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Factors Influencing the Uptake of Long Acting Reversible Contraceptives Among Female Undergraduate Students at the University of Zimbabwe

Published in Frontiers (Volume 3, Issue 3)
Received: 6 November 2023    Accepted: 13 December 2023    Published: 26 December 2023
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Abstract

Background: Unwanted pregnancies among university students are a worldwide problem, despite the availability of a wide range of contraceptive methods. These unwanted pregnancies in turn result in depression, suicide and unsafe abortions. Long-Acting Reversible Contraceptives (LARCs) offer a great opportunity to reduce unwanted pregnancies, which often result in unsafe abortions, early and forced marriages. However, uptake of LARCs remains very low among adolescent women in tertiary institutions in Zimbabwe. This study sought to determine the factors influencing the uptake of long-acting reversible contraceptives among female students at University of Zimbabwe. Method: A descriptive cross-sectional study was used in this study. Data was collected from randomly selected 120 female students who were sexually active using an online questionnaire. The data was then analysed using descriptive statistics and a chi-square test of association was used to check for association between study variables. Results: Of the 120 female students who participated, 99 (82,5%) were aged between 22-25 years, 12 (10%) between 18-21 years and 9 (7.5%) between 26-30 years. Results from the study showed a statistically significant association between year of study and knowledge of contraceptive method (p=0.003). A statistically significant association was also observed between year of study and knowledge of implants (p=0.004). Age was also found to have a statistically significant association with depo provera use (p=0.004) and implants use (p<0.001). Conclusion: The study revealed a low uptake of long-acting reversible contraceptives among the female undergraduate students at the University of Zimbabwe.

Published in Frontiers (Volume 3, Issue 3)
DOI 10.11648/j.frontiers.20230303.12
Page(s) 36-45
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Young Women, Long-Acting Reversible Contraceptives, Uptake

