Abstract
BackgroundContraception helps to prevent unplanned pregnancies among human immune virus positive women. The contraceptive utilization status and associated factors were not well addressed in the study area. Therefore, this study aimed to assess utilization of contraceptives and associated factors among human immune virus positive reproductive age group women appearing at anti-retroviral therapy clinic at the University of Gondar Hospital, North West Ethiopia.MethodAn institution based cross-sectional study was conducted among 397 systematically selected HIV positive reproductive age women who visited ART unit of the University of Gondar teaching referral hospital from January 8-20, 2014. The data were collected using pre tested and structured questionnaires through face-to-face interviews. The data were entered into Epi-Info version 3.5, and cleaned and analyzed using SPSS version 20. Descriptive summary of the data and logistic regression were used to identify possible predictors using odds ratio with 95 % confidence interval and P-value of 0.05.ResultsThe study revealed that the overall utilization of any type of contraception was 50 %. Of them, 4.1 % got contraception from anti-retroviral therapy unit. Fear of side effects was the most common (42 %) reason for not using contraception. Women who attended secondary education, married and who had 4-6 children were more likely to use contraception than their counterparts were; (AOR: 5.63; 95 % CI: 1.74–18.21), (AOR: 8.07; 95 % CI: 3.10–20.99) and (AOR: 3.61; 95 % CI: 1.16–11.26) respectively. However, Women between 35–49 years, had no intention to have another child and discordant couples were 83 %, 76 % and 65 % less likely to use contraception respectively than their counterparts.ConclusionsThe results of this study revealed that the utilization of contraception was low. Women between 35–49 years, those who had no intention to have another child and whose partner was HIV sero-negative and fear of side effect of the contraception played an important role for not using contraception. Therefore, there is a need to give attention about integration of family planning service with HIV care and support service.
Highlights
Contraception helps to prevent unplanned pregnancies among human immune virus positive women
The results of this study revealed that the utilization of contraception was low
People living with Human immunodeficiency virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS) who were unable to communicate were excluded
Summary
Contraception helps to prevent unplanned pregnancies among human immune virus positive women. This study aimed to assess utilization of contraceptives and associated factors among human immune virus positive reproductive age group women appearing at anti-retroviral therapy clinic at the University of Gondar Hospital, North West Ethiopia. In spite of great progress over the last several decades, more than 120 million women worldwide want to prevent unintended pregnancy [1]. They and their partners are not using contraception. The reasons were the unavailability of services and supplies, limited choices and fear of social disapproval or partner’s opposition Factors such as, doubts about side effects, health concerns and lack of knowledge about contraceptive options and their use played the greatest role [1]. The reasons are, lack of clear instructions on how to use the methods properly, inability to get a method best suited to them, improper preparation for side effects and supplies ran out [2]
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