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

Abstract

Background All women, including those living with HIV, have the right to choose the timing, spacing, and number of their births and need access to family planning services.Objective To assess the prevalence and factors associated with unmet need for family planning among women attending Anti retro viral Therapy (ART).Methods Facility-based cross sectional study was conducted from March, to April, 2018 in Gondar town, Ethiopia. Systematic random sampling technique was used to recruit respondents. A total of 441 reproductive age women on ART were included in the study. The data were collected using a pretested structured questionnaire. Bivariate and backward multivariable logistic regression model was fitted to identify factors associated with unmet need for family planning. Adjusted Odds Ratio (AOR) and 95% confidence interval was computed.Results The prevalence of unmet need for family planning was 24.5% (95% CI: 20.4-28.8). Rural residence (AOR: 2.11, 95% CI (1.02, 4.36)), women aged 20-29 years (AOR: 0.29, 95% CI (0.09, 0.93)), 30-34 years (AOR: 0.30, 95% CI (0.10, 0.92)), 35-39 years (AOR: 0.14, 95% CI (0.04, 0.45)), and above 40 years (AOR: 0.08, 95% CI (0.02, 0.38)), have more than three children (AOR: 0.12, 95% CI (0.04, 0.36)), intention to have more children (AOR: 0.08, 95% CI (0.03, 0.23)), who did not disclose their sero-status to partner (AOR: 0.39, 95% CI (0.19, 0.81)), having no experience of contraception use (AOR: 0.44, 95% CI (0.21, 0.92)) were significantly associated with unmet need for family planning.Conclusion One in every four women living with HIV had unmet need for family planning. Rural residence, age of the women, having >3 children, intention to have more children, not disclosing sero-status to partner, and having no experience of contraception use were significantly associated with unmet need for family planning.

Unmet need for family planning among reproductive-age women living with HIV in Ethiopia: A systematic review and meta-analysis

“…Thirteen full-text articles were assessed for eligibility. From these, 6 full-text articles were excluded for prior criteria [ 24 , 35 – 39 ], and a total of 7 studies [ 16 , 21 – 25 , 40 ] were included in the review ( Fig 1 ).…”

“…From these, 6 full-text articles were excluded for prior criteria [24,[35][36][37][38][39], and a total of 7 studies [16,[21][22][23][24][25]40] were included in the review (Fig 1).…”

“…There are different factors affecting unmet need family planning among reproductive age women living with HIV. These include; age [16][17][18][19][20][21][22][23][24][25], marital status [17,20,25], educational status [23], residence [24], monthly expenditure [18,19], number of alive children [18,24], number of desired children [24], intention to have children [24], history of contraceptive use [18,23,24,26], HIV disclosure status [22,24], duration on ART [22], knowledge on maternal to child transmission (MTCT) [16,25], discussion on family planning with partner [16], and partner's HIV status [21].…”

The Level of Unmet Need for Family Planning and Its Predictors among HIV-Positive Women in Ethiopia: A Systematic Review and Meta-Analysis

“…Being younger age [ 22 , 23 , 25 ] was found to be significantly associated with unmet need for family planning among HIV-positive women. The likely hood of experiencing an unmet need for family planning was found to be 3 times higher among women ages 15-24 years compared to those with ages ≥ 35 years ((OR = 3.12; 95% CI 1.59, 6.11) I 2 = 27.5%; p = 0.252) ( Figure 4 ).…”

“…Statistical significant association was not found between a desire to have more children planning [ 23 , 25 ] and the unmet need for family planning among HIV-positive women ((OR = 4.34, 95%, CI 0.61, 31.15), I 2= 91.7%, p = 0.001) ( Figure 6 ).…”