Demand for Modern Family Planning among Married Women Living with HIV in Western Ethiopia

Abstract

IntroductionPeople living with HIV (PLHIV) have diverse family planning (FP) needs. Little is reported on FP needs among women living with HIV in Ethiopia. Thus, the objective of the study was to assess the demand for modern FP among married women living with HIV in western Ethiopia.MethodsA facility-based cross-sectional survey was conducted on 401 married women living with HIV selected from Nekemte Referral Hospital and Health Center, Nekemte, Oromia, Ethiopia. Convenience sampling of every other eligible patient was used to recruit respondents. Data were collected using a pretested, structured questionnaire. We first calculated frequency and percentage of unmet need, met need and total demand by each explanatory variable, and performed chi-squared testing to assess for differences in groups. We then fitted logistic regression models to identify correlates of unmet need for modern FP at 95% CL.ResultsThe proportion of respondents with met need for modern FP among married women living with HIV was 61.6% (30.7% for spacing and 30.9% for limiting). Demand for family planning was reported in 77.0% (38.2% for spacing and 38.8% for limiting), making unmet need for modern FP prevalent in 15.4% (7.5% for spacing and 7.9% for limiting). Whereas age 25–34 years [adjusted odds ratio (AOR) (95% confidence interval (CI)) = .397 (.204–.771)] was protective against unmet need for modern FP, not having knowledge of MTCT [AOR (95% CI) = 2.531 (1.689–9.290)] and not discussing FP with a partner [AOR (95% CI) = 3.616(1.869–6.996)] were associated with increased odds of unmet need for modern FP.ConclusionsThere is high unmet need for modern FP in HIV-positive married women in western Ethiopia. Health care providers and program managers at a local and international level should work to satisfy the unmet need for modern family planning.

Status of family planning integration to HIV care in Amhara regional state, Ethiopia

“…This is also supported by a study conducted in Dire Dawa, Ethiopia which shows a high unmet need for family planning (36%) among women living with HIV [27]. The finding is comparatively higher than the findings reported from Kenya (20%) [31], Ghana 27.8% [22], Western Ethiopia (15.4%) [36], and Hawassa city Ethiopia (19.1) [37]. This study also indicates that 21.4% of participants ever had an unwanted pregnancy and 12.9% ever had induced abortion.…”

One in every four women living with HIV had unmet need for family planning in Gondar city, Northwest Ethiopia: Cross-sectional study

“…This finding was higher than the findings in Nekemt 15.4% [23] and Hawasa 19.1% [24]. The possible reasons may be due to behavioral difference, difference in health service provision access and utilization.…”

“…Studies done in different African countries showed that unmet need for family planning was range from Malawi 21.9% to 49% in Nigeria [16][17][18][19][20][21][22]. With regard to Ethiopia studies done in different part of the country showed that the unmet need for family planning among HIV positive women on ART ranges 15.4% in Nekemt, to 24.6% in south Gondar and north wollo [23][24][25].…”

Identifying the Unmet Need of Contraception Among Hiv Seropositive Women Attending Antiretroviral Treatment (Art) Clinic in Tertiary Care Centre

“…This is supported by study done in Bhutajira and Ethiopia. 21 In rural areas where there is lack of awareness about contraception, mass media and personal testimonials of satisfied users can make family planning methods more acceptable. Where contraception already is widely known, mass-media discussions and individual or group counselling can offer clients accurate information, reassurance, and encouragement.…”