Factors associated with uptake of dual contraception among HIV-infected women in Bungoma County, Kenya: a cross-sectional study

Abstract

Introductiondual contraception, the use of non-barrier contraceptive method in combination with condoms, is an effective strategy in the elimination of mother-to-child transmission (eMTCT) of human immunodeficiency virus (HIV) and the achievement of zero new HIV infections. Despite its effectiveness, dual contraception use among HIV-infected women in Kenya remains low. We identified factors associated with dual contraceptive uptake in Bungoma County, Kenya.Methodsthis was a facility-based cross-sectional study in eight hospitals in Bungoma County. We interviewed women using structured questionnaires. We calculated descriptive statistics about the womens’ baseline characteristics, examined the association between dual contraceptive use and other factors by calculating Odds Ratios (OR) and 95% Confidence Intervals (CI) and performed logistic regression.Resultswe recruited 283 HIV-infected women.Among all enrolled women, 190 (67.1%) were aware of dual method and only 109 (38.5%) used dual contraception. The preferred dual pattern was male condom plus injectable contraceptive used by 53.2% of women (58/109). Among the 174 women who did not use dual contraception, 86 (49.4%) preferred using male condoms alone for contraception. Women were more likely to use dual contraception method if they were aware of dual contraception (AOR 12.2, 95% CI 4.7 – 31.7), used non-barrier contraceptives (AOR 9.8 95%; CI 4.5 – 21.3) and had disclosed their HIV status (AOR 7.1 95% CI 2.8 – 18.2) compared to those who did not.Conclusiondual contraceptive prevalence was low. Advocacy on dual contraception as an approach to preventing vertical transmission of HIV should be escalated in order to improve its uptake.

Dual contraception method utilization and associated factors among sexually active women on antiretroviral therapy in Gondar City, northwest, Ethiopia: a cross sectional study

“…Previous studies have reported that unmarried women [31], women who disclosed their HIV status to their partners, sero-discordant and no desire for more children [32][33][34] were more likely to use dual contraceptive method.…”

Positive deviance for dual-method promotion among women in Uganda: study protocol for a cluster randomized controlled trial

“…Other information The following information will be collected during the baseline interviews to conduct subgroup analyses and to identify factors associated with the use of condoms: age; education; employment; area of residence (rural or urban); reproductive history; pregnancy intention; sexual history; STI history; substance use; domestic violence; contraceptive methods in use; awareness of dual-method use; spousal communication on family planning; HIV status of participants and their partners; disclosure of HIV status; antiretroviral therapy (ART) treatment status [14,22,38]; HIV-related knowledge (HIV-KQ-18) [39]; perceived STI and HIV infection risk [40]; condom use self-efficacy [41]; sexual relationship control power (the Sexual Relationship Power Scale [SRPS]) [42]; and women's perception of the social acceptability of contraception [43].…”

“…In SSA, most research has focused on dual-method use among women living with HIV and adolescents. For instance, 16% and 39% of women living with HIV practiced dualmethod in 3 months in Ethiopia and Kenya, respectively [8,14], while 7% of South African adolescents aged 15-24 years reported dual-method use [15].…”

Positive deviance for dual-method promotion among women in Uganda: Study protocol for a cluster randomized controlled trial

“…The following information will be collected during the baseline interviews to conduct sub-group analyses and to identify factors associated with condom use: age, education, employment, area of residence (rural or urban), reproductive history, pregnancy intention, sexual history, STI history, substance use, domestic violence, current and past contraceptive practice, awareness of dual-method use, spousal communication on family planning, HIV status of participants and their partners, disclosure of HIV status, antiretroviral therapy (ART) treatment status [14,22,38], HIV-related knowledge (HIV-KQ-18) [39], perceived HIV infection risk [40], condom use self-efficacy [41], sexual relationship control power (the Sexual Relationship Power Scale: SRPS) [42], and women's perception of the social acceptability of contraception [43].…”

“…In SSA, most research has focused on dual-method use among women living with HIV and adolescents. For instance, 16% and 39 % of women living with HIV practiced dual-method in three months in Ethiopia and Kenya, respectively [8,14], while 7% of South African adolescents aged 15-24 years reported dual-method use [15].…”