Assessment of Long Acting and Permanent Contraceptive Methods Utilization and Associated Factors among Female Antiretroviral Therapy Attendees in Gondar Town, North West Ethiopia, 2014

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Addis Ababa University


Background: The prevalence of unintended pregnancy is high among HIV-positive women. Although there is higher motivation among HIV-positive women to avoid unintended pregnancy and desire for use of highly effective contraception, long acting and permanent contraceptive methods usage remained low. Preventing unintended pregnancy among women living with HIV is an important component of prevention of mother-to –child transmission (PMTCT), yet only a little is known about LAPMs use among women who are on ART in Gondar town, North West Ethiopia. Objective: To determine long acting and permanent contraceptive methods utilization and associated factors among female antiretroviral therapy attendees in Gondar town, North West Ethiopia, 2014 Method: Institution based cross-sectional study was conducted by interviewing 480 women of reproductive age (15–49years) that were selected using systematic random sampling technique from a list of ART attendees in government health facilities. Structured and pretested Interviewer administered questionnaire was used to obtain information from the respondents. Descriptive, bivariate, and multivariate methods were used to analyze utilization of LAPMs and the factors associated with LAPMs utilization. Result: Two hundred fifty six (85.0%) of the sexually active women were using some modern form of contraception. The current utilization rate of LAPMs (alone or with condom) was 62(24.1%). Women who had high knowledge [AOR=2.59, 95% CI [1.04, 6.45] and ever had been pregnant since the commencement of ART [AOR= 2.68, 95%CI [1.21, 5.93] had an increased odds of using LAPMs. Moreover, those women who had discussion about family planning with health care provider [AOR=2.69, 95% CI [1.18, 6.15] were more likely to use LAPMs. Conclusion and recommendation: The finding discloses that the general usage of contraceptive amongst sexually active women on ART was high though specific usage of LAPMs was found to be low. Based on the finding, there is a need to improve the implementation of integrated Family Planning service with ART service and improve counseling service that emphasized on LAPMs use



Unintended Pregnancy