scholarly journals Trends and correlates of sexually transmitted infections among sexually active Ugandan female youths: evidence from three demographic and health surveys, 2006-2016

2020 ◽  
Author(s):  
Veronicah Masanja ◽  
Solomon Tsebeni Wafula ◽  
Tonny Ssekamatte ◽  
John Bosco Isunju ◽  
Richard K Mugambe ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Young Women ◽  
Health Surveys ◽  
Demographic And Health Surveys ◽  
Sexually Active ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Rural And Urban ◽  
Kampala City ◽  
Changes Over Time

Abstract Background: Female adolescents and young women have the highest risk of curable sexually transmitted infections (STIs) globally. Data on the prevalence of STIs among young women in Uganda are limited. In this study, we investigated the time trends and correlates of STIs among adolescent girls and young women (15-24 years) in Uganda. Methods: We estimated the percentage of women 15-24 years from three recent consecutive Uganda Demographic and Health Surveys (2006, 2011, and 2016), who reported acquiring an STI within 12 months of the studies and examined the changes over time. A pooled multivariable logistic regression was used to examine the correlates of reporting an STI in the last 12 months preceding the study. Svyset command in Stata was used to cater for the survey sample design.Results: The pooled self-reported STI prevalence was 26.0%. Among these young women, 22.0%, 36.3%, and 23.1% reported a sexually transmitted infection in 2006, 2011, and 2016 respectively. Between 2006 and 2011, there was evidence of change (+14.3%, p < 0.001) in STI prevalence before a significant reduction (-12.0%, p<0.001). Youths aged 20-24 years reported a higher STI prevalence (27.3%) compared to young participants (23.6%). Correlates of reporting an STI among rural and urban young women were: having multiple total lifetime partners (adjusted odds ratio (aOR 1.6, 95% CI 1.4-1.6), being sexually active in the last 4 weeks (aOR 1.3, 95% CI 1.1-1.6), and being affiliated to Muslim faith (aOR 1.3, 95% CI 1.1-1.6) or other religions (aOR 1.8, 95% CI 1.1-2.9) as compared to Christian were more likely to report an STI. Living in Northern Uganda compared to living in Kampala city was found protective against STIs (aOR 0.5, 95% CI 0.3-0.7).Conclusion: The prevalence of STIs was high among female youths, 15-24 years. This highlights the need for a comprehensive STIs screening, surveillance, and treatment programme to potentially reduce the burden of STIs in the country.

scholarly journals Trends and correlates of sexually transmitted infections among sexually active Ugandan female youths: evidence from three demographic and health surveys, 2006-2016

2021 ◽  
Author(s):  
Veronicah Masanja ◽  
Solomon Tsebeni Wafula ◽  
Tonny Ssekamatte ◽  
John Bosco Isunju ◽  
Richard K Mugambe ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Young Women ◽  
Health Surveys ◽  
Demographic And Health Surveys ◽  
Sexually Active ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Rural And Urban ◽  
Kampala City ◽  
Changes Over Time

Abstract Background: Female adolescents and young women have the highest risk of curable sexually transmitted infections (STIs) globally. Data on the prevalence of STIs among young women in Uganda are limited. In this study, we investigated the time trends and correlates of STIs among adolescent girls and young women (15-24 years) in Uganda.Methods: We estimated the percentage of women 15-24 years from three recent consecutive Uganda Demographic and Health Surveys (2006, 2011, and 2016), who reported suffering from genital sores, and or genital discharge or any other varginal complaints acquired after sexual intercourse within 12 months of the studies and examined the changes over time. A pooled multivariable logistic regression was used to examine the correlates of reporting an STI in the last 12 months preceding the study. Svyset command in Stata was used to cater for the survey sample design.Results: The pooled self-reported STI prevalence was 26.0%. Among these young women, 22.0%, 36.3%, and 23.1% reported a sexually transmitted infection in 2006, 2011, and 2016 respectively. Between 2006 and 2011, there was evidence of change (+14.3%, p < 0.001) in STI prevalence before a significant reduction (-12.0%, p<0.001). Youths aged 20-24 years reported a higher STI prevalence (27.3%) compared to young participants (23.6%). Correlates of reporting an STI among rural and urban young women were: having multiple total lifetime partners (adjusted odds ratio (aOR 1.6, 95% CI 1.4-1.6), being sexually active in the last 4 weeks (aOR 1.3, 95% CI 1.1-1.6), and being affiliated to Muslim faith (aOR 1.3, 95% CI 1.1-1.6) or other religions (aOR 1.8, 95% CI 1.1-2.9) as compared to Christian were more likely to report an STI. Living in Northern Uganda compared to living in Kampala city was found protective against STIs (aOR 0.5, 95% CI 0.3-0.7).Conclusion: The prevalence of STIs was high among female youths, 15-24 years. This highlights the need for a comprehensive STIs screening, surveillance, and treatment programme to potentially reduce the burden of STIs in the country.

