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Background: Family planning helps to reduce the number of high-risk births and prevent unplanned pregnancies and mother-to-child transmission of HIV. The main purpose of this study was to determine the usage of family planning and its associated factors among women living with HIV who attended care and treatment clinics. Methods: This was a health facility–based cross-sectional study conducted among 332 sexually active reproductive-age women living with HIV who visited care and treatment clinics from 15 April and 15 June 2017. We used a systematic sampling technique for sample selection. The data were collected using pretested and structured questionnaires through face-to-face interviews. Seriously ill women living with HIV who were unable to respond to the questionnaire and refused to participate were excluded from this study. Logistic regression was fitted, and an odds ratio with a 95% confidence interval with a p value less than 0.05 was used to identify factors associated with modern family planning use. Result: The study revealed that the overall use of the modern family planning method was 56.3%, and the most common method used was injectable (37.4%) followed by implants (28.9%). About 19% of the users reported dual contraceptive use. About 58% got family planning from antiretroviral therapy clinics. Almost all the women (97.6%) had heard of seven modern family planning methods. Desire to have another child was the most common (79.7%) reason for not using family planning. Women who attended primary/secondary education (adjusted odds ratio: 2.61; 95% confidence interval: 1.29–5.28], who had no future fertility desire (adjusted odds ratio: 2.94; 95% confidence interval: 1.51–5.73), who had discussed family planning with their husband (adjusted odds ratio: 2.06; 95% confidence interval: 1.04–4.10), and who were counseled by the antiretroviral therapy provider about family planning (adjusted odds ratio: 4.53; 95% confidence interval: 1.70–12.06) were more likely to use family planning methods than their counterparts. Conclusion: The results of this study revealed that the use of modern family planning was low. There is a high frequency of implant usage, fear of mother-to-child transmission as a motivator for family planning usage, and low dual method usage. Hence, improving women’s education, involving husbands, and consistent family planning counseling by antiretroviral therapy providers are promising strategies to improve the uptake of modern family planning by women living with HIV.

Risky sexual behavior remains the major public concern commonly affecting youths. These behaviors lead to undesirable health outcomes including sexually transmitted infections, unplanned pregnancy and abortion for female. This study was intended to assess risky sexual behavior and associated factors among preparatory school students in Arsi Negelle Town. Institution-based cross-sectional study was conducted among 300 preparatory school students. Data was collected using a structured and pre-tested questionnaire. Bivariate and multivariable analysis was conducted to identify the association between variables. Statistical significance was declared at p<0.05. The prevalence of risky sexual behavior was, 32. % (95% CI: 24.3, 40.9). It was significantly associated with students grade level (AOR: 5.77; 95% CI: 1.49, 22.28), having no discussion on sexual and reproductive health (AOR: 11.28; 95% CI: 1.8, 77.49), poor knowledge on HIV/AIDS (AOR: 4.86, 95% CI: 1.38, 17.11), not watching porn movies (AOR: 0.01; 95% CI: 0.001, 0.26), having pocket money (AOR: 0.10; 95% CI: 0.03, 0.39) and having peer influence (AOR: 0.07; 95% CI: 0.02, 0.28). Significant number of students engaged in at least one risky sexual behavior. The behavior was commonly seen among students with poor knowledge about HIV, no discussion on sexual and reproductive health, lower grade level, having pocket money, having peer influence and watching pornographic movies.

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