Contraceptive usage and method preference among HIV positive women in Addis Ababa, Ethiopia a cross survey that is sectional

Abstract

Background

Prevention of unplanned pregnancies among people living with HIV is essential component of “Global Plan” even in the context of expanded usage of very active therapy that is antiretroviralHAART). The research aimed to evaluate whether contraceptive usage and preference that is method by way of HAART among HIV positive feamales in Addis Ababa, Ethiopia.

Methods

A cross sectional facility based survey had been carried out from June to October, 2012 information was gathered making use of interviewer administered questionnaire and document review was carried out to verify HIV status and medical review. An example of 1418 HIV positive females including 770 ladies receiving HAART and 648 HAART-naГЇve recruited randomly from different health organizations in Addis Ababa. Data had been principally analyzed using regression that is logistic.

Outcome

Overall, 71% ladies reported using contraception (75% among HAART users and 65% HAART naГЇve ladies). Male condom and injectables will be the many preferred contraceptive methods among both groups. Chances of contraceptive usage among HAART users had been higher (AOR 1.60, 95% CI; 1.30-2.12) than HAART women that are naГЇve. In addition to this, presence of partner (AOR 2.32, 95% CI 1.60-3.40), disclosure of HIV status to husband (AOR 2.23; 95% CI 1.21-4.12), presence of residing children one (AOR 1.7; 95% CI 1.03-2.40), two (AOR 2.6; 95% CI 1.7-4.02) and three (AOR 3.3; 95% CI 1.90-5.60) respectively were found become predictors of contraceptive use among HIV g d women.

Conclusion

The profile that is contraceptive of in the study area primarily determined by male condom use, this indicates the need to better integrate tailored counseling and contraceptive options with care and support activities that targets HIV g d females. More over, emphasis is provided to contraceptive that is dual use along with their regular followup irrespective of their HAART use.

Prevention of unintended pregnancy among HIV positive women may be the 2nd part of prevention of mom to youngster transmission of HIV (PMTCT) [11] which can be a means that is important deal with the associated issues of HIV positive women and children [12]. It is reported to be cost[13] that is effective improves quality of life [14], decreases maternal and kid mortality [3, 12, 15–17] and decreases range positive infants by keeping their mother alive [18].

Significant improvements happen demonstrated by PMTCT in low and income that is middle [19]. The portion of women that are pregnant with HIV receiving antiretroviral therapy(ART) utilizing PMTCT in sub Saharan Africa risen to 50% [3]. However, PMTCT efforts to date gave less emphasis to the contraceptives options [20].

Inspite of the possible share of family planning(FP) to your prevention of HIV illness [12] and planetromeo sign up page unintended pregnancies [3], contraceptive used in sub-Saharan Africa remains low [21]. The portion of married women aged 15–49 using contemporary contraceptive methods ranges from 12% in Mozambique and 14% in Ethiopia to 27per cent in Rwanda [4]. In addition, previous reports suggested that twenty five percent of females with HIV globally and one in four married females from sub-Saharan Africa has need that is unmet household planning [22].

Even yet in the context of expanded access to ART for HIV-infected women that are pregnant family preparation still needs to be strengthened to prevent unintended pregnancies [23]. Existing evidence unveiled that ladies coping with HIV including those taking ARVs can make use of virtually all contraceptive methods safely and effectively [15, 16] with variation in method preference [5, 12, 24–27].

Past studies from different parts of Ethiopia stated that of these that have ever utilized a minumum of one method that is contraceptive HIV diagnosis, condom, injectables and abstinence had been reported to be the most favored techniques [28–30]. Nevertheless, information on informed range of contraceptive techniques, reasons for choice of techniques as well as the impact of HAART in the contraceptive utilization of females entering HIV care is scarce.

Ethiopia may be the second populous country in Africa [31], characterized by high fertility of 5.4per cent kids per woman [4], having more children is extremely valued [32]. More over, most of women deliver at home (usually without skilled attendant) where problems of childbirth can not be addressed, such as the danger of mother-to-child transmission of HIV [31]; identification of factors associated with contraceptive use and preference that is method HAART using ladies is definitely an important problem to be addressed.

Therefore, given the importance of contraceptive use in preventing pregnancy that is unintended perinatal transmission of HIV [3] and ART scale up in Ethiopia; its well worth to evaluate contraceptive use and method preference of HIV g d women. It’s expected that this research will upgrade knowledge that is existing inform policy makers and coders to support safer and healthier reproductive options among HIV g d women within the study area.

Methods

The study ended up being conducted in health facilities of Addis Ababa, Ethiopia. In the united kingdom, Antiretroviral treatment began in 2003 and free ART premiered in 2005 [33]. Since that time, a total of five general public hospitals and twenty five wellness centers have now been ART that is offering[34]. About 124,983 people managing HIV were enrolled of whom 76,035 have started and 54,667 are currently on ART in the town [4]. Amhara could be the predominant group that is ethnic Amharic is often spoken language within the study area [35].

Study design and sampling procedures

A cross sectional study had been carried out at selected public health facilities (hospitals & wellness center) of Addis Ababa between June and October, 2012. Non-pregnant women aged 18–49 years, reported having intimate relationship six months prior to the data collection duration were qualified to take part in this study.

Test size ended up being computed using two-proportion formula with the assumption of proportion of contraceptive use among HIV positive ladies receiving HAART and HAART naГЇve being 86% and 82%, respectively [12], with a minimal detectable odds ratio of 2 at 5% level of importance power of 90% with a design effectation of 2 and 5% addition for non-response rate an overall total test size of 1924. Nevertheless, the true quantity of women who fulfill the eligibility requirements during the records associated with the wellness facilities had been 1418 (770 HAART users and 648 HAART- naГЇve).