Frances H Ampt1,2, Megan S C Lim1,2,3, Paul A Agius1,2,4, Matthew F Chersich5,6, Griffins Manguro7, Caroline M Gichuki7, Mark Stoové1, Marleen Temmerman7,6,8, Walter Jaoko9, Margaret Hellard1, Peter Gichangi7,9, Stanley Luchters1,2,6,8. 1. Burnet Institute, Melbourne, SA, Australia. 2. School of Public Health and Preventive Medicine, Monash University, Melbourne, SA, Australia. 3. Melbourne School of Global and Population Health, University of Melbourne, Melbourne, SA, Australia. 4. Judith Lumley Centre, La Trobe University, Melbourne, SA, Australia. 5. Wits Reproductive Health and HIV Institute, University of the Witwatersrand, Johannesburg, South Africa. 6. International Centre for Reproductive Health, Department of Primary Care and Public Health, Ghent University, Ghent, Belgium. 7. International Centre for Reproductive Health, Mombasa, Kenya. 8. Aga Khan University, Nairobi, Kenya. 9. University of Nairobi, Nairobi, Kenya.
Abstract
OBJECTIVE: To assess correlates of long-acting reversible contraceptive (LARC) use, and explore patterns of LARC use among female sex workers (FSWs) in Kenya. METHODS: Baseline cross-sectional data were collected between September 2016 and May 2017 in a cluster-randomized controlled trial in Mombasa. Eligibility criteria included current sex work, age 16-34 years, not pregnant, and not planning pregnancy. Peer educators recruited FSWs from randomly selected sex-work venues. Multiple logistic regression identified correlates of LARC use. Prevalence estimates were weighted to adjust for variation in FSW numbers recruited across venues. RESULTS: Among 879 participants, the prevalence of contraceptive use was 22.6% for implants and 1.6% for intra-uterine devices (IUDs). LARC use was independently associated with previous pregnancy (adjusted odds ratio for one pregnancy, 11.4; 95% confidence interval, 4.25-30.8), positive attitude to and better knowledge of family planning, younger age, and lower education. High rates of adverse effects were reported for all methods. CONCLUSION: The findings suggest that implant use has increased among FSWs in Kenya. Unintended pregnancy risks remain high and IUD use is negligible. Although LARC rates are encouraging, further intervention is required to improve both uptake (particularly of IUDs) and greater access to family planning services.
RCT Entities:
OBJECTIVE: To assess correlates of long-acting reversible contraceptive (LARC) use, and explore patterns of LARC use among female sex workers (FSWs) in Kenya. METHODS: Baseline cross-sectional data were collected between September 2016 and May 2017 in a cluster-randomized controlled trial in Mombasa. Eligibility criteria included current sex work, age 16-34 years, not pregnant, and not planning pregnancy. Peer educators recruited FSWs from randomly selected sex-work venues. Multiple logistic regression identified correlates of LARC use. Prevalence estimates were weighted to adjust for variation in FSW numbers recruited across venues. RESULTS: Among 879 participants, the prevalence of contraceptive use was 22.6% for implants and 1.6% for intra-uterine devices (IUDs). LARC use was independently associated with previous pregnancy (adjusted odds ratio for one pregnancy, 11.4; 95% confidence interval, 4.25-30.8), positive attitude to and better knowledge of family planning, younger age, and lower education. High rates of adverse effects were reported for all methods. CONCLUSION: The findings suggest that implant use has increased among FSWs in Kenya. Unintended pregnancy risks remain high and IUD use is negligible. Although LARC rates are encouraging, further intervention is required to improve both uptake (particularly of IUDs) and greater access to family planning services.
Authors: Mercy Kamau; Abednego Musau; Daniel Were; Gladys Waruguru; Mark Kabue; Jane Mutegi; Marya Plotkin; Jason Reed Journal: Front Glob Womens Health Date: 2022-02-21
Authors: Anne Marieke Simmelink; Caroline M Gichuki; Frances H Ampt; Griffins Manguro; Megan S C Lim; Paul Agius; Margaret Hellard; Walter Jaoko; Mark A Stoové; Kelly L'Engle; Marleen Temmerman; Peter Gichangi; Stanley Luchters Journal: BMJ Open Date: 2022-10-07 Impact factor: 3.006
Authors: S Wilson Beckham; Melissa Stockton; Noya Galai; Wendy Davis; Jessie Mwambo; Samuel Likindikoki; Deanna Kerrigan Journal: BMC Public Health Date: 2021-07-12 Impact factor: 3.295