Walelegn, Miraf (2014) Demand for Long Acting and Permanent Contraceptive Methods and Associated Factors among Female Antiretroviral Treatment Attendees in Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Background: Unmet need for family planning is similar sometimes even higher among women living with HIV. There is also a significant number of unintended pregnancies ranging from 51 percent to 84% among HIV-positive women. In Ethiopia, the prevalence rate of LAPMs among the general population has shown an increment. The use of implant recently has increased from 12% to 16%. Objectives: The objective of this study is to assess the demand for long acting and permanent contraceptive method and factors associate with it among HIV-positive women enrolled on antiretroviral treatment program in public hospitals in Addis Ababa, Ethiopia. Methods: A facility based mixed methods research combining quantitative cross sectional study design and qualitative research was carried out in Addis Ababa among HIV-positive women initiated ART. A sample size of 421 was calculated and distributed to the selected hospitals based on the number of ART clients each have. A structured and pre- tested questionnaire was used to collect the data. Data collection was under taken from March2- April 20 2014 for both qualitative and quantitative study. The qualitative study was conducted in the same hospitals. Binary logistic regression and multivariate analysis were employed using SPSS version 21. Result: A total of 394 HIV positive women who initiated ART were included on the study with the response rate of 93.6%. The total demand for LAPMs among HIV positive women on ART was 60.2% (95% CI 55-65) which was 14% for met need and 46.2% unmet need. Factors associated with demand for LAPMS were number of live children (AOR 0.188 95% CI 0.074- 0.476) and disclosure of HIV status to family members (AOR 0.400 95% CI 0.227-0.750). Number of live children (AOR 0.100 95% CI 0.032-0.311), marital status (AOR 0.405 95% CI 0.169-0.968, disclosure of HIV status to family members (AOR 0.339 95% CI 0.182-0.631) and satisfaction with cost of method (AOR 0.438 95% CI 0.221-0.867) were predictors of unmet need. The qualitative study findings also supported the above result where the participants explained that family members usually interfere in the women’s decision to use LAPMs. Conclusion and recommendation: The study shows the high total demand and unmet need for LAPMs, which may increase the mother to child HIV transmission due to unintended pregnancies caused by the failure of other short acting methods. Unmet need for LAPMs of contraception can be addressed by proper training of service providers (Both ART and FP), better counseling skill on family planning and proper management of side effects.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 01 Nov 2018 11:01 |
| Last Modified: | 01 Nov 2018 11:01 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7535 |
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