scholarly journals HIV/AIDS and contraceptive use: factors associated with contraceptive use among sexually active HIV-positive women in Kenya

Contraception ◽  
2017 ◽  
Vol 95 (3) ◽  
pp. 312-321 ◽  
Author(s):  
Monica A. Magadi ◽  
Winnie A. Magadi
2020 ◽  
Vol 29 (4) ◽  
Author(s):  
Riska Regia Catur Putri ◽  
Zulvayanti Zulvayanti ◽  
Panji Fortuna Hadisoemarto ◽  
Deni K. Sunjaya ◽  
Elsa Pudji Setiawati ◽  
...  

Abstract    More than 90% of cases of Human Immunodeficiency Virus (HIV) / Acquired Immune Deficiency Syndrom (AIDS) in children, occur due to transmission from mother to child. Prevention of unwanted pregnancies with contraception in HIV positive women is important strategy to reduce the rate of mother to child HIV/AIDS transmission. The practice of contraceptive use in HIV positive women is strongly influenced by individual beliefs regarding the benefits and effectiveness of contraception for the prevention of mother to child HIV/AIDS transmission. This study aims to determine the relationship of perceptions based on the construct of the Health Belief Model (HBM) wich consists of perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self efficacy, and cues to action and based on pluralistic ignorance on the practice of contraceptive use among woman of childbearing age recipients of antiretroviral in Bandung. The design of this study was quantitative non-experimental with survey methods. Data were collected for one month, using questionnaire from 188 women of childbearing age  receiving  antiretroviral drughs taken by consecutive sampling (non-probability) technique. Data were analyzed by logistic regression. The results revealed perceived susceptibility is an HBM construct that affects contraceptive use (Adjusted Odds Ratio (AOR):4.5). While knowledge (AOR:7.3) and age (AOR:0.801), emerged as other factors that influence contraceptive use among WUS recipients of antiretroviral in Bandung. The HBM is used to predict contraceptive behavior in women. HIV positive women who believe themselves to be at high risk of infecting HIV/AIDS from mother to child will tend to use contraception, besides that knowledge is the basis for HIV positive women taking action to use contraception. Abstrak Lebih dari 90% kasus Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrom (AIDS) pada anak, terjadi akibat penularan dari ibu ke anak. Pencegahan kehamilan yang tidak direncanakan dengan kontrasepsi pada wanita HIV positif merupakan strategi penting untuk menurunkan angka penularan HIV/AIDS dari ibu ke anak. Praktik penggunaan kontrasepsi oleh wanita HIV positif sangat dipengaruhi oleh keyakinan individu terkait manfaat dan efektivitas kontrasepsi terhadap pencegahan penularan HIV/AIDS dari ibu ke anak. Penelitian ini bertujuan untuk mengetahui hubungan persepsi berdasarkan konstruk Health Belief Model (HBM) yang terdiri dari perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self efficacy, dan cues to action serta berdasarkan ketidaktahuan majemuk terhadap praktik penggunaan kontrasepsi pada Wanita Usia Subur (WUS) penerima obat antiretroviral di Kota Bandung. Desain penelitian ini adalah kuantitatif non-experimental dengan metode survei. Data dikumpulkan selama satu bulan, menggunakan kuesioner dari 188 WUS penerima obat antiretroviral yang diambil dengan teknik consecutive sampling (non-probability). Data dianalisis dengan regresi logistik. Hasil penelitian mengungkapkan perceived susceptibility adalah konstruk HBM yang berpengaruh terhadap penggunaan kontrasepsi (Adjusted Odds Ratio (AOR):4,5). Sementara pengetahuan (AOR:7,3) dan usia (AOR:0,801) muncul sebagai faktor-faktor lain yang berpengaruh terhadap praktik penggunaan kontrasepsi pada WUS penerima obat antiretroviral di Kota Bandung. HBM digunakan untuk memprediksi perilaku kontrasepsi pada wanita. Wanita HIV positif yang meyakini dirinya berisiko tinggi dapat menularkan HIV/AIDS ke anak, akan cenderung menggunakan kontrasepsi, disamping itu pengetahuan menjadi dasar bagi wanita HIV positif dalam mengambil tindakan untuk menggunakan kontrasepsi.


BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e022221 ◽  
Author(s):  
Menkeoma Laura Okoli ◽  
Samuel Alao ◽  
Somtochukwu Ojukwu ◽  
Nnadozie C Emechebe ◽  
Asuelimen Ikhuoria ◽  
...  

