Dam, Anita

School of Public Health - International Health (Social and Behavioral Interventions)

Uganda

Empowering women with the tools necessary to avoid sexually transmitted diseases, such as HIV, is critically important for individual and public health. While hormonal contraceptive methods are highly effective for empowering women through prevention of unintended pregnancy, recent studies have found a potential association between hormonal contraceptive methods, specifically depot medroxyprogesterone acetate (DMPA), and an increase risk of HIV acquisition in women. This study aims to investigate the preferences of contraceptive users in Rakai, Uganda to avoid HIV acquisition and transmission. This study is a follow up from recent systematic reviews conducted to evaluate the association between increased HIV acquisition and available contraception methods [under the WHO’s medical eligibility criteria (MEC) guidelines] in parts of the world like Sub-Saharan Africa which has high DMPA use. This qualitative research study will collect data through in-depth interviews with hormonal contraceptive using participants in the Rakai Community Cohort Study. Women living in Rakai face a unique yet stressful living environment, as Rakai is considered a HIV “hotspot” with significantly higher rates of HIV prevalence than the rest of the country. When deciding which contraceptive method to utilize, these women face many challenges, such as living in an HIV “hotspot”, limited hormonal contraception options, and their partner’s contraceptive preferences. This proposed qualitative study will provide a deeper look at end-users’ respective considerations when determining which contraceptive method to use, especially when avoiding HIV acquisition and transmission. The findings of this study will inform future revision to WHO’s guidance on contraception method preferences.

People

Caitlin Kennedy, PhD MPH,BA

Co-Director, MPH concentration in Social and Behavioral Sciences in Public Health; Associate Director, Center for Qualitative...

Joanne Katz, ScD MS,BSc

Associate Chair, Director of Academic Programs

Stefan Baral, MD MPH,MBA,MSc

Director, Key Populations Program

Yukari C. Manabe, MD

Associate Director of Global Health Research and Innovation

Robert Bollinger Jr., MD MPH

Director, Johns Hopkins Center for Clinical Global Health Education (CCGHE); Associate Director, Johns Hopkins Center for Global...

Noreen Hynes, MD MPH

Director, Geographic Medicine Center of the Division of Infectious Diseases
«

May 2018

»
S
M
T
W
T
F
S
·
·
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
·
·

Projects

Nutrition Innovation Lab

"Poshan", which means good nutrition in Nepali is ongoing research that involves two interlinked large-scale research studies...

Read More

Identification and Enumeration of Pathogens in Drinking...

CWH researchers are using polymerase chain reaction and mass spectrometry technologies to develop a microbial isolation and...

Read More

Building an Enabling Environment for Vaccines in India...

This project, now in its second phase, aims to create an enabling environment for vaccines in India and contribute to...

Read More

Mpilonhle

Mpilonhle brings multi-dimensional services to adolescents in rural South Africa. Its objective is to reduce the very high...

Read More