Dual Contraceptive Utilization and Associated Factors Among Reproductive-Age Women on Anti-Retroviral Therapy at Hospitals in Central Ethiopia

Yohannes, Tilahun; Bala, Elias Teferi; Bulto, Gizachew Abdissa; Roga, Ephrem Yohannes

doi:10.2147/rmhp.s290362

Cited by 4 publications

(5 citation statements)

References 17 publications

(19 reference statements)

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“…The present study showed that about 71.6% HIV positive women living in rural areas were less likely to use dual contraceptives when compared to their urban counterparts. These findings are similar in line to earlier studies in Ethiopia [22,23]. On the contrary, another study from Northwest Ethiopia reported that urban dwellers use less modern contraceptives when compared to their rural counterparts [24].…”

Section: Discussionsupporting

confidence: 91%

Dual contraceptives and associated predictors in HIV positive women: a case–control study

Ashore

Erkalo²,

Prakash

2022

Reprod Health

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Background People living with the human immune deficiency virus (PLHIV) are an important group to address HIV prevention. Mostly, 90% of the HIV cases in children are usually through mother-to-child transmission. Dual contraception (barrier condoms i.e., male, and female condoms) are one of the most effective ways to avoid HIV transmission. Thus, the present study was carried out to establish the predictors associated with the use of dual contraceptives in sexually active HIV positive women in Hossana, Southern Ethiopia. Methods An institution based unmatched case–control study among randomly selected 312 sexually active HIV positive women was conducted from February 2021 to May 2021. The data were collected through structured questionnaire and anti-retroviral treatment (ART) cards considering the case-to-control ratio of 1:3. The information was coded, entered into Epi-Info7.0 and exported to SPSS 20.0 for further analysis. A P-value < 0.25 in bi-variate analysis was further processed for multi-variate analysis and P-value < 0.05 was considered statistically significant. Results A response rate of 97.2% was recorded. A significant difference was observed towards the use of dual contraceptives in sexually active HIV positive women living in urban vs rural areas (AOR = 0.28; 95% CI = 0.09–0.84), having sexual intercourse with a regular partner (AOR = 3.77; 95% CI = 1.48–9.55) and taking first initiation to use (AOR = 0.05; 95% CI = 0.02–0.11). Conclusion The determinants associated with lower use of dual contraceptives were residing in rural areas, sexual intercourse with a regular partner and low initiation rate at first time for use of dual contraceptives. Therefore, we strongly recommend that open discussion about sexually transmitted infections like HIV and their prevention, providing adequate facilities in rural areas can help to prevent HIV transmission and reduce the disease burden. The health professionals are encouraged to organize awareness campaigns in rural areas for use of dual contraceptives among PLHIV.

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Section: Discussionsupporting

confidence: 91%

Dual contraceptives and associated predictors in HIV positive women: a case–control study

Ashore

Erkalo²,

Prakash

2022

Reprod Health

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“…This finding is in line with a study conducted in Malawi [37]. However, this finding is typically different from the study conducted in the southern part of Ethiopia and Gonder, northern Ethiopia, and West Shoa, Central Ethiopia which revealed that HIV-positive urban women were more likely to use dual contraceptive methods than rural women [19,26,31]. Even if FP knowledge was evenly distributed in all residential areas, women who reside in rural areas show apparently positive behavioral change when counseled frequently by health professionals about the advantage of using dual contraceptive methods, in turn, making them use the method.…”

Section: Discussionsupporting

confidence: 83%

“…This study also revealed the marital status of the women was one of the independent predictors to utilize the dual contraceptive method, respondents who had married were more than 3 times more likely to utilize a dual method of contraceptive when compared to their counterparts. This finding is comparable with finding from West Shoa, Central Ethiopia, Addis Ababa, Southwestern Uganda, Kenya, and Lusaka Zambia [26,[38][39][40][41]. This may be because married women find it simpler to talk about contraception-related issues than single women.…”

Section: Discussionsupporting

confidence: 79%

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Untitled

2022

IJWHC

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Background: Dual contraceptive utilization can reduce the transmission of many sexually transmitted infections and is recommended by the World Health Organization. Even though recent times advise the use of dual contraception as a potent instrument in the control of unintended pregnancy and sexually transmitted infections including HIV/AIDS, there are considerable contraceptive use gaps among women living with HIV globally.Methods: A facility-based cross-sectional study was conducted from March 22 to June 22/2022 among HIV-positive reproductive age women on Antiretroviral Therapy in the North Shewa Zone, central Oromia health facility. A total of 611 women were selected using a multi-stage sampling technique. A pre-tested structured questionnaire was used to collect data. Both bivariable & multivariable logistic regression analysis was used to find predictors for dual contraceptive utilization.

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“…Por el contrario, Tilahun y cols. (25) encontraron que tener entre 15 y 24 años incrementó hasta 8 veces la posibilidad de uso de este tipo de anticoncepción. Este contraste podría evidenciar diferencias en las conductas sexuales de las mujeres de diferentes realidades, con especial consideración en la edad de inicio de relaciones sexuales y el número de parejas sexuales.…”

Section: Discussionunclassified

Doble protección anticonceptiva en estudiantes de obstetricia: Un estudio de factores asociados

Rodriguez-Clemente,

Guillén-Calle,

Barja-Ore

2024

RSOGV

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Objective: To determine which factors are associated with the use of dual protection in obstetrics students from a public university in Lima, Peru. Methods: Analytical cross-sectional study, done in 217 obstetrics students from the Universidad Nacional Mayor de San Marcos.The chi-squared test was applied, in addition to the raw and adjusted prevalence ratio (PR) Results: The prevalence of the use of dual protection was 41.5%. In the bivariate analysis, the factors associated with it included: age from 25 to 29 years old (raw prevalence ratio: 1.57), Lima as a place of origin (raw prevalence ratio: 2.07), previous pregnancy (raw prevalence ratio: 1.91), previous abortion (raw prevalence ratio: 1.92), antecedent of STI in the couple (raw prevalence ratio: 1.81), knowledge about dual protection (raw prevalence ratio: 3,16), and orientation in family planning (raw prevalence ratio: 1.76). In the multivariate analysis, knowledge about contraceptive protection maintained its significant association (adjusted prevalence ratio: 2.44). Conclusions: Knowledge about contraceptive protection is the only reproductive factor that was associated with a higher probability of using this method. Keywords: Contraceptives, Risk Factors, Contraceptive Hormonal, Condoms.

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Dual Contraceptive Utilization and Associated Factors Among Reproductive-Age Women on Anti-Retroviral Therapy at Hospitals in Central Ethiopia

Cited by 4 publications

References 17 publications

Dual contraceptives and associated predictors in HIV positive women: a case–control study

Dual contraceptives and associated predictors in HIV positive women: a case–control study

Untitled

Doble protección anticonceptiva en estudiantes de obstetricia: Un estudio de factores asociados

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