Modern contraceptive use among sexually active adolescent girls (15-19 years) in Mubende District
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Introduction: Modern contraceptives are a critical component in the prevention of unintended adolescent pregnancies and sexually transmitted diseases such as HIV. They have the potential to inform the development of community-level programs aimed at increasing contraceptive use and to allow the targeting of programs to communities in need. Objectives: To assess modern contraceptive use among sexually active adolescent girls aged 15 19 years in Mubende District so as to generate information that will be used by the district to design appropriate modern contraceptive strategies among sexually active adolescents. Methodology: A cross sectional survey conducted in December 2017 among sexually active female adolescents in Mubende district. Quantitative data was collected from 383 randomly selected sexually active adolescent girls using face to face interviews. Qualitative data was collected using 4 focus group discussions with 36 clients and 10 key informant interviews with health service providers. Quantitative data was entered into epidata3.1 analyzed using STATA version 12 software. Independent variables with a p-value ≤ 0.2 were used to determine the association at multivariable analysis. In all analyses, the referent variable category was that with the lowest code value. Qualitative data was analyzed using content analysis and has been presented through narratives and quotes. The findings were presented together with quantitative results Results: Prevalence of modern contraceptive use among sexually active adolescents was 60.3%. The most commonly used modern contraceptive method was injectables (46.8%), followed by male condoms (41.5%). The independent predictors of modern contraceptive use among sexually active adolescent girls aged 15-19 years were education only primary level [aPR=1.24, 95% CI xi :1.01-1.53; p=0.04], marital status [aPR=1.18, 95% CI:1.02-1.35; p=0.02], no new different sexual partners in the last 12 months [aPR=0.18, 95% CI:0.09-0.36; p=<0.001], HIV testing [aPR=0.71, 95% CI:0.53-0.96;p=0.03] and distance to nearest health facility in kilometers [aPR=0.58, 95% CI:0.45-0.74; p=<0.001] Conclusion: Forty percent (40%) of sexually active adolescent girls 15-19 years were not using a modern contraceptive method and this is a major public health concern. HIV testing and distance to health facility influenced use of contraceptives. Therefore, to improve uptake of contraceptives among adolescent girls, there is need to; integrate contraceptive services into the routine HIV care, enhance last mile access of Contraceptive through community Health extension workers and tailor health education message specifically to those out of school and those who were married.