dc.contributor.author | Mitei, Paul K | |
dc.date.accessioned | 2013-05-27T11:15:28Z | |
dc.date.available | 2013-05-27T11:15:28Z | |
dc.date.issued | 2007-07 | |
dc.identifier.citation | Master of Medicine in Obstetrics and Gynaecology, University of Nairobi, 2007 | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/26184 | |
dc.description.abstract | Background: Dual method use is increasingly being advocated for the simultaneous
prevention of undesired pregnancy and sexuallv transmitted infections including
HIV/AIDS.
Objective: To determine knowledge, attitude and practice of dual method of
contraception among family planning clients.
Design: Cross-sectional study
Setting: Kenyatta National Hospital's Family Welfare Clinic.
Subjects: Reproductive age women accessing family planning services at the hospital.
Materials and methods: A total of 270 women who had been on a non-barrier method of
family planning for at least 6 months were interviewed between the months of October
2006 and January 2007.
Results: The respondents' knowledge on whether HIV/STDS can be acquired together
with an undesired pregnancy in one single intercourse was high (91.1%). The knowledge
on dual method use was low at 9.9% though knowledge of use of condoms as dual
protection was high at 82.2%.
There was a positive attitude towards dual method use (97%), however only 30% would
consider using a condom along with their current family planning method. Those
employed, those not married and those who considered themselves at risk of HIV/STDS
were more likely to consider using dual method (p=0.003, 0.013 and 0.012 respectively).
Only 38.1% of respondents thought their partners would not approve condom use.
The use of dual method was very low with only 8.9% using the dual method consistently
throughout their sexual intercourse one month prior to interview. Only 23.7% had used
the dual method at some time in the year preceding the interview while 14.1% had used
the method in their most recent sexual intercourse. Those who were not married, those
who do not live together with their partners and those who had a history of abortion were
more likely to use dual method (p=<0.001, p=<0.001, p=0.040 respectively).
The main facilitatory reasons for dual method use was when the respondents wished to
protect themselves (38.3%), while the main reason given for non-use of the dual method
was that they had a steady relationship, trusted partner or were married (58.9%)
Conclusion: Despite many people knowing that pregnancy and HIV/STD can be
acquired simultaneously very few know and actually use the dual method of protection
and this is more often when they want to protect themselves. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi, | en |
dc.title | Case records and commentaries in obstetrics and gynaecology | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | Department of Obstetrics & Gynaecology | en |