Abstract
IntroductionThis paper examined the relationship between Intimate Partner Violence (IPV) and current modern contraceptive use (MCU) among married women in Uganda.MethodsWe used the 2011 Uganda Demographic and Health Survey (UDHS) data, selecting a weighted sample of 1,307 married women from the domestic violence module. Chi-squared tests and multivariate complementary log-log (clog-log) regressions were used to examine the relationship between IPV and current MCU, controlling for women's socio-demographic factors.ResultsSignificant predictors of current MCU (25.3%) among married women were: women's reported ability to ask a partner to use a condom, number of living children and wealth index. The odds of current MCU were higher among women who could ask their partners to use a condom (aOR = 1.87, 95% CI: 1.26-2.78), had more than one child (aOR = 2.05, 95% CI: 1.07,3.93) and were from better wealth indices for example the richest (aOR = 2.52, 95% CI: 1.25-5.08). IPV was not associated with current MCU independently and after adjusting for women's socio-demographic factors.ConclusionIn Uganda's context, IPV was not associated with current MCU. Interventions to promote MCU should enhance women's capacity to negotiate MCU within union and target women of lower socio-economic status.
Highlights
This paper examined the relationship between Intimate Partner Violence (IPV) and current modern contraceptive use (MCU) among married women in Uganda
Descriptive characteristics of the women: Results in Table 1 show that one in four (25%) of the women considered for the domestic violence model used modern contraceptives
Geographical regions were proportionately represented ranging from 19% for Northern to 28% for Central Uganda
Summary
This paper examined the relationship between Intimate Partner Violence (IPV) and current modern contraceptive use (MCU) among married women in Uganda. Results: Significant predictors of current MCU (25.3%) among married women were: women's reported ability to ask a partner to use a condom, number of living children and wealth index. One of the ways in which men's behaviours influence women's reproductive health outcomes is through intimate partner violence (IPV). The prevalence of intimate partner physical, sexual and emotional violence in the last 12 months preceding the 2011 survey in Uganda were 25%, 21% and 33 respectively. Elsewhere in sub-Saharan Africa (Cameroon, Kenya, Malawi, Rwanda, Uganda and Zimbabwe using a pooled sample), IPV increased the odds of female controlled modern contraceptive use [10]. The explanation for the significant association is that women in such contexts do not wish to have children in conditions that are not conducive [10]
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