for FP, adj.RRR 1.78 (1.07, 2.95), and other modern contraceptives, adj.RRR = 1.56(1.15, 2.11). Increasing level of HIVC was associated with decreasing level of unmet need for contraception. Use of condoms for family planning is common among HIV-related services attendees. Utilization of other modern contraceptive methods needs to be increased.
authors.affiliation: Makerere University, College of Health Sciences, School of Public Health, Uganda. fmakumbi@musph.ac.ug
authors.forename: Fredrick
authors.initials: F
authors.lastname: Makumbi
authors.forename: Gertrude
authors.initials: G
authors.lastname: Nakigozi
authors.forename: Tom
authors.initials: T
authors.lastname: Lutalo
authors.forename: Joseph
authors.initials: J
authors.lastname: Kagayi
authors.forename: Joseph
authors.initials: J
authors.lastname: Sekasanvu
authors.forename: Absalom
authors.initials: A
authors.lastname: Settuba
authors.forename: David
authors.initials: D
authors.lastname: Serwada
authors.forename: Maria
authors.initials: M
authors.lastname: Wawer
authors.forename: Ronald
authors.initials: R
authors.lastname: Gray
mesh_terms: D000293:Adolescent; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data; D003267:Contraception / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011795:Surveys and Questionnaires; D014454:Uganda / Q000453:epidemiology; D016387:Women's Health