BackgroundDespite the availability and knowledge of various contraceptive methods, consistent utilisation in women living with HIV/AIDS (WLWHA) within the reproductive age group remains below the Sustainable Development Goals (SDGs) and Family Planning 2020 goals. This study examines the association between sociodemographic factors and contraceptive use including the effect of clustering tendencies of these factors on contraceptive usage among WLWHA in Kenya.MethodsWeighted multivariate logistic regression models were conducted to determine the association of sociodemographic factors on contraception use among WLWHA using the 2008–2009 Kenya Demographic Health Survey. Spatial autocorrelation techniques were used to explore clustering tendencies of these factors on contraception utilisation. Our study population included 304 HIV positive women, aged 15–49 years.ResultsAmong 304 HIV-positive women in our study population, 92 (30.3%) reported using one method of contraception. Contraceptive use was significantly associated with wealth and education after adjustment for other sociodemographic variables. Women classified as having low and middle wealth index were less likely to use contraceptives (OR=0.17, 95% CI 0.07 to 0.43; OR=0.33, 95% CI 0.11 to 0.98, respectively) compared with women classified as having high wealth index. Similarly, women with primary education only were less likely to use contraceptives compared with women with secondary or higher education (OR=0.42, 95% CI 0.18 to 0.98). Spatial autocorrelation revealed significant positive clusters with weak clustering tendencies of non-contraceptive use among different levels of wealth index and education within different regions of Kenya.ConclusionThese findings underscores the need for intervention programmes to further target socially disadvantaged WLWHA, which is necessary for achieving the SDGs.


2020 ◽  
Author(s):  
tilksew ayalew ◽  
Tilahun Tewabe ◽  
Abdulhakim Abdanur ◽  
Demoze Jenbere ◽  
Mastewal Ayehu ◽  
...  

Abstract Background: Contraception helps prevent unintended pregnancies and mother to child Human Immune Virus (HIV) transmission among human immune virus positive women. Ethiopia has made remarkable progress in increasing contraceptive use rate but there is still a disparity of contraceptive use in the country. Understanding the extent of and barriers of contraceptive use among HIV positive women in Ethiopia is important for learning how to best improve level of contraceptive use among this group of population. Therefore, this study aimed to determine contraceptives use and associated factors among HIV positive sexually active women at anti-retroviral therapy clinic at Felege Hiwot Referral Hospital ART clinic in Bahir Dar, Ethiopia.Method: A facility-based cross-sectional study was conducted from June 01-30, 2018 among (n=308) randomly selected HIV positive women at Felege Hiwot Referral Hospital. Data were collected using a pretested interviewer-administered questionnaire and analyzed using SPSS version20. Logistic regression analysis was employed to identify determinants of contraceptive use. Statistical significance was declared at p-value <0.05.Results: Out of three hundred eight participants, 118(38.3%) reported contraceptive use at the time of the study. Injectable is the most preferred (43.5%) contraceptive method. Participants with age 15-34 years (AOR =3.09, 95%CI: 1.59-5.99), disclosed their status to sex partner, (AOR=2.7, 95%CI: 1.14-6.66), had history of contraception use; (AOR=3.36, 95%CI: 1.68-6.74), were sexually active in the last six months (AOR=5.45, 95%CI: 2.72-10.91) had higher odds of contraceptive use. However, participants who had drinking habit (AOR=4.35, 95%CI: 1.82-10.38) had lower odds of contraceptive use.Conclusion: A significant proportion of HIV positive women had low level of contraceptive use that was lower than the national recommended level. These results suggest that multi-sectorial and multi-disciplinary approaches are needed to increase contraceptive use in the HIV positive women. Emphasis should be given for HIV positive women who have drinking habit and older age women.


Author(s):  
Ezekiel E. Oni ◽  
Andrew Ross ◽  
Stephan Van der Linde

Background: Effective contraceptive practices amongst HIV-positive women of reproductive age have been shown to reduce mother-to-child transmission of HIV by preventing unplanned pregnancies. However, most antiretroviral therapy (ART) programmes focus on treatment,neglecting comprehensive contraceptive services. This results in a high frequency of pregnancies amongst HIV-positive women attending the ART clinic of a regional hospital north of Durban.Objectives: This research aimed to explore contraceptive use amongst HIV-positive women attending an ART clinic by determining, (1) prevalence of contraceptive use, (2) pregnancy rate, (3) contraceptive preferences and (4) factors associated with contraceptive use.Methods: In this observational, analytical, cross-sectional study of 420 women, aged 15to 49 years, participants were selected by systematic random sampling. They completed standardised questionnaires.Results: Of all participants, 95% of the participants used contraception. Factors associated with contraceptive practice were knowledge of HIV status 292 (72.8%), health worker advice 84 (20.9%), and spousal insistence 33 (8.2%). Of the 130 women (31%) who had fallen pregnant whilst on ART, 73 (56.2%) said that the pregnancy had been unplanned, whilst 57 (43.8%) had wanted to fall pregnant because of: partner’s insistence (45.6%), desire for a child (36.8%),desire to conceal HIV status (15.8%), not wanting to die childless (5.3%), and death of aprevious child (1.8%).Conclusion: Contraceptive use amongst these women was high but the number of pregnancies is a cause for concern. Information regarding contraceptive use should therefore be providedat all ART clinics.


2019 ◽  
Author(s):  
tilksew ayalew ◽  
Tilahun Tewabe ◽  
Abdulhakim Abdanur ◽  
Demoze Jenbere ◽  
Mastewal Ayehu ◽  
...  

