Modern Contraceptive Utilization and Associated Factors among HIV Positive Women on Antiretroviral Therapy in Mizan-Tepi Teaching and Referral Hospital, South-West Ethiopia

Mitiku, Kindie

doi:10.21767/2471-9749.100033

Cited by 9 publications

(24 citation statements)

References 31 publications

(31 reference statements)

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“…Divorced or separated women were less likely to use modern family planning methods compared with married women. This is in line with studies done in Kenya [40], Nigeria [41], and Ethiopia [39]. This study reveals that women with higher income were more likely to use modern family planning methods compared with women with lower income and women who were not knowledgeable on MTCT were less likely to use modern family planning methods than those who were knowledgeable.…”

Section: Discussionsupporting

confidence: 90%

“…Women in the age group of 25-34 years and women in the group of 35-49 years were less likely to use modern family planning methods compared with women in the age group of 15-24 years. This is consistent with the findings of studies conducted in Malawi [38], and Ethiopia [39]. Divorced or separated women were less likely to use modern family planning methods compared with married women.…”

Section: Discussionsupporting

confidence: 90%

“…This study reveals that women with higher income were more likely to use modern family planning methods compared with women with lower income and women who were not knowledgeable on MTCT were less likely to use modern family planning methods than those who were knowledgeable. Similar findings were found from studies conducted in Nigeria [41], and Ethiopia [39]. This might be due to the effect of women's financial capacity and knowledge about MTCT which may enable women decision making autonomy on the couple's family planning use.…”

Section: Discussionsupporting

confidence: 82%

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

Zewdie

Yitayal

Kebede

et al. 2020

BMC Pregnancy Childbirth

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Background: Preventing unintended pregnancies among HIV positive women is one component of HIV prevention strategies. However, programs to prevent mother-to-child transmission (PMTCT) of HIV started in antenatal care. The objective of this study was to examine the status of family planning integration to HIV care from client and facility perspectives and identify factors associated with current family planning use. Methods: A facility-based cross-sectional study was conducted from December 2017 to April 2018. Data were coded and double entered into EPI Info version 3.5.4 and exported to STATA version 14 for analysis. Bi-variable and multivariable logistic regression analyses were conducted to assess the association of variables with the current family planning use. Results: A total of 518 HIV-positive women were included in the study. Among HIV-positive women, 35.3% had an unmet need for family planning, and 21.4% responded that their pregnancies were unwanted. About two-thirds (68.1%) of women were using a modern family planning method at the time of the study. Among women who were currently using family planning, 88.8% got the service from a family planning clinic in the same facility, and only 1.1% got the service from the HIV care unit. Women who were not knowledgeable on PMTCT (AOR 0.47, 95% CI = 0.24-0.90), divorced or separated women (AOR 0.19, 95% CI = 0.10-0.37) and women in the age group of 25-34 years (AOR 0.42, 95% CI = 0.20-0.88) and 35-49 years (AOR 0.41, 95% CI = 0.17-0.99) were less likely to use modern family planning methods compared with those women who were knowledgeable, married and women in the age group of 15-24 years. Besides, women with higher income (AOR 2.12, 95% CI = 1.26-3.57) were more likely to use modern family planning methods compared with women with lower incomes. Conclusion: This study indicated that there is a high unmet need for family planning among HIV-positive women and low family planning services integration in the PMTCT/ART clinics. Efforts should be strengthened to tackle the factors which hinder the use of modern family planning and improve family planning service integration.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 82%

See 1 more Smart Citation

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

Zewdie

Yitayal

Kebede

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

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“…Current use of contraceptive method: Referred to respondents who responded positively for use of at least one type of contraceptive methods at time of the survey to delay or avoid pregnancy (14).…”

Section: Sample Size Determination and Sampling Techniquementioning

confidence: 99%

“…In the least developed countries, use of long acting reversible contraceptive or permanent methods (LARCs/PMs) accounts for less than one-fth (19 %) of the contraceptive method mix (10). According to different studies done in Ethiopia, LARCs/PMs utilization has been seen very low among HIV positive reproductive age women (11)(12)(13)(14). Hence the aim of this study was to identify the determinants of long acting contraceptive methods utilization among HIV positive reproductive age women attending care in ART clinics in all public health facilities of Arba Minch Town.…”

Section: Introductionmentioning

confidence: 99%

Determinants of Long Acting Contraceptive Utilization Among HIV Positive Reproductive Age Women Attending Care at Art Clinics of Public Health Facilities in Arba Minch Town, Southern Ethiopia, 2019. A Case Control Study

