Contraceptive use and associated factors among sexually active reproductive age HIV positive women attending ART clinic at Felege Hiwot Referral Hospital, Northwest Ethiopia: A cross-sectional study

Tewabe, Tilahun; Ayalew, Tilksew; Abdanur, Abdulhakim; Jenbere, Demoze; Ayehu, Mastewal; Talema, Girma; Asmare, Eden

doi:10.1016/j.heliyon.2020.e05653

Cited by 4 publications

(3 citation statements)

References 29 publications

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“…Data was obtained using a standardized questionnaire to interview all eligible women and a data extraction program that was adapted from a prior study [ 2 , 11 , 14 , 15 ]. The questionnaire mainly addressed socio-demographic variables of mothers (age, residence, marital status, educational level of women, educational level of husbands, and occupation), reproductive health variables (parity, number of children, contraceptive use before HIV positivity, counseling on LACMs by providers, future fertility intention, and decision of FP methods), and HIV and sexual relations variables (duration on ART, STI history, use of a condom during sexual intercourse, and having a multisexual partner).…”

Section: Methodsmentioning

confidence: 99%

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Determinants of long act reversible contraceptive utilization among HIV positive reproductive age women attending ART clinic in South West Ethiopia

Kefeni

Tesfaye

Bayisa

et al. 2023

Contracept Reprod Med

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Background Identifying the determinants of long-acting contraceptive utilization and managing the sexual and reproductive health of HIV-infected women is critical to reducing HIV transmission and maternal mortality. However, the determinants of long-acting contraceptive utilization have not been well understood in resource-limited settings like Ethiopia. The aim of this study was to identify determinants of long-acting reversible contraceptive utilization among HIV-positive women on ART in southwest Ethiopia. Methods A facility-based, unmatched case control study was conducted from July 24 to August 28, 2021, in south-west Ethiopia. The study participants were HIV positive women, with a sample size of 109 cases and controls. An interviewer administered a questionnaire, and a check list was used for data collection. A systemic random sampling technique was used to collect data from cases and controls. Bivariate and multivariable logistic regressions were employed to determine the determinants of LARC utilization among HIV-positive women. To demonstrate the strength of the determinant, the odds ratio was calculated with 95% confidence intervals, and a P-value less than 0.05 was used to declare statistical significance. Result A total of 324 women (108 cases and 216 controls) of reproductive age who were HIV positive were interviewed, with a response rate of 99.0%. urban residence (AOR = 2.67, 95%CI: 1.23- 5.77), having formal education (AOR = 2.93, 95% CI:1.36, 6.34), being counseled by health care provider (AOR = 5.42,95% CI: 2.67–11.03), no future fertility intention (AOR = 2.87, 95% CI:1.44–5.70), having CD4 count less than 500 cell/mm3 (AOR = 4.18,95% CI:2.12–8.23), having information of HIV transmission from mother to child (AOR = 3.65,95% CI:1.49–8.95),not using condom during sexual intercourse (AOR = 4.86,95% CI:2.46–9.62),,having knowledge towards LARC (AOR = 2.38,95% CI:1.24–4.58) and attitude towards LARC (AOR = 6.41,95%CI:3.16–13.0) were independent determinants of LARC utilization among HIV positive women. Conclusion and recommendation Women being counseled by a health care provider, having no future fertility intention, and having a CD4 count less than 500 cells/mm3 were found to be determinants of long-acting contraceptive method utilization among HIV-positive reproductive-age women. Also, our study supports the WHO Strategic Concepts for Improving the Links between Family Planning and HIV/AIDS Policy, Programs, and Services. It is recommended that Health care providers should use these factors as base line during family planning counseling and service delivery.

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Section: Methodsmentioning

confidence: 99%

“…According to different studies done in Ethiopia, LARCs utilization has been very low among HIV-positive reproductive-age women [ 2 , 11 ]. To lower HIV transmission and maternal mortality in areas with a high HIV prevalence, it is essential to manage the sexual and reproductive health of HIV-infected women.…”

Section: Introductionmentioning

confidence: 99%

Determinants of long act reversible contraceptive utilization among HIV positive reproductive age women attending ART clinic in South West Ethiopia

Kefeni

Tesfaye

Bayisa

et al. 2023

Contracept Reprod Med

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“…Clinical staff are now more than ever occupied with the COVID-19 response, health facilities are limiting access to other public health services, women are refraining from accessing health facilities for fear of corona virus while supply chain has been distorted leading to shortages of FP products (Riley et al, 2020). Therefore, identifying unique channels through which sexually active clients can easily access contraceptive methods during the COVID 19 lockdown is essential for the success of Family Planning programs Before the advent of COVID 19, 190 million women of reproductive age worldwide, who wanted to avoid pregnancy did not use any method of contraception (Tewabe et al, 2020). Currently, with all the available modern contraceptive methods to select from, mistimed and unwanted pregnancies, induced abortions, and higher fertility rates continue to stagnate.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Prevalence of the Preferred Methods of Contraception During the COVID 19 Lockdown in Uganda: A Multinomial Logistic Regression Study.

