Assessment of Long Acting and Permanent Contraceptive Methods Utilization and Associated Factors among Female Antiretroviral Therapy Attendees in Gondar Town, North West Ethiopia, 2014
No Thumbnail Available
Date
2014-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
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
Description
Keywords
Unintended Pregnancy