scholarly journals Associated factors of modern contraceptive use among women infected with human immunodeficiency virus in Enemay District, Northwest Ethiopia: a facility-based cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Yibeltal Bimrew Kebede ◽  
Tesfahun Taddege Geremew ◽  
Yohannes Mehretie ◽  
Ayenew Negesse Abejie ◽  
Liknaw Bewket ◽  
...  
Keyword(s):  
Associated Factors ◽  
Contraceptive Use ◽  
Clinical Stage ◽  
Cross Sectional Study ◽  
Modern Contraceptive ◽  
Cross Sectional ◽  
Modern Contraceptives ◽  
Resource Limited ◽  
Family Planning Counseling ◽  
Modern Contraceptive Use

Abstract Background The prevention of unplanned pregnancy among women infected with human immunodeficiency virus (HIV) is critical for the prevention of mother-to-child transmission (PMTCT) of HIV. Of the prevention strategies, deployment of modern contraceptives is principal one. However, there were limited facts on utilization of modern contraceptives and associated factors among HIV infected women, in particular of resource-limited settings in Ethiopia. Hence, we aimed to quantify the proportion of modern contraceptive utilization and the possible related factors among women infected HIV. Methods A facility-based cross-sectional study was conducted on randomly selected 632 women infected with HIV from 05 February to 25 March 2018. Data on their treatment, socio-economic, and demographic background were collected through a structured interviewer administered questionnaire. Binary logistic regression model was fitted to identify the associated factors of modern contraceptive use among women infected with HIV. Result We found 61.4% (95% CI, 57.6–65.2) were using modern contraceptives. Greater than four family size (AOR:2.17; 95%CI: 1.31–3.59), family planning counseling service (AOR: 2.37; 95% CI: 1.44–3.91), discussing contraceptive issues with sexual partner (AOR: 1.76; 95% CI: 1.12–2.77), history of giving birth (s) (AOR:2.21; 95%CI:1.20–4.05) and World Health Organization (WHO) clinical stage III or IV (AOR: 3.59; 95%CI: 1.37, 9.44) were positively associated with modern contraceptives use, whereas, older age (AOR: 0.45; 95% CI: 0.24–0.81) and being widowed (AOR: 0.34; 95% CI: 0.14–0.83), abridged the chances of modern contraceptives use. Conclusion The prevalence of modern contraceptive use among women infected with HIV is low. Higher family size, counseling on contraceptives, discussing contraceptives issues with partner, history of giving births and WHO clinical stage III/IV were positively related with contraceptives use, whereas, older age and being widowed abridged the chances of contraceptives use among HIV infected women. Therefore, our findings support calls for the district health office and the antiretroviral treatment clinics of the resource-limited settings to work more on family planning counseling services and promoting more dialogues with sexual partners on modern contraceptives use.

scholarly journals Modern contraceptive use among female refugee adolescents in Northern Uganda: prevalence and associated factors

2020 ◽  
Author(s):  
Ritah Bakesiima ◽  
Amanda Cleeve ◽  
Elin Larsson ◽  
James K. Tumwine ◽  
Grace Ndeezi ◽  
...  
Keyword(s):  
Decision Making ◽  
Contraceptive Use ◽  
Analytical Techniques ◽  
Cross Sectional Study ◽  
Northern Uganda ◽  
Modern Contraceptive ◽  
Cross Sectional ◽  
Modern Contraceptives ◽  
Fertility Decision ◽  
Modern Contraceptive Use

Abstract Background: Adolescent pregnancies are persistently high among refugees. The pregnancies have been attributed to low contraceptive use in this population. The aim of this study was to determine the prevalence and factors associated with modern contraceptive use among female refugee adolescents in Northern Uganda. Methods: This was a cross sectional study using both descriptive and analytical techniques. The study was carried out in Palabek refugee settlement in Northern Uganda from May to July 2019. A total of 839 refugee adolescents who were sexually active or in-union were consecutively enrolled. Interviewer administered questionnaires were used for data collection. Results: Modern contraceptive prevalence was 8.7% (95% CI: 7.0 to 10.8). The injectable was the most commonly used modern contraceptive method [42.5% (95% CI: 31.5 to 54.3)], and most of the participants had used the contraceptives for six months or less (59.7%). Reasons for not using modern contraceptives included fear of side effects (39.3%), partner prohibition (16.4%), and the desire to become pregnant (7.0%). Participants who were married (OR=0.11, 95% CI: 0.04 to 0.35, p<0.001), cohabiting (OR=0.43, 95% CI: 0.20 to 0.93, p=0.032) or having an older partner (OR=0.93, 95% CI: 0.86 to 0.99, p=0.046) were less likely to use modern contraceptives.Conclusion: Modern contraceptive use among female refugee adolescents was very low, and few reported a desire to become pregnant, leaving them vulnerable to unplanned pregnancies. Least likely to use modern contraceptives were participants who were married/cohabiting and those having older partners implying a gender power imbalance in fertility decision making. There is an urgent need for innovations to address the gender and power imbalances within relationships, which could shape fertility decision-making and increase modern contraceptive use among refugee adolescents.

scholarly journals Modern contraceptive use among female refugee adolescents in Northern Uganda: prevalence and associated factors

