Factors associated with family planning and unplanned pregnancies in a peri-urban area of Swaziland
ESC Congress Library. Hultstrand J. May 10, 2018; 208117; ESC135 Disclosure(s): The first, second and third authors report no conflicts of interest. The last author was a manager for the organization at the time of data collection. Statement: This study was part of the first author’s Master’s thesis. The study was performed with financial support from Grants for research, development and education (ALF) from Uppsala County Council and from Swedish International Development Cooperation Agency (SIDA) through a Minor Field Study scholarship approved by the International Maternal and Child Health, Department for Women’s and Children’s Health, Uppsala University.
Ms. Jenny Hultstrand
Ms. Jenny Hultstrand
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Abstract
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Background and objectives Family planning improves maternal health outcomes and prevents unplanned pregnancies. Swaziland has a high maternal mortality, and studies suggest that family planning is limited and that unplanned pregnancies are common in this context. The aim of this study was to investigate family planning prevalence and to explore factors associated with contraception use and with unplanned pregnancies in a disadvantaged population in Matsapha, Swaziland. Methods The study was conducted at the non-governmental organization Siphilile Maternal and Child Health, working to improve maternal and child health in Matsapha. Data were collected by the organization's Community Health Workers, called Mentor Mothers, and obtained from client records. The sample included recently pregnant women (n=1,436), registered during pregnancy between August 2014 and April 2016. Socioeconomic, health, and age variables were examined using logistic regression. Results In this population, 59% had used contraception at some point before conceiving. The use was dominated by injectables (22%), condoms (21%), and contraceptive pills (13%). Seventy percent of the current pregnancies were unplanned. Teenagers were more likely to experience an unplanned pregnancy (83%) (aOR 2.16 95%CI 1.39−3.36), and less likely to use contraceptives before conceiving (35%) (aOR 0.36 95%CI 0.26−0.51). There were no associations found between neither unplanned pregnancies, nor contraceptive use and employment status, HIV-status, or educational level. Conclusion:                                   Family planning is limited in this population in Swaziland. Teenagers are less likely to use contraception and at risk of becoming pregnant unplanned. Family planning interventions need to focus on teenagers.
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