Yirsaw¹,

Meskel²,

Michael³

et al. 2020

Preprint

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Background: Long acting and permanent contraceptive methods by far are the most effective, very safe and convenient methods than short acting contraceptive methods. But in less developed countries, use of long acting reversible contraceptive or permanent methods (LARCs/PMs) is very low. Therefore the aim of this study was to identify determinants of long acting contraceptive method utilization among HIV positive reproductive age women. Methods: An institutional based case control study was conducted among random sample of 354 HIV positive reproductive age women (total of 97.8% response rate) at Anti-Retroviral Therapy clinics from February 20 to March 20, 2019. Case to control ratio was 1:2. A structured questionnaire and information recorded from ART card review were used to collect the data. Each variable was entered in Bivariate analysis with dependent variables and those variables with P-value of ≤ 0.25 were included in the Multivariate analysis. Significance was determined at the level of P-value <0.05 with 95% CI of AOR. Results: A total of 354 (33.3% cases and 66.7% controls) HIV positive reproductive age women were interviewed with response rate of 97.8%. The study revealed being in age group of 39 and above [AOR=0.17, 95% CI (0.06, 0.48)], being divorced/separated and widowed [AOR=0.05, 95% CI (0.003, 0.61)], having supportive opinion and strongly supportive opinion regarding family planning service availability in ART clinic [AOR= 5.01, 95% CI (1.79, 14.07)], [AOR= 7.81, 95% CI (2.54, 24.01)] and having no future fertility intention [AOR= 7.03, 95% CI (2.73, 18.06)] were statistically significant determinants for long acting contraceptive method utilization. Conclusion: Woman in age group of 39 and above, having no future fertility intention and being divorced/separated and widowed was found to be determinants of long acting contraceptive method utilization among HIV positive reproductive age women. In addition our study support the WHO Strategic Considerations for Strengthening the Linkages between Family Planning and HIV/AIDS Policies, Programs, and Services.

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Contraceptive Use and Method Preferences among HIV Positive Women in Ethiopia: A Systematic Review and Meta-analysis

Gedefaw

Wondmieneh

Demis

2020

BioMed Research International

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Background. Preventing unintended pregnancies among HIV positive women has a vital role to prevent mother to child transmission. Besides, increasing access to contraceptives has a number of economical importance and reducing the costs for mitigating the unintended pregnancy consequences. Therefore, this study is aimed at assessing the contraceptive use and method of preference among HIV positive women in Ethiopia. Methods. A systematic review and meta-analysis reporting guideline was applied. Articles searched from the Scopus, Pubmed/MEDLINE, EMBASE, AJOL, Hinari, and Google scholar were included in this review. The Stata 11 software was used to compute the analysis. Heterogeneity of the studies was detected using the Cochran Q test and I2 test statistics. Egger’s test was used to check the evidence of publication bias within the studies. Subgroup analysis and sensitivity analysis was computed with the evidence of heterogeneity. Results. Ten thousand one hundred twenty one (10121) women living with HIV/AIDS were recruited in this study. The national estimated prevalence of contraceptive use among HIV positive women in Ethiopia was 57.78% (95% CI: 48.53-67.03). Injectables and male condom were the most preferred contraceptives accounted for 36.00% (95% CI: 6.64-45.35) and 32.74% (95% CI: 21.08-44.40), respectively. Discussion with husband/partner (AOR: 4.70, 95% CI: 2.18-10.12), disclosure of HIV status to spouse/partner (AOR: 2.18, 95% CI: 1.55-3.06), ever counseled for modern contraceptives (AOR: 2.79, 95% CI: 2.01-3.88), attending secondary and above education (AOR: 3.12, 95% CI: 2.15-4.51), and having more than one live child (AOR: 2.61, 95% CI: 1.86-3.66) were increasing the likelihood of contraceptive use whereas not currently married women (AOR: 0.23, 95% CI: 0.16-0.34) was decreases the odds of contraceptive use. Conclusion. In Ethiopia, more than half of the women living with HIV/AIDS were using contraceptives. Discussion with husband/partner, disclosure of HIV status to spouse/partner, ever counseled for modern contraceptives, attending secondary and above education, and having more than one live child were increasing the uptake of contraceptives among HIV positive women. Partner discussion, having adequate information towards contraceptive use, and having desired number of child could increase the utilization; as a result, obstetric complication with HIV positive women due to unintended pregnancy is significantly decreasing.

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Modern Contraceptive Utilization and Associated Factors among HIV Positive Women on Antiretroviral Therapy in Mizan-Tepi Teaching and Referral Hospital, South-West Ethiopia

Cited by 9 publications

References 31 publications

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

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

Determinants of Long Acting Contraceptive Utilization Among HIV Positive Reproductive Age Women Attending Care at Art Clinics of Public Health Facilities in Arba Minch Town, Southern Ethiopia, 2019. A Case Control Study

Contraceptive Use and Method Preferences among HIV Positive Women in Ethiopia: A Systematic Review and Meta-analysis

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