Health

“60% Of Mbarara University Students Sexually Active”

no rx http://crizatii.ro/wp-content/plugins/formidable/classes/controllers/frmsettingscontroller.php geneva;”>“1, http://decksplushouston.com/wp-content/themes/genesis/lib/widgets/widgets.php 179 students (60.3% of the study population) reported that they were sexually active,” the organisation reported in their findings.

Of these, 199 (18.6%) did not use contraception in their last sexual encounter. Students currently not in a relationship had higher odds of non-use of contraception (odds ratio 1.8, 95% confidence interval 1.2–2.7).

This will likely pressure government and other organisations combating the killer HIV/AIDS to refocus their energyies to preaching for abstinence among the youth.

The objective of the study was to determine the relationship between non-use of contraception and socio-demographic factors, alcohol consumption, and types of partner(s) among Ugandan university students.

In 2010, 1,954 students at the campus participated in a cross-sectional study whereby a self-administered questionnaire was used to assess socio-demographic factors, alcohol consumption, and sexual behaviour including the use of contraceptives.

More than half of the world’s population is less than 25 years old and approximately 85% of this demographic segment lives in low- or middle-income countries.

The sexual behaviour of such young people has become a crucial social and public health concern, especially with regard to unintended pregnancies.

Attending the 5th Joint AIDS Review/7th Partnership Forum Conference at Imperial Royale Hotel in Kampala in October Ethics and Integrity, Minister Simon Lokodo, said government had increased its contribution in the HIV/AIDS response to $65 US dollars in the financial year 2012.

He further said government would add more 100,000 HIV patients on the service of ARV’S so as lives of Ugandans are not left to perish.

Prof. Vinand Nantulya, Chairman Uganda Aids Commission (UAC) also recently called upon leaders at all levels to play their role in sensitizing HIV/AIDS in Uganda.

“I urge cultural, religious and political leaders to get back in the field because there is a new HIV battle that has increased the rate of HIV/AIDS prevalence in Uganda,” he said.

“We need to strengthen the health systems in Uganda by focusing on all the districts especially the remote villages where there is still a high rate of HIV/AIDS,” he added on.

Shocking findings

It is estimated that 41% of all pregnancies globally are unintended and 39% occur in Africa.

According to World Health Organization (WHO), the lifetime risk of death due to pregnancy is 1:22 in sub-Saharan Africa, with adolescents facing a higher risk of morbidity and mortality than older women.

The bio-social gap, explained as the early onset of puberty and increasing age of marriage, has widened in most low-income countries.

This has led to an increase in pre-marital sexual activity, which exposes vulnerable youth to the risk of unwanted pregnancies and sexually transmitted infections (STI).

“Pre-marital sexual activity seems to be increasing among university students in Asia and Africa as a result of many factors, such as rapid urbanisation and exposure to mass media (5–8),” said Global Health Action.

“Nearly half of Uganda’s inhabitants are below the age of 15, and 20% are between 15 and 25 (9). Poor mental health, sexual coercion, low trust in others, and increased university enrolment are associated with risky sexual behaviour among university students (10–12).” Non-regular partners, unprotected sex, and cross-generational sex among university students were reported for this group in a recent study.

The current use of contraception among 15- to 19-year-olds in Uganda is 6.5% and 21.3% between the ages of 20 and 24 (14).

A study done at six Ugandan universities showed overall condom use to be 51%, and current use of contraceptive methods other than male condoms was 9%. This study also found that 6% of all sexually active students between the ages of 15 and 19 became pregnant (13).

Adolescent pregnancy is an important social concern with long-term psychosocial and economic implications for teenage mothers. These young women can be characterised as having relinquished their chance of educational attainment, placed themselves into a lower income category, and increased the risk of having to raise a child as a single parent.

In addition, infants born to adolescent mothers are exposed to a greater likelihood of foetal death, premature delivery, low birth weight, and impaired cognitive development (17, 18).

ABORTIONS

Unintended pregnancies can also lead to unsafe abortions, which account for nearly one-third of the maternal deaths among young people (19, 20).

Under Uganda’s strict anti-abortion law, induced abortion is rarely permitted (19). A study of Ugandan university students has shown that 7% of all sexually active women in this group have undergone an induced abortion (13).

Researchers noted that in Uganda, adolescent pregnancy often results in adverse maternal and neonatal health outcomes.

In this context, low use of contraception and high rates of maternal mortality rate make preventing unwanted pregnancies critical.

Multivariable logistic regression was used for the analysis and data were stratified by sex.

The association remained statistically significant for both males and females after controlling for age, sexual debut, area of growing up, and educational level of the household head. Socio-demographic determinants of age (22 or younger), early sexual debut (at age 16 years or earlier), and a rural background were significant for males but not for females. A synergistic effect between not currently being in a relationship and early sexual debut were also observed to have an effect on the non-use of contraception.

Sexual and reproductive health policies and programmes should be designed to take these differences into account.

Hon. Kamanda Bataringaya, State Minister for Primary Education told Chimpreports last month that there was need for collective effort in emphasising the prevention of HIV/AIDS, adding, funding was the critical factor in implementing this fight against the scourge of HIV/AIDS.

“The cardinal message is Abstain from sex till marriage for the youth, Be faithful to your partners for those mature enough to be in relationships and if you cannot avoid temptations use a condom,” said Bataringaya.

UNAIDS Country Coordinator, Musa Bungudu, appealed to the Government of Uganda to put more finances in the fight against AIDS. “We need to look at resource reality in the country which should be in a timely manner and allocated responsibility,” he said.

According to the Annual performance review of the National Strategic Plan for HIV/AIDS financial year 2011/2012, its main goal is HIV prevention to reduce HIV incidence by 30% by 2015.

The number of new infections was estimated to be 128,000 in 2010 and the target is to reduce the annual infections to 94,503 by 2015.

Some of the main challenges being faced include inadequate reports (monthly reports and other activity reports) hamper progress monitoring as well as timely documentation, HIV mainstreaming is still a challenge especially for sectors and local governments.

Also planned activities are not adequately implemented and weak linkages between district local governments, cultural institutions and religious institutions.

Approximately 1.39m people out of the estimated population of 32m of Uganda are living with HIV/AIDS and the New HIV Infection has increased from 110,000 in 2010 to 135,000 in 2011.


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