Contraceptive use and unmet need for family planning among HIV-positive women: A hospital-based study

Dugg, Preeti; Chhabra, Puneet; Sharma, Arun Kumar

doi:10.4103/ijph.ijph_123_19

Cited by 10 publications

(16 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Mothers who have discussed with their husband/parent were more likely to use contraceptives as compared with mothers who have not discussed with their husband/parent. This is consistent with a study done in Northern Uganda [ 41 ], Northern Tanzania [ 38 ], and India [ 46 ]. This might be due to the fact that male has higher decision-making power, and currently in Ethiopia, male involvement in PMTCT and related reproductive health services became increased which ultimately increase contraceptive usage to minimize unintended pregnancy.…”

Section: Discussionsupporting

confidence: 93%

Contraceptive Use and Method Preferences among HIV Positive Women in Ethiopia: A Systematic Review and Meta‐analysis

Gedefaw

Wondmieneh

Demis

2020

BioMed Research International

View full text Add to dashboard Cite

Background. Preventing unintended pregnancies among HIV positive women has a vital role to prevent mother to child transmission. Besides, increasing access to contraceptives has a number of economical importance and reducing the costs for mitigating the unintended pregnancy consequences. Therefore, this study is aimed at assessing the contraceptive use and method of preference among HIV positive women in Ethiopia. Methods. A systematic review and meta-analysis reporting guideline was applied. Articles searched from the Scopus, Pubmed/MEDLINE, EMBASE, AJOL, Hinari, and Google scholar were included in this review. The Stata 11 software was used to compute the analysis. Heterogeneity of the studies was detected using the Cochran Q test and I2 test statistics. Egger’s test was used to check the evidence of publication bias within the studies. Subgroup analysis and sensitivity analysis was computed with the evidence of heterogeneity. Results. Ten thousand one hundred twenty one (10121) women living with HIV/AIDS were recruited in this study. The national estimated prevalence of contraceptive use among HIV positive women in Ethiopia was 57.78% (95% CI: 48.53-67.03). Injectables and male condom were the most preferred contraceptives accounted for 36.00% (95% CI: 6.64-45.35) and 32.74% (95% CI: 21.08-44.40), respectively. Discussion with husband/partner (AOR: 4.70, 95% CI: 2.18-10.12), disclosure of HIV status to spouse/partner (AOR: 2.18, 95% CI: 1.55-3.06), ever counseled for modern contraceptives (AOR: 2.79, 95% CI: 2.01-3.88), attending secondary and above education (AOR: 3.12, 95% CI: 2.15-4.51), and having more than one live child (AOR: 2.61, 95% CI: 1.86-3.66) were increasing the likelihood of contraceptive use whereas not currently married women (AOR: 0.23, 95% CI: 0.16-0.34) was decreases the odds of contraceptive use. Conclusion. In Ethiopia, more than half of the women living with HIV/AIDS were using contraceptives. Discussion with husband/partner, disclosure of HIV status to spouse/partner, ever counseled for modern contraceptives, attending secondary and above education, and having more than one live child were increasing the uptake of contraceptives among HIV positive women. Partner discussion, having adequate information towards contraceptive use, and having desired number of child could increase the utilization; as a result, obstetric complication with HIV positive women due to unintended pregnancy is significantly decreasing.

show abstract

Section: Discussionsupporting

confidence: 93%

Contraceptive Use and Method Preferences among HIV Positive Women in Ethiopia: A Systematic Review and Meta‐analysis

Gedefaw

Wondmieneh

Demis

2020

BioMed Research International

View full text Add to dashboard Cite

show abstract

“…In contrast, the nding of the current study was higher than study ndings from India (17%) (38), Zimbabwe(19%) (39), Nigeria (20%) (40), Hawassa, Ethiopia (19.1%) (21), and Nekemte, western, Ethiopia (15.4%) (20). This discrepancy might be due to the sample size difference.…”

Section: Discussioncontrasting

confidence: 86%

“…This nding was in line with the ndings from studies in Ghana (27.8%) (32) and Addis Ababa, Ethiopia (25.1%) (19). However, this nding was lower than study ndings from South Africa (58.8%) (33), Nigeria (64.9%) (12) and Amhara regional state, Ethiopia (35.3%) (34).The reason for this discrepancy might be using a different study design(prospective cohort study), and unmet need de nition, in study conducted South Africa, study participants with 12 month postpartum period and age restriction (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)years were considered (33), in study conducted in Nigeria were not used the revised de nition for estimation of unmet need for contraception (31). In addition to this, high HIV prevalence among adults in sub-Saharan Africa may have contributed to a higher unmet need for family planning (35).…”

Section: Discussionmentioning

confidence: 73%

“…Women living with HIV (WLHIV) experience high rates of unmet for modern family planning, maternal death, abortion, and unintended pregnancy (12,(15)(16)(17)(18)(19)(20)(21)(22)(23).…”

Section: Introductionmentioning

confidence: 99%

“…Several reasons for the high prevalence of unmet need for modern family planning among HIV positive reproductive women include limited choice of methods (23); limited access to services (23), particularly among young, fear or experience of sideeffects; cultural or religious opposition (12,(22)(23)(24); poor quality of available services; users' and providers' bias against some methods (22,23); desire for more children (12,22)and gender-based barriers to accessing services (12,(22)(23)(24).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Unmet Need for Modern Family Planning and associated factors among Women Attending HIV Care Services at Rural Area Public Health facilities in South Gondar, Ethiopia.

