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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)