Modern Family Planning Utilization and Associated Factors among HIV Positive Reproductive Age Women in Debre Markos Referral Hospital Northwest Ethiopia, 2014 G.C.

Selamawit G Egzeabher,Dube Jara Boneya,Mekionnen Ayichiluhm Bishaw,Teketo Kassaw Tegegne

doi:10.4236/ojepi.2015.51005

Abstract

The study was conducted to find out modern family planning utilization and associated factor among HIV positive reproductive age women attending anti retroviral treatment care in Debremarkos referral hospital, in Ethiopia. Institution based cross-sectional study was carried out. Three hundred thirty five HIV positive reproductive age women were selected using systematic random sampling methods. Data were collected and analyzed. About 47.9% HIV positive reproductive age women are currently using modern family planning methods. Level of education has significant effect on utilization of modern family planning methods. Women with primary education and secondary education and above are utilizing modern family planning methods 2.71 times and 6.91 times more from non educated women, respectively. Number of children has also effect in utilization of modern family planning methods. Those who have one child and two and more children are utilizing modern family planning methods 5.31 and 11.66 times more than those who do not have children, respectively. Utilization of modern family planning methods was low and the most commonly used methods were condom and inject able contraceptives. In order to enhance utilization of modern family planning methods for HIV positive women, family planning services must be integrated with anti retro viral treatment care and support service sites and women’s educational status must be improved.

Highlights

HIV is a global problem affecting many people
World Health Organization (WHO) list methods of preventing unintended pregnancies among people living with HIV as a second pillar of preventing mother-to-child transmission (PMTCT) [3]
This study showed that nearly half of HIV positive women were using modern family planning methods

Summary

Introduction

HIV is a global problem affecting many people. Seventy one percent of the epidemic is in Sub-Saharan African countries [1]. In Sub-Saharan African countries, women of reproductive age account for 60% of all adult infections and 75 % of infections among people 15 - 24 years old [2]. World Health Organization (WHO) list methods of preventing unintended pregnancies among people living with HIV as a second pillar of preventing mother-to-child transmission (PMTCT) [3]. Pregnancy among women living with HIV is an issue of public health importance especially in resource limited countries including Ethiopia with high HIV prevalence and high fertility rates. Pregnancy in this category of women is associated with increased risk of poor maternal and pediatric outcomes [5]. Some factors have to do with access to contraception and these include frequent stock outs, limited number of contraceptive methods and poor provider client relationships [8]

Objectives

Methods

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Discussion

Conclusion