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Table 3 HIV status, fertility goals, contraceptive experiences and concerns associated with LARC uptake after the intervention

From: Uptake of long acting reversible contraception following integrated couples HIV and fertility goal-based family planning counselling in Catholic and non-Catholic, urban and rural government health centers in Kigali, Rwanda

 

All Couples (n = 1290)

LARC uptake at baseline or within median 30 days (n = 960)

Did not uptake LARC (n = 330)

p-value*

n

Column %

n

Row %

n

Row %

Man’s HIV Status

      

0.0152

 Positive

641

50%

458

71%

183

29%

 

 Negative

649

50%

502

77%

147

23%

 

Of HIV+, man on ARV

      

0.0001

 Yes

537

84%

370

69%

167

31%

 

 No

104

16%

88

85%

16

15%

 

Plan to have more children

      

0.0283

 Yes/Unsure

634

49%

489

77%

145

23%

 

 No

656

51%

471

72%

185

28%

 

Previously discussed family planning as a couple

      

< 0.0001

 Yes

1201

93%

913

76%

288

24%

 

 No

89

7%

47

53%

42

47%

 

Couple previously discussed

 IUD

129

10%

116

90%

13

10%

< 0.0001

 Jadelle

548

42%

517

94%

31

6%

< 0.0001

 IUD or Jadelle

628

49%

589

94%

39

6%

< 0.0001

Man: Sources of information about contraceptive methods

 Community Health Worker

398

31%

310

78%

88

22%

0.0563

 Radio

406

31%

281

69%

125

31%

0.0037

 Newspaper

36

3%

19

53%

17

47%

0.0025

Current method to prevent pregnancy

      

0.0001

 Injectable

322

25%

221

69%

101

31%

 

 Condoms

591

46%

427

72%

164

28%

 

 OCP

93

7%

76

82%

17

18%

 

 Other/None

284

22%

236

83%

48

17%

 

Man: Concerns about implant

      

0.0038

 Negative side effects

188

16%

124

66%

64

34%

 

 Bad for health

70

6%

51

73%

19

27%

 

 Doesn’t work

39

3%

33

85%

6

15%

 

 Other

14

1%

6

43%

8

57%

 

 No concerns

653

55%

497

76%

156

24%

 

 Don’t know

229

19%

172

75%

57

25%

 

Woman: Concerns about implant

      

< 0.0001

 Negative side effects

292

23%

184

63%

108

37%

 

 Bad for health

93

7%

70

75%

23

25%

 

 Doesn’t work

59

5%

44

75%

15

25%

 

 Other

15

1%

9

60%

6

40%

 

 No concerns

638

50%

506

79%

132

21%

 

 Don’t know

171

13%

132

77%

39

23%

 

Man: Concerns about IUD

      

0.0031

 Negative side effects

74

11%

54

73%

20

27%

 

 Bad for health

49

7%

45

92%

4

8%

 

 Doesn’t work

45

6%

42

93%

3

7%

 

 Other

12

2%

8

67%

4

33%

 

 No concerns

317

45%

228

72%

89

28%

 

 Don’t know

200

29%

151

76%

49

25%

 

Woman: Concerns about IUD

      

0.0665

 Negative side effects

166

15%

109

66%

57

34%

 

 Bad for health

132

12%

98

74%

34

26%

 

 Doesn’t work

102

9%

80

78%

22

22%

 

 Other

39

4%

29

74%

10

26%

 

 No concerns

419

38%

309

74%

110

26%

 

 Don’t know

235

22%

186

79%

49

21%

 
  1. *Two-tailed t-test for continuous variables and chi-square test for categorical variables
  2. The following covariates were analyzed but were not associated with LARC uptake in chi-square analysis and are not presented above: woman’s HIV or ARV status; individual or couple RPR status; preferred timing of last pregnancy; man wants more children (yes/don’t know vs no); woman wants more children (yes/don’t know vs no); all women’s sources of information about contraceptive methods; clinic staff, friends, spouse, TV or other as men’s sources of information about contraceptive methods; man previously heard of implant; woman previously heard of implant; man previously heard of IUD; woman previously heard of IUD; woman previously used implant; and woman previously used IUD
  3. Man and woman’s concerns about negative side effects from the implant and IUD were included in bivariate and multivariate models as dichotmous variables (concerned about negative side effects yes/no)