References
[1] Sedgh, G., Singh, S., & Hussain, R. (2014). Intended and Unintended Pregnancies Worldwide in 2012 and Recent Trends. Studies in Family Planning, 45(3), 301–314. https://doi.org/10.1111/j.1728-4465.2014.00393.x
[2] Hajizadeh, M., & Nghiem, S. (2020). Does unwanted pregnancy lead to adverse health and healthcare utilization for mother and child? Evidence from low- and middle-income countries. International Journal of Public Health, 65(4), 457–468. https://doi.org/10.1007/s00038-020-01358-7
[3] Sarder, A., Islam, S. M. S., Maniruzzaman, Talukder, A., & Ahammed, B. (2021). Prevalence of unintended pregnancy and its associated factors: Evidence from six south Asian countries. PLOS ONE, 16(2), e0245923. https://doi.org/10.1371/journal.pone.0245923
[4] Moore, L., Lavoie, A., Bourgeois, G., & Lapointe, J. (2015). Donabedian’s structure-process-outcome quality of care model: Validation in an integrated trauma system. Journal of Trauma and Acute Care Surgery, 78(6), 1168–1175. https://doi.org/10.1097/TA.0000000000000663
[5] Adedini, S. A., Omisakin, O. A., & Somefun, O. D. (2019a). Trends, patterns and determinants of long-acting reversible methods of contraception among women in sub-Saharan Africa. PLOS ONE, 14(6), e0217574. https://doi.org/10.1371/journal.pone.0217574
[6] Nance, N., Ralph, L., Padian, N., Cowan, F., Buzdugan, R., Mushavi, A., Mahomva, A., & McCoy, S. I. (2018). Unintended pregnancy and subsequent postpartum long-acting reversible contraceptive use in Zimbabwe. BMC Women’s Health, 18(1), 193. https://doi.org/10.1186/s12905-018-0668-z
[7] Kassahun, E. A., Zeleke, L. B., Dessie, A. A., Gersa, B. G., Oumer, H. I., Derseh, H. A., Arage, M. W., & Azeze, G. G. (2019). Factors associated with unintended pregnancy among women attending antenatal care in Maichew Town, Northern Ethiopia, 2017. BMC Research Notes, 12(1), 381. https://doi.org/10.1186/s13104-019-4419-5
[8] Ameyaw, E. K., Budu, E., Sambah, F., Baatiema, L., Appiah, F., Seidu, A.-A., & Ahinkorah, B. O. (2019). Prevalence and determinants of unintended pregnancy in sub-Saharan Africa: A multi-country analysis of demographic and health surveys. PLOS ONE, 14(8), e0220970. https://doi.org/10.1371/journal.pone.0220970
[9] Ahinkorah, B. O. (2020). Individual and contextual factors associated with mistimed and unwanted pregnancies among adolescent girls and young women in selected high fertility countries in sub-Saharan Africa: A multilevel mixed effects analysis. PLOS ONE, 15(10), e0241050. https://doi.org/10.1371/journal.pone.0241050
[10] Voyce, J., Gouveia, M. J. B., Medinas, M. A., Santos, A. S., & Ferreira, R. F. (2015). A Donabedian Model of the Quality of Nursing Care From Nurses’ Perspectives in a Portuguese Hospital: A Pilot Study. Journal of Nursing Measurement, 23(3), 474–484. https://doi.org/10.1891/1061-3749.23.3.474
[11] Fikadu Geda, Y., Animut Tirfe, W., & Mesele Gessese, M. (2020). Induced Abortion and Its Predictors Among Hawassa University Female Students. International Journal of Immunology, 8(3), 53. https://doi.org/10.11648/j.iji.20200803.13
[12] Sully, E. A., Madziyire, M. G., Riley, T., Moore, A. M., Crowell, M., Nyandoro, M. T., Madzima, B., & Chipato, T. (2019). Correction: Abortion in Zimbabwe: A national study of the incidence of induced abortion, unintended pregnancy and post-abortion care in 2016. PLOS ONE, 14(5), e0217735. https://doi.org/10.1371/journal.pone.0217735
[13] Bolarinwa, O. A., Nwagbara, U. I., Okyere, J., Ahinkorah, B. O., Seidu, A.-A., Ameyaw, E. K., & Igharo, V. (2022). Prevalence and predictors of long-acting reversible contraceptive use among sexually active women in 26 sub-Saharan African countries. International Health, 14(5), 492–500. https://doi.org/10.1093/inthealth/ihab053
[14] Mazza, D., Bateson, D., Frearson, M., Goldstone, P., Kovacs, G., & Baber, R. (2017). Current barriers and potential strategies to increase the use of long-acting reversible contraception (LARC) to reduce the rate of unintended pregnancies in Australia: An expert roundtable discussion. Australian and New Zealand Journal of Obstetrics and Gynaecology, 57(2), 206–212. https://doi.org/10.1111/ajo.12587
[15] Kikula, A. I., Moshiro, C., Makoko, N., Park, E., & Pembe, A. B. (2022). Low Use of Long-Acting Reversible Contraceptives in Tanzania: Evidence from the Tanzania Demographic and Health Survey. International Journal of Environmental Research and Public Health, 19(7), 4206. https://doi.org/10.3390/ijerph19074206
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  • APA Style

    Mpofu, T., Mhlanga, M., Jay John Karumazondo, J. (2023). Factors Influencing the Uptake of Long Acting Reversible Contraceptives Among Female Undergraduate Students at the University of Zimbabwe. Frontiers, 3(3), 36-45. https://doi.org/10.11648/j.frontiers.20230303.12

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    ACS Style

    Mpofu, T.; Mhlanga, M.; Jay John Karumazondo, J. Factors Influencing the Uptake of Long Acting Reversible Contraceptives Among Female Undergraduate Students at the University of Zimbabwe. Frontiers. 2023, 3(3), 36-45. doi: 10.11648/j.frontiers.20230303.12

