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Geospatial distribution of family planning services in Kira Municipality, Wakiso District, Uganda
Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa. School of Pharmacy, Waterloo University, Waterloo, ON, Canada; Department of Health Policy, Planning and Management, Makerere University School of Public Health, New Mulago Hospital Complex, Kampala, Uganda.ORCID-id: 0000-0001-6833-7601
Department of Disease Control and Environmental Health, Makerere University School of Public Health, New Mulago Hospital Complex, Kampala, Uganda.
Department of Nutrition Kinshasa School of Public Health, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Division of Social Development, Intergovernmental Authority on Development, Kampala, Uganda.
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2020 (Engelska)Ingår i: Epidemiologic Methods, ISSN 2194-9263, E-ISSN 2161-962X, Vol. 1, artikel-id 599774Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Introduction: Access to family planning (FP) services remains a challenge, particularly in informal urban settlements. The unmet need for FP in these settings is high, with a correspondingly high prevalence of unintended pregnancies that may lead to unsafe abortions. However, there is a paucity of quality data on the distribution of FP services in such settings in Uganda. This paper described the geospatial distribution of FP services in Kira Municipality, Wakiso District, Uganda.

Methods: This was a cross-sectional study in which we determined the availability and distribution of FP services in Kira Municipality. Community mapping and analysis were conducted using ArcGIS (version 10.1) and ArcGIS Online. Stata version 13.1 was used for data analysis. Chi-square test was used to compare the contraceptive provision and availability among facilities from informal and formal settlements.

Results: Of the 176 healthcare facilities surveyed, only 42% (n = 74) offered contraceptives in informal settlements. The majority of the facilities were privately owned small clinics (95%). At least 80% of the facilities provided three or more modern contraceptive methods, with no difference (p = 0.107) between facilities in informal and formal settlements. Only 30.7% (p = 0.001) of the facilities provided at least one long-acting contraceptive. Similarly, 20 and 12% (p = 0.001) of the facilities had implants and intrauterine devices (IUDs) on the day of the survey. Almost 25% of the facilities did not offer contraceptive services (counseling and commodities) to unmarried adolescents.

Conclusions: Most facilities were small privately-owned clinics, offering at least three modern contraceptive methods. The unavailability of long-acting reversible methods in the informal settings may affect the quality of FP services due to limited choice. The inequity in service provision that disfavors the unmarried adolescent may increase unwanted/unintended pregnancies. We recommend that local governments and partners work toward filling the existing commodities gap and addressing the discrimination against unmarried adolescents in such settings.

Ort, förlag, år, upplaga, sidor
Frontiers Media S.A., 2020. Vol. 1, artikel-id 599774
Nyckelord [en]
Kira Municipality, Uganda, family planning, informal settlements, urban poor
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
URN: urn:nbn:se:umu:diva-190058DOI: 10.3389/fgwh.2020.599774ISI: 001023313600001PubMedID: 34816171Scopus ID: 2-s2.0-85130429200OAI: oai:DiVA.org:umu-190058DiVA, id: diva2:1616544
Forskningsfinansiär
Bill and Melinda Gates FoundationTillgänglig från: 2021-12-03 Skapad: 2021-12-03 Senast uppdaterad: 2023-09-05Bibliografiskt granskad

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Tetui, MosesFonseca-Rodríguez, Osvaldo

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Institutionen för epidemiologi och global hälsaEnheten för demografi och åldrandeforskning (CEDAR)
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Epidemiologic Methods
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi

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