Adugna

Boke

Tariku

2020

Preprint

View full text Add to dashboard Cite

Introduction: To achieve the elimination of mother to child transmission of the human immunodeficiency virus (HIV), preventing unintended pregnancy and reducing the high unmet need for family planning among HIV positive women was crucial. Despite being crucial little has been known on the unmet need for family planning and its determinants among women living with HIV in the rural area. Therefore, this study aimed to assess the prevalence of unmet need for modern family planning and its determinants among women Attending HIV Care Services at rural Public Health Facilities.Methods: An institution-based cross-sectional study was conducted from March to April 2020 in rural South Gondar. A total of 931 respondents were included in the study. To recruit respondents a multi-stage sampling technique was used. The data were collected using a pretested and semi-structured questionnaire. Data were entered by Epi data version 4.6 and exported to Stata version 14 for analysis. Variables with a p-value<0.2 in the bivariable logistic regression model were fitted to the multivariable logistic regression model. Adjusted Odds ratio with 95% CI was computed and variables with P-value < 0.05 in the multivariable analysis were taken as significant determinants.Results: The prevalence of unmet need for family planning was 25.67% with 95% CI (22.9628.58). Age group (3549) (AOR=6.5,95% CI (2.86,14.66)), education status (912) (AOR=0.25,95%CI (0.10,0.61)), history of ever use Contraception (AOR=3.9, 95%CI (2.28, 6.67)), having five and above parity (AOR=5.1, 95%CI (2.08, 12.43)) and not Counselling for contraception (AOR =4.2, 95 CI, (1.91, 9.37)) were determinant for unmet need of contraception among HIV positive women in South Gondar.Conclusion: prevalence of unmet need for family planning was high. It was mainlyInfluenced by last reproductive age group (35-49)), education (9-12), having no experience of contraception use, having five and above parity, and no counseling for contraception. Therefore, family planning programs need to focus on old (35-49) reproductive age women, and multi-para women.

show abstract

Identification of key bottlenecks in human rights-based approach to family planning among HIV-infected women in a resource-restricted setting of Nepal

Dhungana,

Bhatta,

Zhang

2024

IJHRH

View full text Add to dashboard Cite

Purpose Family planning (FP) services through the lens of human rights are not well known in Nepal. This study aims to assess Family Planning 2020: Rights and Empowerment Principles for Family Planning and identify factors affecting contraceptive use among HIV-infected women living in rural Far Western Nepal. Design/methodology/approach This study conducted a cross-sectional survey using self-designed proforma. To assess the association between contraceptive use and independent variables, this study calculated adjusted odd ratio (AOR) with 95% confidence interval (CI) using statistical package for social sciences (SPSS) V.20. Findings Only 37.8% of participants had access to full range of contraceptive methods, and only 57.5% of participants received proper counseling. Agency/autonomy, transparency/accountability and voice/participation were practiced by 43.7%, 23.4% and 19.7% of participants, respectively. Husband’s support (AOR = 4.263; 95% CI: 1.640–11.086), availability of FP services in their locality (AOR = 2.497; 95% CI: 1.311–4.754), employment (AOR = 3.499; 95% CI: 1.186–10.328) and postpartum period (AOR = 0.103; 95% CI: 0.023–0.475) were significantly associated with contraceptive use. Research limitations/implications Health-care providers’ and program managers’ perspectives were not examined. Practical implications Findings of this study will be useful for making strategic plan on human rights-based approach to FP. Social implications Expanding access to contraceptive information and services and strengthening autonomy, accountability and participation are key to human rights-based approach to FP. Originality/value This study identified that inadequate counselling, nonavailability of full range of contraceptive methods, low level of autonomy, accountability and participation were key bottlenecks in fulfilling human rights-based approach to FP.

show abstract

Contraceptive use and unmet need for family planning among HIV-positive women: A hospital-based study

Cited by 10 publications

References 0 publications

Contraceptive Use and Method Preferences among HIV Positive Women in Ethiopia: A Systematic Review and Meta‐analysis

Contraceptive Use and Method Preferences among HIV Positive Women in Ethiopia: A Systematic Review and Meta‐analysis

Unmet Need for Modern Family Planning and associated factors among Women Attending HIV Care Services at Rural Area Public Health facilities in South Gondar, Ethiopia.

Identification of key bottlenecks in human rights-based approach to family planning among HIV-infected women in a resource-restricted setting of Nepal

Contact Info

Product

Resources

About