Lemma, Likelesh (2014) Assessment of Utilization of Modern Family Planning Methods among Women Living with HIV/AIDS Who are on Chronic Care Follow Up in Yirgalem Public Health Facilities, Sidama Zone, SNNPR, Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Introduction Ethiopia is one of the countries’ most severely hit by HIV pandemic. According to the 2007 single point HIV prevalence estimate of Ethiopia for the year 2010, 90,311 HIV positive pregnant women and there were 14,276 annual HIV positive births. Preventing unintended pregnancy among HIV-positive women constitutes a critical and cost-effective approach to primary prevention of mother-to-child transmission of HIV (PMTCT) and is a global public health priority for addressing the desperate state of maternal and child health in HIV hyperendemic settings, yet few data exist on contraceptive use among women entering HIV care. Objectives: To assess utilization of modern FP methods among women aged 18-49 years living with HIV/AIDS who are on chronic care follow up in Yirgalem public health facilities. Methods: The study used quantitative study methods in the form of Facility based crosssectional survey supplemented by qualitative approach during the months of February to April 2014. Four hundred HIV positive women aged 18-49 years having HIV chronic follow up care in Yirgalem public health facilities were included using systematic random sampling technique. Structured and pretested questionnaire was used to obtain information from the respondents and the analysis was performed using SPSS version 21. Following descriptive statistics, bivariate, and multivariate methods of data analysis were employed. Strength of associations and significance level were examined using Odds ratio and 95% confidence intervals respectively. Thematic analysis was used to analyze qualitative data. Result: Three hundred ninety seven women on chronic care follow up participated in the study yielding a response rate of 99.3. Three hundred ninety seven (100%) of study participant were ever heard about modern family planning methods. More than half, 229 (57.7%), of the respondents were using modern FP methods at the time of the survey, of these, 111 (48%) were using dual contraceptive methods. Being secondary and above education (AOR: 4.63; 95% CI: (1.23-17.35), being married (AOR: 9.1; 95% CI: 3.81-25.58) and had peer support (AOR: 9.186; 95% CI: (3.29-25.62) were more likely to use modern FP methods. Conclusion and recommendation: In this study result showed that most of respondents were using modern FP methods. Almost half of them were using dual FP methods. Out of current modern FP users only one fourth of the women get FP service from the ART unit. ART/FP integrated service and counseling on modern FP should be strengthened.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RA Public aspects of medicine > RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 01 Nov 2018 09:44 |
| Last Modified: | 01 Nov 2018 09:44 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7292 |
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