scholarly journals Trends and correlates of sexually transmitted infections among sexually active Ugandan female youths: evidence from three demographic and health surveys, 2006–2016

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Veronicah Masanja ◽  
Solomon Tsebeni Wafula ◽  
Tonny Ssekamatte ◽  
John Bosco Isunju ◽  
Richard K. Mugambe ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Young Women ◽  
Health Surveys ◽  
Demographic And Health Surveys ◽  
Sexually Active ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Rural And Urban ◽  
Kampala City ◽  
Changes Over Time

Abstract Background Female adolescents and young women have the highest risk of curable sexually transmitted infections (STIs) globally. Data on the prevalence of STIs among young women in Uganda are limited. In this study, we investigated the time trends and correlates of STIs among adolescent girls and young women (15–24 years) in Uganda. Methods We estimated the percentage of women 15–24 years from three recent consecutive Uganda Demographic and Health Surveys (2006, 2011, and 2016), who reported suffering from genital sores, and or genital discharge or any other varginal complaints acquired after sexual intercourse within 12 months of the studies and examined the changes over time. A pooled multivariable logistic regression was used to examine the correlates of reporting an STI in the last 12 months preceding the study. Svyset command in Stata was used to cater for the survey sample design. Results The pooled self-reported STI prevalence was 26.0%. Among these young women, 22.0, 36.3, and 23.1% reported a sexually transmitted infection in 2006, 2011, and 2016 respectively. Between 2006 and 2011, there was evidence of change (+ 14.3%, p < 0.001) in STI prevalence before a significant reduction (− 12.0%, p< 0.001) in 2016. Youths aged 20–24 years reported a higher STI prevalence (27.3%) compared to young participants (23.6%). Correlates of reporting an STI among rural and urban young women were: having multiple total lifetime partners (adjusted odds ratio (aOR 1.6, 95% CI 1.4–1.6), being sexually active in the last 4 weeks (aOR 1.3, 95% CI 1.1–1.6), and being affiliated to Muslim faith (aOR 1.3, 95% CI 1.1–1.6) or other religions (aOR 1.8, 95% CI 1.1–2.9) as compared to Christian were more likely to report an STI. Living in Northern Uganda compared to living in Kampala city was found protective against STIs (aOR 0.5, 95% CI 0.3–0.7). Conclusion The prevalence of STIs was high among female youths, 15–24 years. This highlights the need for a comprehensive STIs screening, surveillance, and treatment programme to potentially reduce the burden of STIs in the country.

scholarly journals Trends and Predictors of Sexually Transmitted Infections Among Sexually Active Ugandan Female Youths: Evidence from Three Demographic and Health Surveys, 2006-2016

2020 ◽  
Author(s):  
Veronicah Masanja ◽  
Solomon Tsebeni Wafula ◽  
Tonny Ssekamatte ◽  
John Bosco Isunju ◽  
Richard K Mugambe ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Young Women ◽  
Health Surveys ◽  
Health Care Systems ◽  
Holistic Approach ◽  
Demographic And Health Surveys ◽  
Sexually Active ◽  
Reproductive Health Services ◽  
Sexually Transmitted ◽  
Care Systems

Abstract Background: Female adolescents and young women have the highest risk of curable sexually transmitted infections (STIs) globally. Data on the prevalence of STIs among young women in Uganda are limited. In this study, we investigated the time trends and determinants of STIs among adolescent girls and young women (15-24 years) in Uganda. Methods: We estimated the percentage of women 15-24 years from three recent consecutive Uganda Demographic and Health Surveys (2006, 2011, and 2016), who reported acquiring an STI within 12 months of the studies and examined the changes over time. A pooled multivariable logistic regression was used to examine predictors of actors associated with reporting an STI were assessed using.Results: The pooled STI prevalence was 26.0%. About 22.0% of youths reported an STI in 2006. This increased to 36.3% in 2011, before declining to 23.1% in 2016. Youths aged 20-24 years reported a higher STI prevalence (27.3%) compared to young participants (23.6%). Prevalence of STIs was significantly higher among female youths with multiple total lifetime partners (adjusted odds ratio (aOR 1.6, 95% CI 1.4-1.6). Similarly, women who were sexually active in the last 4 weeks prior to the interview (aOR 1.3, 95% CI 1.1-1.6), and women affiliated to Islam (aOR 1.3, 95% CI 1.1-1.6) or other religions (aOR 1.8, 95% CI 1.1-2.9) were more likely to report an STI. Living in Northern Uganda was found protective against STIs (aOR 0.5, 95% CI 0.3-0.7).Conclusion: The prevalence of STIs was high among female youths, 15-24 years. There is a need to adopt a holistic approach to the diagnosis and management of STIs among youths, as well as the integration of STI services in daily health care systems to increase their access to sexual and reproductive health services.

