Dual Contraceptive Use and Associated Factors Among Reproductive Age Group on Antiretroviral Therapy in Borena District, Northeast Ethiopia: A Cross-Sectional Study

Abstract

Background: Dual contraceptive method use is defined as the use of any modern contraceptive method with a condom for the reduction of mother-to-child transmission of HIV and sexually transmitted infections between sexual partners. The goal of this study was to assess the proportion and factors associated with dual contraceptive use among reproductive age women on antiretroviral therapy in Borena district, Northeast Ethiopia. Objective: To assess the proportion of dual contraceptive use and associated factors among the reproductive age women on antiretroviral therapy in Borena district, Northeast Ethiopia. Methods: An institutional-based cross-sectional study was conducted among HIV positive reproductive age group women on antiretroviral therapy in Borena district from February 1 to March 1, 2020. A systematic random sampling technique was used to include 417 study participants. A structured interviewer-administered questionnaire was used to collect the data. A binary logistic regression model was used to identify the factors associated with dual contraceptive use. Odds ratio with 95% confidence interval (CI) and P-value were calculated to assess the strength of association. Results: The results showed that 19.4% of the HIV positive reproductive age group on antiretroviral therapy were using dual contraceptive method. Urban area (AOR=3.66, 95% CI=1.66-8.09), educated to secondary education and above (AOR=3.54, 95% CI=1.29-9.76), those who have no desire to have a child (AOR=4.41, 95% CI=2.66-7.59), those with partners whose HIV status was negative (AOR=4.96, 95% CI=2.66-12.02) and those with partners whose HIV status was positive (AOR=2.45, 95% CI=1.25-4.81) were more likely to use the dual contraception method. Conclusion: This study showed that the proportion of dual contraceptive use was found to be low in accordance with the WHO recommendation. Therefore increased awareness on the advantages of dual contraception and knowing partner's HIV status is important.

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“…A husband (partner) with formal education (primary and above) were more than 7 times more likely to utilize a dual method of contraceptive when compared to their counterparts. The finding is supported by studies done among HIV-positive women conducted in Gondar City, northwest Ethiopia; Borana, Southeast Ethiopia, EDHS, and also in Brazil [19,36,43,44]. This could be explained by highly educated women partners might appreciate the advantages of dual contraceptive use, have higher levels of HIV/AIDS, STI, and risky sexual practice knowledge, and able to discuss freely with their sexual partners and are less likely to have a stigma towards HIV/AIDS, which, in turn, assists them to easily change their risky sexual behavior.…”

Does family planning and HIV services integration increase contraceptive prevalence? A comparative analysis of modern contraceptive prevalence among HIV-positive and HIV-negative women of reproductive age in Tanzania-analysis of the 2016/17 Tanzania HIV impact survey

“…[3] Nearly two million HIV-positive women globally become pregnant with a high risk of passing HIV to their newborns due to unsafe sexual practices and limited access to modern contraceptives. [4,5] Modern contraceptives are cost-effective in preventing MTCT of HIV. [6] [7] Besides reducing MTCT of HIV, contraceptives reduce pregnancy-related complications among WLWH, thus increasing the quality of life and time for engaging in education and economic activities.…”