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Unintended Pregnancy in Gaborone, Botswana: A Cross-Sectional Study.

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Doherty, Klara, Arena, Kaitlin, Wynn, Adriane, Offorjebe, Ogechukwu Agatha, Moshashane, Neo, Sickboy, Ontiretse, Ramogola-Masire, Doreen, Klausner, Jeffrey D and Morroni, Chelsea ORCID: https://orcid.org/0000-0002-2026-6039 (2018) 'Unintended Pregnancy in Gaborone, Botswana: A Cross-Sectional Study.'. African Journal of Reproductive Health, Vol 22, Issue 2, pp. 76-82.

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Abstract

Rates of unintended pregnancy in sub-Saharan Africa range from 20-40%. Unintended pregnancy leads to increased maternal and infant mortality, and higher rates of abortions. Potentially high levels of unintended pregnancy in Botswana, against the backdrop of the popularity of short-acting, less-effective contraception, could suggest that the methods available to women are not meeting their contraceptive needs. Little data exists on unintended pregnancy in Botswana. We assessed levels of unintended pregnancy and contraceptive use among 231 pregnant women presenting to the antenatal clinic at the largest hospital in Botswana. Forty-three percent of pregnancies were reported as unintended. Of women with an unintended pregnancy, 72% reported using a contraceptive method to prevent pregnancy at the time of conception. Of the women with unintended pregnancy despite contraceptive use, 88% were using male condoms as their only method of contraception. Women reporting unintended pregnancy were more likely to have had more previous births (p=0.05). While barrier protection with condoms is essential for the prevention of HIV and other STIs, condom use alone may not be meeting the contraceptive needs of women in Botswana. Increased promotion of dual-method contraceptive use with condoms is needed.

Item Type: Article
Subjects: WA Public Health > Health Problems of Special Population Groups > WA 310 Maternal welfare
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WQ Obstetrics > Pregnancy > WQ 200 General works
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.29063/ajrh2018/v22i2.8
Depositing User: Stacy Murtagh
Date Deposited: 31 Jul 2018 15:40
Last Modified: 02 Aug 2018 09:34
URI: http://archive.lstmed.ac.uk/id/eprint/9003

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