scholarly journals Contraceptive use and associated factors among sexually active HIV positive women attending ART clinic in FHRH in Bahir Dar, north west, Ethiopia, 2018. Facility based cross-sectional study.

2019 ◽  
Author(s):  
tilksew ayalew ◽  
Tilahun Tewabe ◽  
Abdulhakim Abdanur ◽  
Demoze Jenbere ◽  
Mastewal Ayehu ◽  
...  
Keyword(s):  
Associated Factors ◽  
Contraceptive Use ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
Sexually Active ◽  
Cross Sectional ◽  
North West ◽  
Hiv Positive Women ◽  
Contraception Use ◽  
Human Immune

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.

scholarly journals Contraceptive Use among sexually active reproductive age HIV Positive Women Attending ART Clinic at Felege Hiwot Referral Hospital, Northwest Ethiopia: A cross-sectional study 

2020 ◽  
Author(s):  
tilksew ayalew ◽  
Tilahun Tewabe ◽  
Abdulhakim Abdanur ◽  
Demoze Jenbere ◽  
Mastewal Ayehu ◽  
...  
Keyword(s):  
Contraceptive Use ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Hiv Positive ◽  
Sexually Active ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hiv Positive Women ◽  
Felege Hiwot Referral Hospital ◽  
Human Immune

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.

scholarly journals Fertility Desire and Associated Factors among Sexually Active HIV Positive Women at Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia: Institution-Based Cross-Sectional Study

2020 ◽  
Author(s):  
Tilksew Abitie Ayalew ◽  
Eden Asmare
Keyword(s):  
Family Planning ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Hiv Positive ◽  
Sexually Active ◽  
Fertility Desire ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hiv Positive Women ◽  
Felege Hiwot Referral Hospital

Abstract Background: Many HIV-positive women continue to want to have children in spite of knowledge of their HIV status and the risk it imposes. This study aimed to assess the level of fertility desire and associated factors human immune-deficiency-positive women at Felege Hiwot referral Hospital.Methods: An institution based cross-sectional study was conducted among randomly 308 HIV positive reproductive age women at Felege Hiwot referral Hospital from June 01st -30th, 2018. Data were collected using structured interviewer-administered questionnaire. Data were analyzed using SPSS version20.Descriptive, bivariate and multivariate logistic regression statistics were carried out. Statistical significance was declared at P -value <0.05.Results: Out of 308 of participants, 45.5% reported a desire to have children in the near future. Being sexually activity (aOR=2.62, 95%CI; 1.58- 6.73), family planning use (aOR=7.62, 95%CI; 3.23-17.98), consistent condom use (aOR=2.6, 95%CI; 1.37- 4.94), and absence of children (aOR=4.43, 95%CI; 1.85- 10.64) were predictors of fertility desire.Conclusion: A considerable proportion HIV-positive women in the study area reported to have children in the future. Integration of family planning and ART services, attention to sexually active HIV positive women and supporting HIV positive women with unmet need of family planning could have significant impact.

scholarly journals Mixed Infant Feeding Practice and Associated Factors among HIV-Positive Women under Care in Gondar City’s Public Health Facilities within Two Years Postpartum: A Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Muhabaw Shumye Mihret ◽  
Mengstu Melkamu Asaye ◽  
Banchigizie Adane Mengistu ◽  
Habte Belete
Keyword(s):  
Public Health ◽  
Infant Feeding ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Infant Feeding Practice ◽  
Hiv Positive ◽  
Feeding Practice ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hiv Positive Women

Background. Mixed infant feeding practice remains a major setback for effective prevention of mother to child transmission of HIV program and updated evidences on this issue is essential for better interventions. Therefore, this study was aimed at assessing the proportion and associated factors of mixed infant feeding practice among HIV-positive women under care in public health institutions in Gondar city within two years postpartum, Ethiopia, 2017. Methods. A cross-sectional study was conducted on 485 HIV-positive women under care in Gondar City’s health facilities from May 1 to June 30/2017. Data were collected via interviewer administered questionnaire supplemented with chart review, entered into Epinfo version 7.0 and then exported to SPSS version 20.0. Both bivariable and multivariable analyses were done, and the statistical significance of each variable was claimed based on the adjusted odds ratio (AOR) with 95% confidence interval (CI) and its P value ≤0.05. Result. The proportion of HIV-positive women practicing mixed infant feeding was 21.6%. Whereas, about 73.8% and 4.5% of the mothers demonstrated exclusive breastfeeding and exclusive replacement feeding, respectively. Mixed infant feeding practice was independently predicted by lack of antenatal care (AOR=6.9; 95% CI: 3.4, 14.1) and home delivery (AOR=2.8; 95% CI: 1.4, 5.4). Conclusion. The magnitude of mixed infant feeding practice was higher than the reports of many other studies, and its predictors were connected to poor adherence to maternal health care service utilization. Hence, stakeholders need to work more on ANC and facility delivery service coverage.

scholarly journals Contraception use among HIV-positive women attending ART clinic: a cross-sectional study in Halibet Referral Hospital