Abstract Abstract Back ground: Contraception helps prevent unplanned pregnancies and mother to child HIV transmission among human immune virus positive women. Contraceptive use status and associated factors were not well addressed in the study area. This study aimed to assess contraceptives use and associated factors among HIV positive sexually active women at anti-retroviral therapy clinic in Felege Hiwot Referral Hospital, Northwest Ethiopia. Method : A facility based quantitative cross-sectional study was conducted from June 01 -30, 2018, among 308 randomly selected sexually active HIV positive women of reproductive age in Felege Hiwot Referral Hospital anti-retro viral treatment clinic. A pre-tested interviewer-administered questionnaire was used to collect data. Data were analyzed using SPSS version20. Descriptive statistics were used to summarize socio-demographic characteristics of participants. A multivariate logistic regression analysis method was employed and odds ratio with 95% confidence interval was used to control possible confounders. Statistical significance was declared at p-value <0.05. Results: The current study revealed that overall contraception use among sexually active HIV positive women was 38.3 %( 95%CI: 32.5%-43.5%). Women with age range of 15-34 years old (AOR =3.089, 95%CI: 1.591-5.999), HIV status disclosure to sex partner, (AOR=2.75995%CI: 1.142-6.663), previous contraception utilization experience; (AOR=3.361, 95%CI: 1.677-6.736), Sexual activity in the last six months (AOR5.451, 95%CI: 2.724-10.908) and had drinking habit (AOR=4.351, 95%CI: 1.824-10.379) were the main predictors of contraceptive use. Conclusion: Contraceptive use was low in the current study area. Efforts should be strengthened to increase contraception use among human immune virus positive women. Anti-retro viral treatment and family planning services should be integrated to increase contraceptive use uptake in the study area. Keywords: Contraceptive use, Contraception, Human immune virus positive women, Bahir Dar, North west Ethiopia.


Healthcare ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 65
Author(s):  
Kebogile Elizabeth Mokwena ◽  
Nontokozo Lilian Mbatha

Background: Mothers living with HIV are at risk for mental health problems, which may have a negative impact on the management of their HIV condition and care of their children. Although South Africa has a high prevalence of HIV, there is a dearth of studies on sociodemographic predictors of postnatal depression (PND) among HIV-positive women in South Africa, even in KwaZulu Natal, a province with the highest prevalence of HIV in the country. Objective: The objective of the study was to determine sociodemographic factors associated with the prevalence of postnatal depression symptoms among a sample of HIV-positive women attending health services from primary healthcare facilities in Umhlathuze District, KwaZulu Natal. Methods: A quantitative cross-sectional survey was used to collect data from 386 HIV-positive women who had infants aged between 1 and 12 weeks. The Edinburgh Postnatal Depression Scale (EPNDS), to which sociodemographic questions were added, was used to collect data. Results: The prevalence of PND symptoms among this sample of 386 HIV-positive women was 42.5%. The age of the mothers ranged from 16 to 42 years, with a mean of 29 years. The majority of the mothers were single or never married (85.5%; n = 330), living in a rural setting (81.9%; n = 316%), with a household income of less than R 2000 (estimated 125 USD) per month (64.9%; n = 120). The government child support grant was the main source of income for most of the mothers (53%; n = 183). PND symptoms were significantly associated with the participant’s partner having other sexual partners (p-value < 0.001), adverse life events (p-value = 0.001), low monthly income (p-value = 0.015), and being financially dependent on others (p-value = 0.023). Conclusion: The prevalence of PND symptoms among the sample is high, with a number of social and demographic factors found to be significantly associated with PND. This requires the consideration of sociodemographic information in the overall management of both HIV and postnatal depression. Addressing the impact of these factors can positively influence the health outcomes of both the mother and the baby.


AIDS Care ◽  
2004 ◽  
Vol 16 (5) ◽  
pp. 550-557 ◽  
Author(s):  
E. Florence ◽  
W. Schrooten ◽  
C. Dreezen ◽  
V. Gordillo ◽  
L. Nilsson Schönnesson ◽  
...  

2013 ◽  
Vol 22 (1) ◽  
pp. 141-148 ◽  
Author(s):  
Fabiana de Souza Orlandi ◽  
Neide de Souza Praça

This descriptive cross-sectional study had the objective to evaluate the level of hope in women aged 50 or older suffering from HIV/AIDS, utilizing the Herth Hope Scale. The study involved 200 HIV- positive women, within the age bracket of interest, enrolled in three STI/AIDS specialized healthcare services in the city of São Paulo. The rules of the 196/96 Resolution were met and the study was approved by the Research and Ethics Committee. Data were collected in 2010 using two instruments: subjects' characterization and the Herth Hope Scale. Results demonstrated an average score of 36.75 (±4.52) on the Herth Hope Scale, with an interval of 12 to 48. This score is below the score obtained with the same scale for various pathologies, indicating a reduced perception of hope by the sample. Nurses should provide interventions to improve hope for these people, establishing realistic goals and strengthening social support.


Sign in / Sign up

Export Citation Format

Share Document