From: Family planning among people living with HIV in post-conflict Northern Uganda: A mixed methods study
Personal barriers to using contraception | Bad experiences with using some methods, fear of side effects, health concerns, and reduced sensation. |
---|---|
 | Spousal opposition to family planning methods |
 | Religious affiliation |
Perceptions of family planning methods | Positive perceptions |
 | Negative perceptions (among clients and health workers): • To condoms • To male vasectomy |
Decision making | Male dominated |
Covert use of family planning methods | Women surreptitiously receive injectables or implants at family planning clinics |
 | Clients keep the records at the health centre |
Targeting of females for family planning services | Program managers mainly targeted females |
 | Men reluctant to do vasectomy but send spouses for sterilization |
 | Client perception that family planning was women's business |
Structural barriers to using contraception | Lack of health workers trained in family planning provision and counselling |
 | Very few doctors in the region as a result of the civil conflict |
 | Only two family planning clinics based in Gulu town serving the whole population |
 | Male and female sterilization services delivered by Kampala-based medical staff |
 | Family planning services did not specifically target PLHIV |
 | No specific family planning programs for PLHIV in HIV clinics |
 | Lack of referral systems and lack of collaboration between health facilities |