2021 ◽  
Vol 6 (3) ◽  
pp. e55-e55
Author(s):  
Idris M. Idris ◽  
Samuel J. Wolday ◽  
Diyae N. Hassan ◽  
Luwam R. Tekle ◽  
Luna Yemane ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Referral Hospital ◽  
Hiv Positive ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hiv Positive Women ◽  
Contraception Use

scholarly journals Contraception use and its associated factors among grand multipara mothers in Kuantan

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Che Azunie Che Abdullah ◽  
Azlina Daud ◽  
Aisyah Ismail
Keyword(s):  
Associated Factors ◽  
Contraceptive Use ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Pregnancy And Childbirth ◽  
Contraception Use ◽  
Significant Difference ◽  
Mother And Child ◽  
Living Children ◽  
High Level

Introduction: Pregnancy and childbirth bring health risks for women, and it is magnified in grand multipara mothers. Effective practice of contraceptive is important in spacing out childbirth to ensure both mother and child acquire optimum quality of life. Thus, with increasing number of grand multipara mothers who would face a greater reproductive risk, it is crucial to have a better understanding of their reproductive health. This study aimed to determine the contraceptive use and to identify associated factors influencing contraceptive use among grand multipara mothers in Kuantan. Methods: A descriptive cross sectional study was carried out in Klinik Kesihatan Ibu dan Anak Jaya Gading using purposive sampling. 49 respondents had been selected. The data of this study were analyzed and transformed by using statistical software. Results: The prevalence of contraceptive use among grand multipara mothers was 51%. Grand multipara mothers who had high level of knowledge (p=0.030) regarding contraceptive, positive attitude (p=0.017) toward contraceptive use and having discussions with the spouse on contraception (p = 0.008) were more likely to use contraception. There was no statistically significant difference between the practice of contraceptive use and occupation (p=0.175) or number of living children (p=0.250). However, in this study, we found a statistically significant association between the contraceptive use and educational level (p=0.036). Conclusions: The prevalence of contraceptive use in this study compared relatively low to other studies. Effective health promotion programs need to be done to encourage the practices of contraceptive.

scholarly journals Contraceptive use and discontinuation among women in rural North-West Tanzania

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Wende Safari ◽  
Mark Urassa ◽  
Baltazar Mtenga ◽  
John Changalucha ◽  
James Beard ◽  
...  
Keyword(s):  
Contraceptive Use ◽  
Sexually Active ◽  
Hiv Status ◽  
Cross Sectional ◽  
North West ◽  
Younger Women ◽  
Hiv Positive Women ◽  
Contraceptive Discontinuation ◽  
Long Acting ◽  
Living Children

Abstract Introduction Existing estimates of contraceptive use in Tanzania rely on cross-sectional or retrospective study designs. This study used a 2-year, retrospective, month-by-month calendar of contraceptive utilization among women aged 15–49 years. Methods We estimated the median duration of contraceptive use, factors associated with use, and contraceptive discontinuation rates in sexually active women, using life tables and Cox proportional hazard model. Results A total of 5416 women contributed to the analysis in the study. Of the 5416 women, 942 (17%) had never had sex, 410 (7.6%) had no sexual partner in the last year. Among the 5416 women, 4064 were sexually active during the period, 814 (21.1%) were pregnant or amenorrheic, 610 (15.0%) were using contraception, and 1203 (29.6%) did not want to get pregnant but were not using contraception. In the 1813 women who wanted to avoid pregnancy, contraceptive use was lower among women over 35 years compared to younger ones (OR = 0.28, 95%CI: 0.19, 0.41), and in HIV positive women (OR = 0.89, 95%CI: 0.60–1.32). On the other hand, use was higher among women who were married/living together compared to unmarried ones (OR = 2.23, 95% CI: 1.54, 3.23). Using a 2-year retrospective contraceptive calendar, 1054 women reported contraceptive use, 15.8% discontinued within 6 months and 30.5% discontinued within 12 months. Higher rates of contraceptive discontinuation were observed among women who used pills (OR = 1.86, 95%CI: 1.25, 2.77) or injections (OR = 2.04, 95%CI: 1.59, 2.61) compared to those who used implants. Conclusion Contraceptive use was significantly associated with age, education and parity, but not with HIV status. HIV status, number of living children and education are not statistically associated with discontinuation of contraceptive use Pills and injections had the highest rates of discontinuation. Wider choice and greater accessibility of long-acting contraceptive methods with better effectiveness and convenience may serve women better. Furthermore, special efforts may be needed to remove barriers to contraceptive use amongst younger women.

scholarly journals Contraceptive practices amongst HIV-positive women on antiretroviral therapy attending an ART clinic in South Africa

2013 ◽  
Vol 5 (1) ◽  
Author(s):  
Ezekiel E. Oni ◽  
Andrew Ross ◽  
Stephan Van der Linde
Keyword(s):  
Antiretroviral Therapy ◽  
Contraceptive Use ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Hiv Positive ◽  
Hiv Status ◽  
Cross Sectional ◽  
Factors Associated ◽  
Hiv Positive Women ◽  
Desire For A Child

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.

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