PREVALENCE AND FACTORS ASSOCIATED WITH UNINTENDED PREGNANCY AMONG WOMEN ATTENDING ANTENATAL CARE AT GULU REGIONAL REFERRAL HOSPITAL, NORTHERN UGANDA

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dc.contributor.authorNAKYEYUNE LILLIAN MONICA
dc.date.accessioned2026-11-02T08:00:37Z
dc.date.available2026-11-02T08:00:37Z
dc.date.issued2026
dc.description.abstractBackground: Unintended pregnancy contributes to adverse maternal, neonatal, psychosocial, and socioeconomic outcomes. Evidence among the general population of women attending antenatal care in northern Uganda remains limited. Objective: To assess the prevalence and factors associated with unintended pregnancy among women receiving antenatal care (ANC) at Gulu Regional Referral Hospital, Northern Uganda. Methods: A facility-based cross-sectional study was conducted among 414 pregnant women attending antenatal care at Gulu Regional Referral Hospital from 1st April to 25th May 2025. Participants were selected through systematic random sampling, and trained midwife research assistants administered a structured questionnaire. Modified Poisson regression with robust variance estimation was used to estimate crude and adjusted prevalence ratios with 95% confidence intervals. Statistical significance was considered at p < 0.05. Results: Among 414 participants, the median age was 24 years (IQR: 21-29). The prevalence of unintended pregnancy was 40.1% (166/414; 95% CI: 35.4%-44.9%). After adjustment, women who attended antenatal care without their partners were 1.6 times more likely to have unintended pregnancy than their counterparts (aPR = 1.6; 95% CI: 1.03–2.53; p = 0.035). No other variable showed a statistically significant adjusted association. No measured variable demonstrated clear independent statistical evidence of association in the adjusted analysis. Conclusions: Two in five women attending antenatal care reported an unintended pregnancy. Attendance without a partner was associated with a higher prevalence of unintended pregnancy after adjustment for measured factors. Antenatal and family planning services should assess pregnancy intention and provide woman-centred counselling, with partner involvement guided by each woman’s preference. Further research should examine the relationship and contextual factors underlying unintended pregnancy.
dc.identifier.urihttp://hdl.handle.net/20.500.14270/1105
dc.language.isoen
dc.publisherGulu University
dc.subjectUnintended pregnancy
dc.subjectantenatal care
dc.subjectpregnancy intention
dc.subjectmale partner accompaniment
dc.titlePREVALENCE AND FACTORS ASSOCIATED WITH UNINTENDED PREGNANCY AMONG WOMEN ATTENDING ANTENATAL CARE AT GULU REGIONAL REFERRAL HOSPITAL, NORTHERN UGANDA
dc.typeThesis

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