Assessment of Magnitude and Factors Affecting Intention of Women who are on Antiretroviral Therapy to Use long Acting and Permanent Family Planning Methods in Addis Ababa City Government Public Hospitals, Addis Ababa, Ethiopia
Creators: name: Gelaw, Bantamlak
Publisher: name: National Academic Digital Repository of Ethiopia
Year: 2014

description: Background-The use of long acting and permanent family planning methods is one of the pronge of preventing unwanted pregnancies among women on ART who tend to have complicated and worse birth outcomes. However, there are no substantive data available on the magnitude and factors affecting the intention to use long acting and permanent family planning methods among HIV positive women in Addis Ababa (Ethiopia). Objective- to assess the magnitude and factors affecting intention to shift to LAPMs by women who are on Anti Retroviral Therapy. Methods-The study was undertaken from July 2013 to Augest 2013 using quantitative study mehods in the form of facility based cross sectional survey on a sample of 633 HIV positive women in the ART follow up units in Addis Ababa supplemented by qualitative in-depth interview. A systematic random sampling procedure was applied to select respondents of the study. A pretested structured questionnaire was used to collect data. Data were entered with Epi info, analyzed using SPSS version 20. Bivariable analysis and multivariable logistic regration was employed to see the crude and independent relationship between the independent variables and the out come variable. Results- The proportion of women who intended to shift to LAPMs was 38.5%. Knowledge of respondents on LAPMs was 95%. Among LAPMs, IUD was known by 90% of participants, male sterilization was least known (7.7%). The intention of HIV positive women to shift to LAPMs in the future was significantly associated with women's level of education AOR= [1.59, 95 % CI: 1.07, 2.36], their level of knowledge about LAPMs [1.68, 95% CI: 1.09,2.60] and attitude of women towards LAPMs [1.66, 95% CI: 1.18-2.34], where as, parity of women: one to two children [0.22, 95% :0.12,0.39] and three to five children a woman had [0.12, 95% CI: 0.06,0.24] were found to be significant and negatively associated with intention of women to shift to LAPMs. From the qualitative data, most of participants were not intended to shift to LAPMs mainly because of women's choices were dominated by partners, fear of side effects from LAPMs like: infection and excessive vaginal secretion, rumors and misconceptions about LAPMs Conclusions and recommendation- Women's education, knowledge on LAPMs and positive attitude towards LAPMs were found to be independent predictors of intention to shift to LAPMs. The high proportion of women on ART not to shift in these facilities was indicative of the need to work on women's desire to shift the method. Half of women have negative attitude towards LAPMs. Attempts to improve womens' knowledge and attitude towards LAPMs are very important. Besides, Information decisimination , communication on the use of LAPMs and integrating the service of HIV with family planning services especially LAPMs should give due emphasis to allivat factors which hindered method shift among women who are on ART.