Determinants of long act reversible contraceptive utilization among HIV positive reproductive age women attending ART clinic in South West Ethiopia

  • Kefeni B
  • Tesfaye S
  • Bayisa K
  • et al.
0Citations
Citations of this article
26Readers
Mendeley users who have this article in their library.

Abstract

Identifying the determinants of long-acting contraceptive utilization and managing the sexual and reproductive health of HIV-infected women is critical to reducing HIV transmission and maternal mortality. However, the determinants of long-acting contraceptive utilization have not been well understood in resource-limited settings like Ethiopia. The aim of this study was to identify determinants of long-acting reversible contraceptive utilization among HIV-positive women on ART in southwest Ethiopia. A facility-based, unmatched case control study was conducted from July 24 to August 28, 2021, in south-west Ethiopia. The study participants were HIV positive women, with a sample size of 109 cases and controls. An interviewer administered a questionnaire, and a check list was used for data collection. A systemic random sampling technique was used to collect data from cases and controls. Bivariate and multivariable logistic regressions were employed to determine the determinants of LARC utilization among HIV-positive women. To demonstrate the strength of the determinant, the odds ratio was calculated with 95% confidence intervals, and a P-value less than 0.05 was used to declare statistical significance. A total of 324 women (108 cases and 216 controls) of reproductive age who were HIV positive were interviewed, with a response rate of 99.0%. urban residence (AOR = 2.67, 95%CI: 1.23- 5.77), having formal education (AOR = 2.93, 95% CI:1.36, 6.34), being counseled by health care provider (AOR = 5.42,95% CI: 2.67–11.03), no future fertility intention (AOR = 2.87, 95% CI:1.44–5.70), having CD4 count less than 500 cell/mm3 (AOR = 4.18,95% CI:2.12–8.23), having information of HIV transmission from mother to child (AOR = 3.65,95% CI:1.49–8.95),not using condom during sexual intercourse (AOR = 4.86,95% CI:2.46–9.62),,having knowledge towards LARC (AOR = 2.38,95% CI:1.24–4.58) and attitude towards LARC (AOR = 6.41,95%CI:3.16–13.0) were independent determinants of LARC utilization among HIV positive women. Women being counseled by a health care provider, having no future fertility intention, and having a CD4 count less than 500 cells/mm3 were found to be determinants of long-acting contraceptive method utilization among HIV-positive reproductive-age women. Also, our study supports the WHO Strategic Concepts for Improving the Links between Family Planning and HIV/AIDS Policy, Programs, and Services. It is recommended that Health care providers should use these factors as base line during family planning counseling and service delivery.

References Powered by Scopus

Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in Mekelle town, Tigray region, north Ethiopia

102Citations
N/AReaders
Get full text

Unmet need for family planning, contraceptive failure, and unintended pregnancy among HIV-infected and HIV-uninfected women in Zimbabwe

63Citations
N/AReaders
Get full text

Determinants of unmet need for family planning among currently married women in Dangila town administration, Awi Zone, Amhara regional state; A cross sectional study

51Citations
N/AReaders
Get full text

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

Kefeni, B. T., Tesfaye, S., Bayisa, K., Negara, E., & Bati, F. (2023). Determinants of long act reversible contraceptive utilization among HIV positive reproductive age women attending ART clinic in South West Ethiopia. Contraception and Reproductive Medicine, 8(1). https://doi.org/10.1186/s40834-023-00227-x

Readers' Seniority

Tooltip

PhD / Post grad / Masters / Doc 4

80%

Researcher 1

20%

Readers' Discipline

Tooltip

Medicine and Dentistry 2

33%

Nursing and Health Professions 2

33%

Social Sciences 2

33%

Save time finding and organizing research with Mendeley

Sign up for free