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.
Pregnancy intention and contraceptive use among HIV-positive Malawian women at 4-26 weeks post-partum: A nested cross-sectional study