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Title: Dual Contraception among Sexually Active Females for Protection against Pregnancy and Hiv/Sti
Authors: Ankomah, A.
Twum, W.A.
University of Ghana, College of Health Sciences, School of Public Health
Keywords: Dual Contraception
Females for Protection
Pregnancy and Hiv/Sti
Issue Date: Jul-2016
Publisher: University of Ghana
Abstract: Dual contraception or dual method refers to the use of condom with hormonal contraceptives or an intrauterine device to ensure enhanced protection and prevention of both unintended pregnancies and STI/HIV. When used consistently and correctly, it is capable of ensuring healthy sexual life devoid of the challenges of morbidity and mortality associated with unprotected sex. Notwithstanding, the extent of use of dual contraceptivesmethod use in Ghana is not known. The overarching objective of this research was to assess the knowledge, extent of use, reasons for use and factors affecting dual contraception among sexually active females within the ages of 18 – 49 years in the La-Nkwantanang-Madina Municipality. This was a community based cross-sectional survey that involved the use of multi-stage random sampling to select study participants. Structured questionnaires were administered to elicit information on the use of dual contraception during their last sexual encounter, knowledge, and challenges of access to dual contraception services. Data were entered into Microsoft Excel 2013 and analyzed with Stata version 13. Bivariate and multivariate logistic regression analysis were performed to establish associations between variables. The prevalence of dual contraceptive utilization was found to be 12.9% among sexually active females. Among the never married (single) dual contraceptive utilization was 11.9%, married 15.0% and among the separated, divorced and widowed prevalence was 13.0%. Prevalence of general contraceptive use was 54.2% with 48.3% among the never married and 60.0% among the married. Controlling for age, marital status and occupation, the odds of a respondent using dual method of contraception is 3.3 times as great as the odds of that respondent using a condom [aOR = 3.3 (95% CI = 1.41 – 7.50), p<0.05] and the odds of a respondent adopting dual method of contraception is about 5.7 times as great as the odds of the person using the pill [aOR = 5.7 (95% CI = 2.51 – 13.08), p<0.001]. Notable reasons for contraceptive preference included ease of obtaining, ease of use, reduced or no side effect and partner preference. Knowledge and use of dual method of contraception is low. Many of the factors that affect the choice and utilization of dual contraception are mainly based on individual preferences and perceptions. Most people would not use any barrier method because they could prevent pregnancy using hormonal contraceptives such as the pill without compromising on their sexual pleasures. This sexual practice increases the risk of Sexually Transmitted Infections (STI) and HIV. Knowledge on dual contraception is low among study participants. Respondents contraceptive preference (choice and use) were based largely on ease of use of the method, the ability to easily obtain the contraceptive and contraceptives that will not reduce their sexual pleasure. Less than 15% consider prevention of STI as a priority for contraceptive use. The large majority will consider prevention of pregnancy as the main focus for contraceptive use. It is recommended that education on contraception should be increased with improved strategies.
Description: Thesis (MPh) - University of Ghana, 2016
Appears in Collections:School of Public Health

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