Unmet need for family planning among HIV positive women attending HIV care and treatment services in Zewditu Memorial Hospital Addis Ababa; Ethiopia

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2014-02

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Addis Abeba Universty

Abstract

Background: Globally there is huge increase in family planning access and use. Despite this an estimated 137 million women in the developing world, who would like to avoid childbearing, are unable to avoid it. The concept of unmet need defines the gap between women's reproductive intentions and their family planning behavior. There are few incites and substantive data available on the magnitude of unmet needs for family planning and occurrence of unintended pregnancy among HIV positive women in Ethiopia (Addis Ababa). Objective: To assess the unmet need for family planning among HIV positive women attending HIV care and treatment services in Zewditu Memorial Hospital Addis Ababa Methodology: Institution based cross-sectional study was conducted from March to September 2013 on 419 HIV positive women. Data was collected using structured questionnaire which was administered by counselor nurses. The data was entered in to EPIinfo and analyzed using SPSS. Result The study findings show that the overall prevalence of unmet need is 32.7%, comprising 21.7%of women who wanted to limit births and 11% who wanted to space births. Educational status and employment status of the women were found to be significantly associated factor with unmet need for family planning. In a multivariate analysis, HIV positive women who have unmet family planning need at P < .019 were having a significantly higher chance of experiencing unintended pregnancy. Family planning and condom use were most discussed with service providers during entry to ART; this was reported by 38% of the respondents. Conclusion: Unmet family planning needs were high among HIV positive women in ART units in Addis Ababa as compared to findings of EDHS 2011. Limiters were higher than spacers. As a major indicator of these, occurrence of unintended pregnancy were higher among HIV positive women in the ART follow up units in Zewditu memorial Hospital

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Unmet Need for Family Planning among HIV Positive Women Attending

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