Abstract
BackgroundProviding preferred methods of contraceptive for HIV-positive women and avoiding unintended pregnancy is one of the primary means of preventing mother to child transmission of HIV. This study assessed the prevalence of contraceptive use and method preference among HIV-positive women in Amhara region, Ethiopia.MethodsA cross-sectional survey was conducted among HIV-positive women in three referral hospitals of Amhara region. Data were collected by interviewing HIV-positive women using a pre-tested and structured questionnaire. A binary logistic regression model was used to identify factors associated with contraceptive use, and odd ratio with 95% confidence interval (CI) was calculated to measure the strength of association.ResultsA total of 803 women living with HIV (with a response rate of 95.4%) were interviewed. The mean age of the study participants was 32.2 years (SD ± 6.2 years). The prevalence of current contraceptive use was 30.3% (95% CI: 27.0–33.7%). The preferred and most commonly used contraceptive methods were injectable (42.8%) and male condom (32.9%). Younger age group (15–24 years) (AOR = 9.67; 95%CI: 3.45, 27.10), one or more number of living children (AOR = 4.01; 95%CI: 2.07, 7.79), HIV diagnosis > 2–4 years (AOR = 2.37; 95%CI: 1.10, 5.08), and having high CD4 count > 500 cell/ul (AOR = 3.25; 95% CI: 1.42, 7.44) were significantly associated with contraceptive use.ConclusionThe prevalence of contraceptive use among HIV-positive women in Amhara region referral hospitals is low, which suggests a high risk of unintended pregnancy. Injectable and male condoms are the most preferred type of contraceptive methods. Thus, it is better to integrate these contraceptive methods with ART clinic.
Highlights
Providing preferred methods of contraceptive for Human immunodeficiency virus (HIV)-positive women and avoiding unintended pregnancy is one of the primary means of preventing mother to child transmission of HIV
Socio-demographic characteristics A total of 803 HIV-positive women were participated in the interview, with a response rate of 95.4%
The other reason for the low prevalence of contraceptive use among HIV-positive women could be due to unavailability of the preferred types of contraceptive methods at Antiretroviral therapy (ART) clinics
Summary
Providing preferred methods of contraceptive for HIV-positive women and avoiding unintended pregnancy is one of the primary means of preventing mother to child transmission of HIV. This study assessed the prevalence of contraceptive use and method preference among HIV-positive women in Amhara region, Ethiopia. Among HIV infected pregnant women, living in subSaharan Africa, around 50–80% of pregnancy is unintended [1, 2]. Preventing unintended pregnancy among HIV-positive women by providing suitable family planning methods is a. Ethiopia has developed a national guideline on PMTCT of HIV infection. Only 4945 children born to HIV-infected mothers have received ARV prophylaxis [15]. Contraceptive use and method of preference have not been well studied, especially in Amhara region, Ethiopia. This study aimed to assess contraceptive use and methods of preference among HIV-positive women
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