scholarly journals Sexual and reproductive health in HIV-positive adolescents

2020 ◽  
Vol 1 ◽  
pp. 11
Author(s):  
Esther Simon Yiltok ◽  
Augustine Odo Ebonyi ◽  
Emeka Uba Ejeliogu
Keyword(s):  
Reproductive Health ◽  
Sexually Transmitted Infections ◽  
Sexual And Reproductive Health ◽  
Relevant Information ◽  
Hiv Positive ◽  
Sexually Active ◽  
Hiv Status ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sexual Activities

Objectives: Adolescents grow to experience both emotional and sexual changes that occur at this stage in life. During this stage, these adolescents have increased experimentation, including sexuality, this also affects HIV-positive adolescents. The aim of this study was to evaluate the sexual and reproductive health of HIV-positive adolescents. Material and Methods: A semi-structured interviewer-administered questionnaire was used to obtain relevant information from adolescents who were enrolled into the study over a 6 months period. Information obtained included the bio-data, menstruation, sexual activity, HIV status of partner, use of contraceptives, abortion, and treatment of sexually transmitted infections (STIs). Data were analyzed using SPSS version 23. Results: One hundred and forty-seven HIV-positive adolescents were recruited into the study, males were 56 (38.1%), while females were 91 (61.9%). Fifty-nine (64.8%) of the females have started menstruating, out of which nine (6.1%) of them were sexually active. All those that were sexually active did not know the HIV status of their partners. Four (44.4%) of those who were sexually active use contraceptives, while three became pregnant out of wedlock and one had an abortion. Three (33.3%) of the sexually active adolescents had sexually transmitted infection. None of the 46 early adolescents was sexually active, but three out of the 71 middle adolescents and 6 out of the 30 late adolescents were sexually active. Conclusion: HIV-positive adolescents engage in sexual activities which are sometimes risky, just like other adolescents. The consequences of such acts include unplanned pregnancies and abortions in addition to sexually transmitted infections. Therefore, additional programs/interventions should be put in place to address these observations as well as prepare them as they transit to adulthood.

scholarly journals Does online sexually transmitted infection screening compromise care? A service evaluation comparing the management of chlamydial infection diagnosed online and in clinic

2021 ◽  
Vol 32 (6) ◽  
pp. 528-532
Author(s):  
Nur Gasmelsid ◽  
Benjamin CB Moran ◽  
Tom Nadarzynski ◽  
Rajul Patel ◽  
Elizabeth Foley
Keyword(s):  
United Kingdom ◽  
Health Services ◽  
Sexual Health ◽  
Sexually Transmitted Infections ◽  
Sexually Transmitted Infection ◽  
Chlamydial Infection ◽  
Service Evaluation ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
The United Kingdom

Patient demand on sexual health services in the United Kingdom is so high that many services have introduced online screening to accommodate more patients. There are concerns that these services may not be accessible to all. This service evaluation was undertaken to determine whether online screening is accessible by those patients most at need by comparing the demographics and number of asymptomatic chlamydial infections detected online and in clinic. No difference was found in the age nor level of deprivation, demonstrating that online services are an accessible way to screen for sexually transmitted infections without overburdening established services.

scholarly journals Immediate postnatal care following childbirth in Ugandan health facilities: an analysis of Demographic and Health Surveys between 2001 and 2016

2021 ◽  
Vol 6 (4) ◽  
pp. e004230
Author(s):  
Teesta Dey ◽  
Sam Ononge ◽  
Andrew Weeks ◽  
Lenka Benova
Keyword(s):  
Postnatal Care ◽  
Health Surveys ◽  
Post Partum ◽  
Quality Care ◽  
Critical Time ◽  
Healthcare Facility ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Changes Over Time ◽  
Over Time

