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Table 4 Main themes from the semi-structured interviews with PLHIV in Gulu, Northern Uganda

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