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The intersection between migration, HIV, and contraceptive use in Uganda: a cross-sectional population-based study
Prossy Namusisi1,2, Ping Teresa Yeh3,4, Robert Ssekubugu3
1Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. prossywanyana1@gmail.com.
Reproductive Health
|May 17, 2024
Summary
Unmet need for modern contraception is high in rural Uganda. Recent female migrants, especially those living with HIV, show increased demand for family planning services.
Area of Science:
- Reproductive Health
- Epidemiology
- Public Health
Background:
- Low modern contraceptive use is linked to HIV and migration.
- Few studies examine the combined impact of migration and HIV on contraceptive needs.
Purpose of the Study:
- To assess unsatisfied demand for modern contraception.
- To evaluate the intersection of migration and HIV status on contraceptive demand in rural Uganda.
Main Methods:
- Cross-sectional analysis of 3,417 sexually active women (15-49 years) in the Rakai Community Cohort Study (2011-2013).
- Identified recent in-migrants and participants living with HIV.
- Used Poisson regression to analyze associations between migration, HIV status, and unsatisfied contraceptive demand.
Main Results:
- Overall, 43.9% of participants had unsatisfied demand for modern contraception.
- Recent in-migrants had higher unsatisfied demand (adjPRR=1.14).
- Participants living with HIV had lower unsatisfied demand (adjPRR=0.80).
- Highest demand was among in-migrant women living with HIV (48.7%), but interaction was not significant.
Conclusions:
- Unsatisfied contraceptive demand is a significant issue in rural Uganda.
- In-migration, particularly for women living with HIV, is associated with increased unmet need for contraception.
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