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- Title
Unmet need for modern contraceptives and associated factors among HIV positive reproductive age women attending at ART clinic in government hospitals Addis Ababa, Ethiopia.
- Authors
Ashenefe, Tihun Tebekew; Habitu, Yohannes Ayanaw; Teshome, Destaw Fetene; Geremew, Alehegn Bishaw; Boke, Moges Muluneh
- Abstract
Introduction: Every year in Ethiopia, 84,189 pregnancies occur among Human Immune Virus positive women and around 14,140 HIV-positive babies are born. Unmet need for contraceptives is a major cause of unintended pregnancy among HIVpositive women. However, the magnitude of unmet needs among HIV-positive reproductive-age women is not well known in Addis Ababa. The objective of this study was to determine the unmet need for modern contraceptives and its associated factors among HIV-positive reproductive-age women attending antiretroviral therapy clinics at government hospitals in Addis Ababa, Ethiopia. Methods: institutional based cross-sectional study was conducted among 724 HIV-positive reproductive-age women at ART clinics of governmental hospitals in Addis Ababa, Ethiopia from November 2019 to December 2019. Variables that had a p-value of ≤ 0.2 during bivariable analyses were entered into the multivariable logistic regression model to identify their independent effects. The degree of association was declared using an adjusted odds ratio with a 95% confidence interval. Results: the prevalence of unmet need for modern contraceptives among HIV positive reproductive age women who were on ART was 23.8% with 95% CI: (20.7, 26.9), of which 13.3% had unmet need for limiting and 10.5% for spacing. Factors like women age between 15-24 years (AOR=21.3, 95% CI: 8.69, 30.01] and 25-34 years (AOR=5.4, 95% CI: 3.08, 9.57), had no formal education (AOR=3.2, 95% CI: 1.06,10.01) and had primary education (AOR=2.17,95% CI: 1.14, 4.12), number of live children 1-2 (AOR=5.05, 95% CI: 2.32, 10.99), no desire to have children in the future (AOR=6.31: 95% CI: 3.82-10.41), partner opposition (AOR=2.8, 95% CI: 1.73, 4.59), previously none-use of modern contraceptives (AOR=1.7, 95% CI: 1.12, 2.68, fear of method side effect (AOR=3.23, 95% CI: 1.85, 5.64) and did not getting counseling on modern contraceptives in ART unit (AOR=2.1, 95% CI: 1.39, 3.27) were found to have statistically significant association with unmet need for modern contraceptives. Conclusion: in this study, we found a high proportion of unmet need for modern contraceptives reproductive-age women who were on ART had. Age 15-24 years and 25-34 years, low educational status, number of alive child 1-2, no desire to have children, partner opposition, previously none-use of modern contraceptives, fear of method side effect and did not get counseling for modern contraceptives in ART unit were identified associated factors of unmet need for modern contraceptives. Therefore, integration of family planning services at ART clinic and increased attention to less educated women, young women and previously none use of family planning is recommended.
- Subjects
CONTRACEPTIVES; HIV; ANIMAL sexual behavior; PUBLIC hospitals; CONFIDENCE intervals
- Publication
Pan African Medical Journal One Health, 2021, Vol 5, p1
- ISSN
2707-2800
- Publication type
Article
- DOI
10.11604/pamj-oh.2021.5.10.28597