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    AMA Style

    Mpofu T, Mhlanga M, Jay John Karumazondo J. Factors Influencing the Uptake of Long Acting Reversible Contraceptives Among Female Undergraduate Students at the University of Zimbabwe. Frontiers. 2023;3(3):36-45. doi: 10.11648/j.frontiers.20230303.12

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  • @article{10.11648/j.frontiers.20230303.12,
      author = {Thembelihle Mpofu and Maxwell Mhlanga and Jay Jay John Karumazondo},
      title = {Factors Influencing the Uptake of Long Acting Reversible Contraceptives Among Female Undergraduate Students at the University of Zimbabwe},
      journal = {Frontiers},
      volume = {3},
      number = {3},
      pages = {36-45},
      doi = {10.11648/j.frontiers.20230303.12},
      url = {https://doi.org/10.11648/j.frontiers.20230303.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.frontiers.20230303.12},
      abstract = {Background: Unwanted pregnancies among university students are a worldwide problem, despite the availability of a wide range of contraceptive methods. These unwanted pregnancies in turn result in depression, suicide and unsafe abortions. Long-Acting Reversible Contraceptives (LARCs) offer a great opportunity to reduce unwanted pregnancies, which often result in unsafe abortions, early and forced marriages. However, uptake of LARCs remains very low among adolescent women in tertiary institutions in Zimbabwe. This study sought to determine the factors influencing the uptake of long-acting reversible contraceptives among female students at University of Zimbabwe. Method: A descriptive cross-sectional study was used in this study. Data was collected from randomly selected 120 female students who were sexually active using an online questionnaire. The data was then analysed using descriptive statistics and a chi-square test of association was used to check for association between study variables. Results: Of the 120 female students who participated, 99 (82,5%) were aged between 22-25 years, 12 (10%) between 18-21 years and 9 (7.5%) between 26-30 years. Results from the study showed a statistically significant association between year of study and knowledge of contraceptive method (p=0.003). A statistically significant association was also observed between year of study and knowledge of implants (p=0.004). Age was also found to have a statistically significant association with depo provera use (p=0.004) and implants use (pConclusion: The study revealed a low uptake of long-acting reversible contraceptives among the female undergraduate students at the University of Zimbabwe.
    },
     year = {2023}
    }
    

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    T1  - Factors Influencing the Uptake of Long Acting Reversible Contraceptives Among Female Undergraduate Students at the University of Zimbabwe
    AU  - Thembelihle Mpofu
    AU  - Maxwell Mhlanga
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    AB  - Background: Unwanted pregnancies among university students are a worldwide problem, despite the availability of a wide range of contraceptive methods. These unwanted pregnancies in turn result in depression, suicide and unsafe abortions. Long-Acting Reversible Contraceptives (LARCs) offer a great opportunity to reduce unwanted pregnancies, which often result in unsafe abortions, early and forced marriages. However, uptake of LARCs remains very low among adolescent women in tertiary institutions in Zimbabwe. This study sought to determine the factors influencing the uptake of long-acting reversible contraceptives among female students at University of Zimbabwe. Method: A descriptive cross-sectional study was used in this study. Data was collected from randomly selected 120 female students who were sexually active using an online questionnaire. The data was then analysed using descriptive statistics and a chi-square test of association was used to check for association between study variables. Results: Of the 120 female students who participated, 99 (82,5%) were aged between 22-25 years, 12 (10%) between 18-21 years and 9 (7.5%) between 26-30 years. Results from the study showed a statistically significant association between year of study and knowledge of contraceptive method (p=0.003). A statistically significant association was also observed between year of study and knowledge of implants (p=0.004). Age was also found to have a statistically significant association with depo provera use (p=0.004) and implants use (pConclusion: The study revealed a low uptake of long-acting reversible contraceptives among the female undergraduate students at the University of Zimbabwe.
    
    VL  - 3
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Author Information
  • Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe

  • Center of Gender Equity, University of Global Health Equity, Kigali, Rwanda

  • Department of Demography Settlement and Development, University of Zimbabwe, Harare, Zimbabwe

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