2023-09-28 14:46:10 +00:00
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abstract: 'Background: Understanding women''s contraceptive method choices is key
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to
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enhancing family planning services provision and programming. Currently
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however, very little research has addressed inter and intra-regional
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disparities II in women''s contraceptive method choice. Using data from
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slum and non-slum contexts in Nairobi, Kenya, the current study
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investigates the prevalence of and factors associated with contraceptive
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method choice among women.
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Methods: Data were from a cross-sectional quantitative study conducted
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among a random sample of 1,873 women (aged 15-49 years) in two non-slum
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and two slum settlement areas in Nairobi, Kenya. The study locations
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were purposively sampled by virtue of being part of the Nairobi Urban
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Health and Demographic Surveillance System. Bivariate and multivariate
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logistic regression were used to explore the association between the
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outcome variable, contraceptive method choice, and explanatory
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variables.
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Results: The prevalence of contraceptive method choice was relatively
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similar across slum and non-slum settlements. 34.3 \% of women in slum
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communities and 28.1 \% of women in non-slum communities reported using
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short-term methods. Slightly more women living in the non-slum
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settlements repotted use of long-term methods, 9.2 \%, compared to 3.6
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\% in slum communities. Older women were less likely to use short-term
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methods than their younger counterparts but more likely to use long-term
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methods. Currently married women were more likely than never married
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women to use short-term and long-term methods. Compared to those with no
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children, women with three or more children were more likely to report
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using long term methods. Women working outside the home or those in
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formal employment also used modern methods of contraception more than
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those in self-employment or unemployed.
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Conclusion: Use of short-term and long-term methods is generally low
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among women living in slum and non-slum contexts in Nairobi. Investments
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in increasing women''s access to various contraceptive options are
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urgently needed to help increase contraceptive prevalence rate. Thus,
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interventions that focus on more disadvantaged segments of the
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population will accelerate contraceptive uptake and improve maternal and
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child health in Kenya.'
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affiliation: 'Ochako, R (Corresponding Author), Univ Ghent, Fac Med \& Hlth Sci, Ghent,
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Belgium.
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Ochako, Rhoune, Univ Ghent, Fac Med \& Hlth Sci, Ghent, Belgium.
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Izugbara, Chimaraoke, African Populat \& Hlth Res Ctr, Nairobi, Kenya.
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Okal, Jerry, Populat Council, Nairobi, Kenya.
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Askew, Ian, WHO, Geneva, Switzerland.
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Temmerman, Marleen, Univ Ghent, Int Ctr Reprod Hlth, Ghent, Belgium.'
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article-number: '35'
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author: Ochako, Rhoune and Izugbara, Chimaraoke and Okal, Jerry and Askew, Ian and
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Temmerman, Marleen
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author-email: rochako@gmail.com
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author_list:
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- family: Ochako
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given: Rhoune
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- family: Izugbara
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given: Chimaraoke
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- family: Okal
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given: Jerry
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- family: Askew
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given: Ian
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- family: Temmerman
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given: Marleen
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da: '2023-09-28'
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doi: 10.1186/s12905-016-0314-6
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eissn: 1472-6874
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files: []
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journal: BMC WOMENS HEALTH
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keywords: 'Contraceptive method choice; Contraceptive use; Slum; Non-slum; Urban
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poor; Nairobi; Kenya'
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keywords-plus: UNINTENDED PREGNANCY
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language: English
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month: JUL 12
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number-of-cited-references: '43'
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papis_id: 24438f4239a25811665225fd3140d3b8
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ref: Ochako2016contraceptivemethod
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times-cited: '13'
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title: Contraceptive method choice among women in slum and non-slum communities in
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Nairobi, Kenya
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000379816700001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '6'
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volume: '16'
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web-of-science-categories: Public, Environmental \& Occupational Health; Obstetrics
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\& Gynecology
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year: '2016'
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