Rights statement: This is an Accepted Manuscript of an article published by Taylor & Francis in Women's Reproductive Health on 02/08/2018, available online: https://www.tandfonline.com/doi/full/10.1080/23293691.2018.1463737
Accepted author manuscript, 827 KB, PDF document
Available under license: CC BY-NC: Creative Commons Attribution-NonCommercial 4.0 International License
Final published version
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - Contraceptive Use among Women who Inject Drugs
T2 - Motivators Barriers and Unmet Needs
AU - Mburu, Gitau
AU - Ndimbii, James
AU - Ayon, Sylvia
AU - Mlewa, Onesmus
AU - Mbizvo, Mike
AU - Kihara, Cecilia
AU - Ragi, Allan
PY - 2018
Y1 - 2018
N2 - We explored contraceptive use among 45 women who inject drugs in coastal Kenya. Overall, 29% were using contraceptives, motivated by a fear of unplanned pregnancy, a desire to shield children from the difficulties of drug use, the need to prevent HIV and other sexually transmitted infections, encouragement from health providers and outreach workers, or because they had achieved the desired number of children. However, 69% were not using contraceptives. Barriers to use included current pregnancy intentions, perceived infertility due to drug-induced amenorrhea, side effects, intimate partners’ influence, lack of information, complex health care appointments, and transportation costs. Rights-based integration of sexual and reproductive health into harm reduction services for women who inject drugs is required to minimize unmet contraception needs.
AB - We explored contraceptive use among 45 women who inject drugs in coastal Kenya. Overall, 29% were using contraceptives, motivated by a fear of unplanned pregnancy, a desire to shield children from the difficulties of drug use, the need to prevent HIV and other sexually transmitted infections, encouragement from health providers and outreach workers, or because they had achieved the desired number of children. However, 69% were not using contraceptives. Barriers to use included current pregnancy intentions, perceived infertility due to drug-induced amenorrhea, side effects, intimate partners’ influence, lack of information, complex health care appointments, and transportation costs. Rights-based integration of sexual and reproductive health into harm reduction services for women who inject drugs is required to minimize unmet contraception needs.
KW - Africa
KW - drug abuse and dependence
KW - contraception
KW - reproductive health
U2 - 10.1080/23293691.2018.1463737
DO - 10.1080/23293691.2018.1463737
M3 - Journal article
VL - 5
SP - 99
EP - 116
JO - Womens Reproductive Health
JF - Womens Reproductive Health
IS - 2
ER -