Assessment of Knowledge, Attitude and Intention to Use Long Acting and Permanenet Contraceptive Methods among Women in HIV Chronic Care, Addis Abeba, Ethiopia

Yilma, Selam (2016) Assessment of Knowledge, Attitude and Intention to Use Long Acting and Permanenet Contraceptive Methods among Women in HIV Chronic Care, Addis Abeba, Ethiopia. Masters thesis, Addis Ababa University.

PDF (Assessment of Knowledge, Attitude and Intention to Use Long Acting and Permanenet Contraceptive Methods among Women in HIV Chronic Care, Addis Abeba, Ethiopia) Selam Yilma.pdf - Accepted Version Restricted to Repository staff only Download (1MB) | Request a copy

Abstract

Background:Long-acting and permanent family planning methods (LAPM) include the intrauterine device (IUD) and the progestogen implant, as well as male and female sterilization. The use of these methods remains relatively small and sometimes a missing component of national family planning programs in sub-Saharan Africa.There are only few studies done showing utilization of LAPMs among women in HIV chronic care, particularly on knowledge, attitude, and intention to use LAPMs and barriers for low utilization of these methods among women in HIV chronic care. Objective: To assess the knowledge, attitude and intention to use long acting and permanent contraceptives methods and its determinants and barriers among women’s in HIV chronic care in Addis Ababa, Ethiopia. Method: A mixed methods facility based cross-sectional study design of was conducted in Addis Ababa private and public health institutions from February-March 2016 .A total sample size of 400 were used by using simple random sampling for the quantitative study. Moreover, 10 In-depth interviews were conductedamong providers and member of mother support group.Data was entered in EPI INFO version 7 and exported to STATA version 12 for analysis. Descriptive summary measures and odds ratio along with 95% confidence interval in Binary Logistic regression was employed to ascertain association. Qualitative data were coded and categorized using Open Code software and thematic content analysis were used for analysis. Result: Among 400 women in HIV chronic care, 178(44.5%) of women had low knowledge, more than half 212(53%) had negative attitude to use the methods and only 110(27.5%) had the intention to use LAPMs in the future. Moreover, the odds of women’s intention to use LAPMs among women who never ever use LAPMs were AOR=2.85: 95% CI (1.22, 8.78) times more likely to use LAPMs compared with women who ever use LAPMs. Likewise,women who had two or more total children were AOR=3.28: 95% CI (1.22, 8.78) times more likely to use LAPMs in the future compared to those who had less than two children. Similarly, women who had decided on the use of family planning together with their husband were highly significant AOR=20: 95%CI (5.09-80.45) with careful interpretation of the statistical value.On the other hand women who had higher knowledge score were AOR=10: 95%CI (3.11, 33.4) times more likely to desire LAPMs compared with women who had low knowledge score. The barriers, myth and misconception mentioned not to use LAPMs in In-depth interview. The availability ofthe methods mix, limited servicesprovision and trained personnel on permanent methods were a challenge to method mix in most public and private facilitiesMoreoverthere were different myths and misconception on the LAPM in the study area. For example implant cause weight gain, hypertension, anemia, illness and regarding IUCD, it Causes anemia, illness, infertility and cancer. Conclusion: Most women in HIV chronic care had low intention to use LAPMs. In addition almost half had low knowledge and more than half had negative attitude towards LAPMs. There were different barriers, myths and misconception on the LAPM in the study area.EducatingPLWHA to change the attitude, myths and misconceptions on LAPMs should be done.

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:	20 Jul 2018 12:58
Last Modified:	20 Jul 2018 12:58
URI:	http://thesisbank.jhia.ac.ke/id/eprint/7951

Actions (login required)

View Item