IntroductionProgress in reducing maternal and neonatal mortality, particularly in sub-Saharan Africa, is insufficient to achieve the Sustainable Developmental Goals by 2030. The first 24 hours following childbirth (immediate postnatal period), where the majority of morbidity and mortality occurs, is critical for mothers and babies. In Uganda,<50% of women reported receiving such care. This paper describes the coverage, changes over time and determinants of immediate postnatal care in Uganda after facility births between 2001 and 2016.MethodsWe analysed the 2006, 2011 and 2016 Ugandan Demographic and Health Surveys, including women 15–49 years with most recent live birth in a healthcare facility during the survey 5-year recall period. Immediate postnatal care coverage and changes over time were presented descriptively. Multivariable logistic regression was used to examine determinants of immediate postnatal care.ResultsData from 12 872 mothers were analysed. Between 2006 and 2016, births in healthcare facilities increased from 44.6% (95% CI: 41.9% to 47.3%) to 75.2% (95% CI: 73.4% to 77.0%) and coverage of immediate maternal postnatal care from 35.7% (95% CI 33.4% to 38.1%) to 65.0% (95% CI: 63.2% to 66.7%). The majority of first checks occurred between 1 and 4 hours post partum; the median time reduced from 4 hours to 1 hour. The most important factor associated with receipt of immediate postnatal care was women having a caesarean section birth adjusted OR (aOR) 2.93 (95% CI: 2.28 to 3.75). Other significant factors included exposure to mass media aOR 1.38 (95% CI: 1.15 to 1.65), baby being weighed at birth aOR 1.84 (95% CI: 1.58 to 2.14) and receipt of antenatal care with 4+Antenatal visits aOR 2.34 (95% CI: 1.50 to 3.64).ConclusionIn Uganda, a large gap in coverage remains and universal immediate postnatal care has not materialised through increasing facility-based births or longer length of stay. To ensure universal coverage of high-quality care during this critical time, we recommend that maternal and newborn services should be integrated and actively involve mothers and their partners.

scholarly journals Wealth-related inequalities in demand for family planning satisfied among married and unmarried adolescent girls and young women in sub-Saharan Africa

2021 ◽  
Vol 18 (S1) ◽  
Author(s):  
Martin K. Mutua ◽  
Yohannes D. Wado ◽  
Monica Malata ◽  
Caroline W. Kabiru ◽  
Elsie Akwara ◽  
...  
Keyword(s):  
Family Planning ◽  
West Africa ◽  
Adolescent Girls ◽  
Young Women ◽  
Rate Of Change ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Sexually Active ◽  
Sub Saharan ◽  
Over Time

Abstract Background The use of modern contraception has increased in much of sub-Saharan Africa (SSA). However, the extent to which changes have occurred across the wealth spectrum among adolescents is not well known. We examine poor-rich gaps in demand for family planning satisfied by modern methods (DFPSm) among sexually active adolescent girls and young women (AGYW) using data from national household surveys. Methods We used recent Demographic and Health Surveys and Multiple Indicator Cluster Surveys to describe levels of wealth-related inequalities in DFPSm among sexually active AGYW using an asset index as an indicator of wealth. Further, we used data from countries with more than one survey conducted from 2000 to assess DFPSm trends. We fitted linear models to estimate annual average rate of change (AARC) by country. We fitted random effects regression models to estimate regional AARC in DFPSm. All analysis were stratified by marital status. Results Overall, there was significant wealth-related disparities in DFPSm in West Africa only (17.8 percentage points (pp)) among married AGYW. The disparities were significant in 5 out of 10 countries in Eastern, 2 out of 6 in Central, and 7 out of 12 in West among married AGYW and in 2 out of 6 in Central and 2 out of 9 in West Africa among unmarried AGYW. Overall, DFPSm among married AGYW increased over time in both poorest (AARC = 1.6%, p < 0.001) and richest (AARC = 1.4%, p < 0.001) households and among unmarried AGYW from poorest households (AARC = 0.8%, p = 0.045). DPFSm increased over time among married and unmarried AGYW from poorest households in Eastern (AARC = 2.4%, p < 0.001) and Southern sub-regions (AARC = 2.1%, p = 0.030) respectively. Rwanda and Liberia had the largest increases in DPFSm among married AGYW from poorest (AARC = 5.2%, p < 0.001) and richest (AARC = 5.3%, p < 0.001) households respectively. There were decreasing DFPSm trends among both married (AARC = − 1.7%, p < 0.001) and unmarried (AARC = − 4.7%, p < 0.001) AGYW from poorest households in Mozambique. Conclusion Despite rapid improvements in DFPSm among married AGYW from the poorest households in many SSA countries there have been only modest reductions in wealth-related inequalities. Significant inequalities remain, especially among married AGYW. DFPSm stalled in most sub-regions among unmarried AGYW.

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