2020 ◽  
Author(s):  
Ritah Bakesiima ◽  
Amanda Cleeve ◽  
Elin Larsson ◽  
James K. Tumwine ◽  
Grace Ndeezi ◽  
...  
Keyword(s):  
Decision Making ◽  
Contraceptive Use ◽  
Analytical Techniques ◽  
Cross Sectional Study ◽  
Northern Uganda ◽  
Modern Contraceptive ◽  
Cross Sectional ◽  
Modern Contraceptive Method ◽  
Modern Contraceptives ◽  
Modern Contraceptive Use

Abstract Background Adolescent pregnancies are persistently high among refugees. The pregnancies have been attributed to low contraceptive use in this population. The aim of this study was to determine the prevalence of and factors associated with modern contraceptive use among female refugee adolescents in Northern Uganda. Methods This was a cross sectional study employing both descriptive and analytical techniques. The study was carried out in Palabek refugee settlement in Northern Uganda from May to July 2019. A total of 839 consenting refugee adolescents who were sexually active or in-union were consecutively enrolled. Interviewer administered questionnaires were used for data collection. Results Modern contraceptive prevalence was 8.7% (95% CI: 7.0 to 10.8). The injectable was the most commonly used modern contraceptive method (42.5%), and most of the participants had used the contraceptives for six months or less (59.7%). Reasons for not using modern contraceptives included fear of side effects (39.3%), partner prohibition (16.4%), and the desire to become pregnant (7.0%). Participants who were married (OR=0.11, 95% CI: 0.04 to 0.35, p<0.001), cohabiting (OR=0.43, 95% CI: 0.20 to 0.93, p=0.032) or having an older partner (OR=0.93, 95% CI: 0.86 to 0.99, p=0.046) were less likely to use modern contraceptives. Conclusion Modern contraceptive use among female refugee adolescents was very low, and few reported a desire to become pregnant, leaving them vulnerable to unplanned pregnancies. Least likely to use modern contraceptives were participants who were married/cohabiting and those having older partners implying a gender power imbalance in fertility decision making. There is an urgent need for innovations to address the gender and power imbalances within relationships, which would shape decision-making and increase modern contraceptive use among refugee adolescents.

scholarly journals Modern contraceptive use among HIV-infected women attending HIV care centres in Togo: a cross-sectional study

BMJ Open ◽  
2018 ◽  
Vol 8 (4) ◽  
pp. e019006 ◽  
Author(s):  
Issifou Yaya ◽  
Akouda Akessiwè Patassi ◽  
Dadja Essoya Landoh ◽  
Essodjèlouna Manani Bignandi ◽  
Kanfitine Kolani ◽  
...  
Keyword(s):  
Contraceptive Use ◽  
Cross Sectional Study ◽  
Hiv Care ◽  
Modern Contraceptive ◽  
Sectional Study ◽  
Cross Sectional ◽  
Modern Contraceptive Use

scholarly journals Prevalence of short interpregnancy interval and its associated factors among pregnant women in Debre Berhan town, Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255613
Author(s):  
Hana Mamo ◽  
Abinet Dagnaw ◽  
Nigussie Tadesse Sharew ◽  
Kalayu Brhane ◽  
Kehabtimer Shiferaw Kotiso
Keyword(s):  
Pregnant Women ◽  
Associated Factors ◽  
Contraceptive Use ◽  
Cross Sectional Study ◽  
Northern Ethiopia ◽  
Age At First Birth ◽  
Modern Contraceptive ◽  
Cross Sectional ◽  
Debre Berhan ◽  
Inter Pregnancy Interval

Background Short inter-pregnancy interval is an interval of <24 months between the dates of birth of the preceding child and the conception date of the current pregnancy. Despite its direct effects on the perinatal and maternal outcomes, there is a paucity of evidence on its prevalence and determinant factors, particularly in Ethiopia. Therefore, this study assessed the prevalence and associated factors of short inter-pregnancy interval among pregnant women in Debre Berhan town, Northern Ethiopia. Methods A community based cross-sectional study was conducted among a randomly selected 496 pregnant women in Debre Berhan town from February 9 to March 9, 2020. The data were collected by using an interviewer-administered questionnaire and analyzed using STATA (14.2) statistical software. To identify the predictors of short inter-pregnancy interval, multivariable binary logistic regression was fitted and findings are presented using adjusted odds ratio (AOR) with 95% confidence interval (CI). Result The overall prevalence of short inter-pregnancy interval (<24 months) among pregnant women was 205 (40.9%). Being over 30 years of age at first birth (AOR = 3.50; 95% CI: 2.12–6.01), non-use of modern contraceptive (AOR = 2.51; 95% CI: 1.23–3.71), duration of breastfeeding for less than 12 months (AOR = 2.62; 95% CI: 1.32–5.23), parity above four (AOR = 0.31; 95% CI: 0.05–0.81), and unintended pregnancy (AOR = 5.42; 95% CI: 3.34–9.22) were independently associated factors with short inter-pregnancy interval. Conclusion Despite the public health interventions being tried in the country, the prevalence of short inter-pregnancy interval in this study is high. Therefore, it implies that increasing contraceptive use and encouraging optimal breastfeeding might help in the efforts made to avert the problem.

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