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|Title: ||HOW DO PEOPLE PROTECT THEMSELVES FROM DUAL RISK OF UNINTENDED PREGNANCY AND HIV/AIDS?|
|Authors: ||TSIGEMARIAM, TEKLU|
|Advisors: ||DR. GAIL DAVEY, MRCP, MRCGP, MD, MSC, assistant|
|Copyright: ||Jul-2006 |
|Date Added: ||3-May-2012 |
|Abstract: ||Background---In Ethiopia 17% of births are not wanted, while 20% of births are
mistimed. Over 90% of adult cases of HIV in Ethiopia are attributable to heterosexual
activity. Dual protection is concurrent protection from unintended pregnancy and
HIV/AIDS representing an important public health intervention in this context.
Objective—to assess the extent of & barriers to dual protection among married or
cohabiting people in Adwa town
Methodology— a community based stratified cross-sectional survey of 868 married or
cohabiting aged 15-49 years women and 15-59 years men and 4 FGDs composed of two
men & women groups were conducted in Adwa town, in the northern part of the country,
from February 8 to March 3, 2006. Seven ketenas were selected by simple random
sampling. A census was conducted and respondents were selected by computer generated
random number. Data analysis for the quantitative part was using EPI info v6 and SPSS
11.0 for windows and the qualitative part was manually summarized & analyzed.
Result- the practice of dual protection was found to be 13.8%. The leading barriers
against dual method use were not having the knowledge on how to prevent dual risks
(accounting for 70.2%) followed by need for more children. Sex, education, employment,
knowledge, communication with spouse/partner & contraceptive provider & approval of
condom use with in marriage were found to be important predictors.
Conclusion - dual protection use is low in the presence of high morbidity & mortality
due to reproductive complications including from HIV. Condom use is low among
current contraceptive users. Lack of knowledge is the predominant barrier for dual
protection method use. Communication is important for promotion of dual protection.|
|Appears in:||Thesis - Public Health|
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