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https://hdl.handle.net/2440/97171
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Type: | Journal article |
Title: | Contraceptive utilization and associated factors among HIV positive women on chronic follow up care in tigray region, northern ethiopia: a cross sectional study |
Author: | Melaku, Y. Zeleke, E. |
Citation: | PLoS One, 2014; 9(4):e94682-1-e94682-10 |
Publisher: | Public Library of Science |
Issue Date: | 2014 |
ISSN: | 1932-6203 1932-6203 |
Editor: | Vall, M. |
Statement of Responsibility: | Yohannes Adama Melaku, Ejigu Gebeye Zeleke |
Abstract: | BACKGROUND: In sub-Sahara Africa, more than 60% of all new HIV infections are occurring in women, infants and young children. Maternal to child transmission is responsible for 90% of childhood HIV infection. Preventing unwanted pregnancy among HIV positive women is imperative to reduce maternal and infant morbidity and mortality. METHODS: A cross-sectional survey was conducted among 964 HIV positive women in selected 12 health centers of Tigray region. In this paper, analysis was restricted only for 847 women who were sexually active and non-pregnant. In each health center the number of study participants was allocated proportionally to the load of HIV positive women in chronic care clinics. The data were entered into EpiData version 3.1, and cleaned and analyzed using Stata version 11.1. Descriptive summary of data and logistic regression were used to identify possible predictors using odds ratio with 95% confidence interval and P-value of 0.05. FINDINGS: Three hundred ninety four (46.5%) of all HIV positive women had intension to have more children. Three hundred seventy five (44.3%) were using contraceptive methods at time of survey. Injectable (70.7%) and male condom (47.6%) were most commonly used type of contraceptives. In the multivariable analysis, women who were urban dwellers (AOR = 2.55; 95% CI: 1.27, 5.02), completed primary education (AOR = 2.27; 95% CI: 1.12, 2.86) and those openly discussed about contraceptive methods with their husbands or sexual partners (AOR = 6.3; 95% CI: 3.42, 11.76) were more likely to use contraceptive. Women who have one or more living children were also more likely to use contraceptive compared with women with no child. CONCLUSION: Less than half of women used contraceptive methods. The use of condoms could impact unintended pregnancies and reduced risks of vertical and sexual transmission. Efforts to increase contraceptive utilization focusing on the barrier methods should be strengthen in HIV/AIDS chronic care units. |
Keywords: | Humans HIV Seropositivity Contraception Follow-Up Studies Cross-Sectional Studies Decision Making Pregnancy Adolescent Adult Middle Aged Family Planning Services Ethiopia Female Male Young Adult Policy |
Rights: | © 2014 Melaku, Zeleke. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
DOI: | 10.1371/journal.pone.0094682 |
Published version: | http://dx.doi.org/10.1371/journal.pone.0094682 |
Appears in Collections: | Aurora harvest 3 Medicine publications |
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hdl_97171.pdf | Published version | 865.36 kB | Adobe PDF | View/Open |
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