Sseninde

Kabagenyi

Kyadondo

et al. 2021

Preprint

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Background In 2020 limitations to family planning information, access and utilization was exacerbated by COVID-19 pandemic and lockdown, globally incapacitating various channels to family planning information, access and, utilization. This study sought to analyse the prevalence of the preferred methods of contraception during the COVID 19 lockdown in Uganda using a multinomial logistic regression. Method Data was analyzed using univariate, bivariate, logistic and multinomial logistic regression models from the post intervention telehealth cross sectional survey.Results Out of the 244 women surveyed, more than three quarters (80%) used their preferred methods of family planning, while almost half of the participants (46%) used the Short Acting Methods as a preferred method of Family planning. The logistic regression showed that older aged participants, fear of security personnel, and fear that my spouse will know that the partner is using family planning as their biggest challenge plus participants who agreed that they won’t continue using family planning after the lockdown were less likely to use the preferred method of family planning. However, participants whose biggest challenge to access family planning information, and utilization was lack of money, those who received extremely adequate number of messages during the intervention and those that who were already using family planning before the intervention were more likely to use their preferred method of family planning. From the multinomial model, participants whose biggest challenges in accessing family planning services during the lockdown were fear of unwanted pregnancy, and fear if implant expires in her body were relatively more likely to use Long-term Acting Reversible Contraceptives than Short Acting Contraceptives as their preferred method of Family Planning. While participants who were relatively less likely to use to use LARC compared to SAC were those already using family planning before the start of the intervention. Conclusions We recommend prioritizing family planning information, access and utilization as one of the essential services during the lockdown, with more emphasis on intervention that address age specific needs and partner privacy issues. Addressing the use of LARC among women who are already using contraceptives is equally paramount in cases of the lockdown and health facility closures

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Utilization of modern contraception and determinants among HIV positive women in Ethiopia: a systematic review and meta-analysis

Boke,

Geremew,

Atnafu

et al. 2024

BMC Women's Health

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Background The burden of pediatric HIV/AIDS, mother-to-child transmission rate, and unintended pregnancy among HIV-positive women remain high in sub-Saharan Africa, including Ethiopia. Provision of contraceptives is an undeniable strategy to overcome the risks. However, pooled data to provide informed decisions on modern contraceptive use among HIV-positive women attending ART clinics in Ethiopia are meager. Hence, this review aimed to estimate the magnitude of modern contraception, and revisable long act contraceptives methods (RLCM) use and associated factors among HIV positive ART clinic attending women.Methods A systematic review and meta-analysis was conducted using PubMed, Google, Cochrane library, Web of Science, Google Scholar, and Scopus database. A funnel plot and Egger's regression test were used to assess publication bias. Heterogeneity of studies was assessed using I-square statistics and the Joanna Briggs Institute (JBI) quality assessment tool was applied to ensure the quality of the included articles. We employed a random-effect model to pool the national utilization of modern contraceptives and the effect size of associated factors. We conducted subgroup analysis by regions to control heterogeneity and to detect variation. ResultsA total of 21 studies were included in the meta-analysis. The magnitude of pooled utilization of modern contraceptive and RLCM was 60% [95% CI: 52-68] and 11%, [95% CI: 8-14], respectively. In the random effect model, young women [OR = 2.36, 95% CI: 1.78-3.13], attending secondary school and above [AOR = 1.34, 95% CI: 1.06-1.69], having two or more live children [AOR = 1.84, 95% CI: 1.46-2.34], discussion with a husband [AOR = 2.92, 95% CI: 2.39-3.57], CD4 > 250cells/mm 3 [AOR = 1.59, 95% CI: 1.08-2.33], and using HAART [AOR = 1.71, 95% CI: 1.35-2.15] increased odds of modern contraceptive methods utilization. ConclusionOverall the utilization of RLCM among modern contraceptive users HIV positive women is low. Therefore, to improve the uptake of RLCM among modern contraceptive users HIV positive women, policymakers and program designers need to take into account age and educational levels of women and programs which enhance reproductive health consultation habit between couples. Moreover, integration of family planning services to ART clinics needs to be strengthened.

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Contraceptive use and associated factors among sexually active reproductive age HIV positive women attending ART clinic at Felege Hiwot Referral Hospital, Northwest Ethiopia: A cross-sectional study

Cited by 4 publications

References 29 publications

Determinants of long act reversible contraceptive utilization among HIV positive reproductive age women attending ART clinic in South West Ethiopia

Determinants of long act reversible contraceptive utilization among HIV positive reproductive age women attending ART clinic in South West Ethiopia

Analysis of the Prevalence of the Preferred Methods of Contraception During the COVID 19 Lockdown in Uganda: A Multinomial Logistic Regression Study.

Utilization of modern contraception and determinants among HIV positive women in Ethiopia: a systematic review and meta-analysis

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