title: Contraceptive need and use among individuals with HIV/AIDS living in the slums of Nairobi, Kenya.
abstract: 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.
authors.affiliation: Reproductive Health Program, Population Council, Nairobi, Kenya. Electronic address: eliudwekesa@yahoo.co.uk.
authors.forename: Eliud
authors.initials: E
authors.lastname: Wekesa
authors.affiliation: Department of Social Policy, London School of Economics, London, UK.
authors.forename: Ernestina
authors.initials: E
authors.lastname: Coast
mesh_terms: D000293:Adolescent; D000328:Adult; D003267:Contraception / Q000379:methods / Q000523:psychology / Q000706:statistics & numerical data*; D003268:Contraception Behavior / Q000523:psychology / Q000706:statistics & numerical data*; D004522:Educational Status; D005190:Family; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D007630:Kenya; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D011204:Poverty Areas; D012944:Social Support; D055815:Young Adult
keywords: Contraception; Family planning; HIV/AIDS; Kenya; Slums; Unmet need