Scholarlink

Background <p>Access to contraception and its use are crucial for meeting women’s fertility goals and preferences regarding the number and timing of children. Despite the implementation of various family planning programs, there is a lack of substantial evidence to evaluate their impact on contraceptive use, which is needed to guide future investments or adjustments. In this paper, we assessed the effect of an FP programme in Uganda on socio-economic and education-related inequities in modern contraceptive use.</p> Methods <p>Baseline and endline data were collected from two separate cross-sectional surveys carried out in 2019 and 2023, respectively. Inequity was assessed through Erreygers Concentration Indices (ECI) at both baseline and endline, using a statistical significance level of 5%. Prevalence was analyzed employing a modified Poisson regression executed in STATA version 15.</p> Results <p>We observed no significant change in the use of modern contraceptives at the endline compared to baseline, adj.PR = 1.026(0.90, 1.18), <i>p</i> = 0.709). Overall, wealth-related inequity in the use of the modern contraceptive method in favour of the wealthiest (higher/highest wealth quintile) women was observed at baseline, ECI = 0.172, <i>p</i> &lt; 0.001, but not at the endline, ECI = 0.0573, <i>p</i> = 0.1936. Similarly, overall education-related inequity was highest in favor of women with secondary or higher levels of education at baseline, ECI = 0.146(0.035, <i>p</i> &lt; 0.001) but not at endline, ECI = 0.0561(0.0342, <i>p</i> = 0.1063).</p> Conclusion <p>Although the change in outcome cannot be attributed solely to the RISE program, the findings suggest a decrease in socio-economic and educational inequities across the selected equity dimensions. However, there was no significant change in the mCPR, which suggests that low contraceptive use remains a persistent issue. This situation requires more targeted programs to ensure that no one is left behind in the pursuit of Universal Health Coverage (UHC).</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

The effect of a sexual and reproductive health programme on socio-economic and education-related inequities in the use of modern contraceptives in seven sub-regions in Uganda: a case of RISE programme 2019–2023

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月4日

查看全文
  • Fredrick Makumbi,
  • Sarah Nabukeera,
  • Nazarius Mbona Tumwesigye,
  • Cissie Namanda,
  • Aggrey Mukose,
  • Lynn Atuyambe,
  • Ronald Ssenyonga,
  • Ritah Tweheyo,
  • Andrew Gidudu,
  • Carole Sekimpi,
  • Peter Ddungu

摘要

Background

Access to contraception and its use are crucial for meeting women’s fertility goals and preferences regarding the number and timing of children. Despite the implementation of various family planning programs, there is a lack of substantial evidence to evaluate their impact on contraceptive use, which is needed to guide future investments or adjustments. In this paper, we assessed the effect of an FP programme in Uganda on socio-economic and education-related inequities in modern contraceptive use.

Methods

Baseline and endline data were collected from two separate cross-sectional surveys carried out in 2019 and 2023, respectively. Inequity was assessed through Erreygers Concentration Indices (ECI) at both baseline and endline, using a statistical significance level of 5%. Prevalence was analyzed employing a modified Poisson regression executed in STATA version 15.

Results

We observed no significant change in the use of modern contraceptives at the endline compared to baseline, adj.PR = 1.026(0.90, 1.18), p = 0.709). Overall, wealth-related inequity in the use of the modern contraceptive method in favour of the wealthiest (higher/highest wealth quintile) women was observed at baseline, ECI = 0.172, p < 0.001, but not at the endline, ECI = 0.0573, p = 0.1936. Similarly, overall education-related inequity was highest in favor of women with secondary or higher levels of education at baseline, ECI = 0.146(0.035, p < 0.001) but not at endline, ECI = 0.0561(0.0342, p = 0.1063).

Conclusion

Although the change in outcome cannot be attributed solely to the RISE program, the findings suggest a decrease in socio-economic and educational inequities across the selected equity dimensions. However, there was no significant change in the mCPR, which suggests that low contraceptive use remains a persistent issue. This situation requires more targeted programs to ensure that no one is left behind in the pursuit of Universal Health Coverage (UHC).