Assessment of Modern Contraceptive Utilization and Associated Factors among Female Anti-Retroviral Therapy Attendants in Arada Sub city, Addis Ababa, Ethiopia
Creators: name: Alemu, Tewabech
Publisher: name: National Academic Digital Repository of Ethiopia
Year: 2016

description: Background Preventing unintended pregnancy is one of the 4 pillars of prevention of mother to child transmission program. Counseling and provision of contraceptives to HIV infected women who are on ART is an important strategy to prevent unintended pregnancy and its complication among HIV positive women who wish to limit the number of their children or delay pregnancy. World Health Organization considers providing safe and effective contraceptive to HIV infected women as one strategy for preventing pediatric infections. Despite these adopted strategies very few HIV positive women who wish to delay or limit the number of children are using modern contraceptive methods. Objective: To assess utilization of modern contraceptives by women of reproductive age who are attending ante retroviral therapy(ART) clinic and associated factors in public health facilities in Arada sub city, Addis Ababa, Ethiopia. Methods: Institutional based quantitative cross-sectional study was conducted in selected 5 public health facilities in Arada sub city from February to March, 2016. A systematic random sampling technique was used to select study participants. Three hundred and forty eight eligible women of reproductive age who were on ART were interviewed by using a pre tested structured questionnaire to assess modern contraceptive utilization status. Data entry and cleaning was done using Epi Info version 3.5.1 and then exported to SPSS version 20 using stat transfer software version 12 for analysis. Bivariate analyses were done for each independent variable and the outcome variable to select variables for the multivariate analyses. Variables which showed p-value of less than 0.25 during bivariate analysis were entered into multivariate logistic regression model to identify their independent effects. Odds ratio was used to measure the strength of association between the dependent and independent variables while95% confidence interval was used to determine the significance of the association. Tables and figures were used to present the results of the study. Result: One hundred (28.7%) of the respondents used at least one method of modern contraceptives to avoid or delay pregnancy. Condom was the most utilized type of contraceptives. Out of one hundred contraceptive users 85.2% were using dual contraceptives. Marital status (currently married) (AOR 3.15, 95% CI 1.50-6.61),having open discussion with sexual partner about contraceptive use (AOR8.03, 95% CI 4.22 to15.28), peers' positive influence (AOR 2.39,95% CI 1.09 to 5.22) and not having perception of being HIV positive affect their contraceptive use (AOR 0.2, 95% CI 0.11 to 0.37) were the major determinant factors identified to modern contraceptive utilization among ART attending women. Conclusion and recommendation: Utilization of modern contraceptives by ART attending HIV positive women of reproductive age in the study sub city was low (28.7%). Condoms were the most frequently used contraceptive method. The proportion of women with HIV using dual contraceptive were high (85.2%).Being currently married, having open discussion with sexual partner, peers' positive influence and not believing about the negative influence of HIV on contraceptive use have positively affected contraceptive use by ART attending HIV positive women in the study area. Strengthening counseling on the importance of couple's discussion as well as health education about HIV and family planning as part of ART care and treatment to avoid negative perception towards contraceptive use is recommended. Key words: contraceptive utilization, HIV positive, modern contraceptive, family planning