Berhanu, Netsanet (2013) Assessment of Modern Contraceptive Utilization and Its Associated Factors among Women of Reproductive Age Taking Anti-retroviral Therapy in Selected Health Institution of Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Back ground: Individuals with Human Immunodeficiency virus may desire to have children and want to use contraceptive method. Haw ever the extent of these desires and how it varies by individual, social, health and demographic characteristics is not well understood. Women with HIV like other women may wish to plan pregnancy, limit their family, or avoid pregnancy. However, Pregnancy among HIV positive women is an issue of public health importance because of poor maternal out comes and pediatric HIV infections. Hence meeting contraceptive needs of HIV positive women can help to avoid unintended pregnancy which would reduce maternal death and pediatric HIV infection. Objective: To assess contraceptive utilization and factors affecting its use among HIV positive women taking anti retroviral therapy, Methods: Cross sectional facility based quantitative study supplemented by qualitative indepth interview (IDI) was conducted from January 2013 to June 2013 on a sample of 353 HIV positive women in the ART follow up units in selected health facility, Addis Ababa. A systematic random sampling procedure was applied to select study participants. A pretested structured questionnaire was used to collect quantitative data and semi- structured (open ended) question was used to collect qualitative data. The quantitative clean data were entered and analyzed using SPSS version 16 and logistic regression model was used while the qualitative data collected were transcribed and analyzed in to thematic areas. Result: One hundred forty four (40.8%) of the respondents used at least one method of contraception and condom was the most highly utilized contraception. The major determinant Factors identified to contraceptive utilization were, having alive children adjusted (AOR=5.95; 95%CI= 3 to11), being married or cohabitated (AOR=.0.15; 95%CI= 0 .08 to 0.27), age of the respondent (AOR=0.26; 95%CI=0.1 to 0.7), heard of contraceptive method (AOR=5.91; 95%CI=1.7to20), counseling on unintended pregnancy (AOR=1.87; 95%CI=1to3.4). Qualitative result showed that reason for inconsistent use of condoms were, refusal of spouse and some women dislike condom. Additionally fears of drug side effect to use contraceptive method were the reason mentioned by healthcare provider.Conclusion: In this study 40.8% of the respondent used some method of contraception with Condom being the prominent. Having alive children, herd of contraceptive method, marital status, counseling on unintended pregnancy and age of the women were the major predictors for family planning use. Thus, action targeting the identified determinant factor is necessary and integrating reproductive health and HIV care and treatment services is basic and necessary to avoid unintended pregnancy and minimize its health consequence among HIV positive women.
| 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: | 27 Nov 2018 12:59 |
| Last Modified: | 27 Nov 2018 12:59 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7756 |
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