Contraceptive Utilization and Associated Factors among HIV Positive Women Enrolled in HIV Care in Health Centers of Addis Ababa
Creators: name: Sentayehu, Tsedale
Publisher: name: National Academic Digital Repository of Ethiopia
Year: 2016

description: Background : Increasing access to family planning and reducing unintended pregnancies among human immune deficiency virus (HIV) clients has a number of economic benefits, including low costs for prevention of mother to child transmission (MTCT), lower costs for pediatric treatment and reduced costs for mitigating the consequences (such as low birth weights) of unintended births. For women with HIV who do not wish to become pregnant, family planning is proven, cost effective strategy for preventing vertical transmission of HIV. Yet there are limited studies conducted in health centers to assess contraceptive use and factors affecting its use among HIV positive women. Objective: To determine magnitude of contraceptive utilization and associated factors among HIV positive women that are enrolled for HIV care in government health centers in Addis Ababa. Methods: A facility based cross-sectional study was carried out on a sample of 682 HIV positive women in the anti retroviral treatment (ART) follow up units of selected health centers in Addis Ababa. A systematic random sampling procedure was applied to select study participants. Data was collected through interview using structured questionnaires. Data was analyzed using SPSS version 20.Multiple logistic regression analysis was done to see the association between the outcome and predictor variables Result: The magnitude of contraceptive use among sexually active study participant were 88.27%. The most commonly used method was injectable followed by implant. HIV positive women who had a higher chance of contraceptive use were those who have two children (Adjusted odd ratio (AOR): 2. 8; 95% CI: 1.2-6.3),those who have more than one sexual partner (AOR: 12.0; 95% CI: 3. 3- 44.4)and those who disclose their status to their partner(AOR: 3. 4 95% CI: 1.52-7.55); Whereas women who were Protestant (AOR: 0.403; 95% CI: .191-.852),not currently married (separated /divorced/widowed) (AOR: 0.221 95% CI: .097-.501)were less likely to use contraceptive. Conclusion and Recommendation: The study has shown that about two-thirds of participating HIV positive women use at list one contraceptive method. The most preferable contraceptive methods used were Injectables and implants. Among the long-term contraceptive methods, intra uterine contraceptive device (IUCD) were used in very low rate. Religion, marital status, number of living children, number of sexual partner and disclosure of HIV status to sexual partners were found to be related with current contraceptive use among study population. We would like to recommend that the regional health bureau has to work hard to increase coverage of contraceptive utilization by HIV positive women in order to prevent mother-to- child-transmission of HIV by strengthen the existing family planning services integration with ART clinics and particular emphasis should be given on encouraging women to disclose their HIV status to partners.