Dual Contraceptive Utilization and Associated Factors among Women Attending Antiretroviral Therapy Clinics in Central Ethiopia, 2022: The Need for a Better Control of Ever-Increasing New Strain of HIV Infection and its Transmission

Abstract

Background: Dual contraceptive utilization can reduce the transmission of many sexually transmitted infections and is recommended by the World Health Organization. Even though recent times advise the use of dual contraception as a potent instrument in the control of unintended pregnancy and sexually transmitted infections including HIV/AIDS, there are considerable contraceptive use gaps among women living with HIV globally. Methods: A facility-based cross-sectional study was conducted from March 22 to June 22/2022 among HIV-positive reproductive age women on Antiretroviral Therapy in the North Shewa Zone, central Oromia health facility. A total of 611 women were selected using a multi-stage sampling technique. A pre-tested structured questionnaire was used to collect data. Both bivariable & multivariable logistic regression analysis was used to find predictors for dual contraceptive utilization. Result: The overall magnitude of dual contraceptive method utilization among the respondent was 38.1% (95% CI: 34.80-42.02). After adjusting for other variables; who residing in urban [AOR = 0.23 [95% CI: 0.09-0.56]; respondent who married [AOR = 3.32 [95% CI: 1.03-10.94]; husband with formal education [AOR = 7.38[95% CI: 1.52-35.94], respondents who thoughts one of the advantages to disclose HIV serostatus is protecting sexual partner from HIV [AOR = 3.68[95% CI: 1.42-9.43] were significantly associated with dual contraceptive utilization. Conclusion: The overall magnitude of dual contraceptive utilization among women on ART was found to be low and factors like; place of residence, marital status, educational status of the partner, and participant who utilize due to the reason to protect the sexual partner from acquiring HIV were identified. Efforts have to be made by local governments and other concerned bodies to increase utilization of dual contraceptive method.