scholarly journals Determinants of long acting contraceptive utilization among hiv positive reproductive age women attending care at art clinics of public health facilities in Arba Minch town, Southern Ethiopia, 2019. A case control study

2020 ◽  
Author(s):  
Betselot Yirsaw ◽  
Feleke G Meskel ◽  
G-kiros G Michael ◽  
Tewoderos Shitemaw
Keyword(s):  
Contraceptive Method ◽  
Case Control Study ◽  
Response Rate ◽  
Reproductive Age ◽  
Hiv Positive ◽  
Contraceptive Methods ◽  
Reproductive Age Women ◽  
Future Fertility ◽  
Long Acting ◽  
Control Study

Abstract Background: Long acting and permanent contraceptive methods by far are the most effective, very safe and convenient methods than short acting contraceptive methods. Dual protective which includes use of a reliable hormonal contraceptive method like LAPMs and a barrier method like using the male or female condom is encouraged to prevent further transmission of HIV. But in less developed countries, use of long acting reversible contraceptive or permanent methods (LARCs/PMs) is very low. Therefore the aim of this study was to identify determinants of long acting contraceptive method utilization among HIV positive reproductive age women. Methods: An institutional based case control study was conducted among random sample of 354 HIV positive reproductive age women (total of 97.8% response rate) at Anti-Retroviral Therapy clinics from February 20 to March 20, 2019. Case to control ratio was 1:2. A structured questionnaire and information recorded from ART card review were used to collect the data. Bivariate and Multivariable logistic regression analysis were performed in order to identify the factors significantly associated with long acting contraceptive method utilization at the level of significance of p value <0.25 with 95% CI of COR and <0.05 with 95% CI of AOR respectively.Results: A total of 354 (33.3% cases and 66.7% controls) HIV positive reproductive age women were interviewed with response rate of 97.8%. The study revealed being in age group of 39 and above [AOR=0.17, 95% CI (0.06, 0.48)], being divorced/separated and widowed [AOR=0.05, 95% CI (0.003, 0.61)], having supportive opinion and strongly supportive opinion regarding family planning service availability in ART clinic [AOR= 5.01, 95% CI (1.79, 14.07)], [AOR= 7.81, 95% CI (2.54, 24.01)] and having no future fertility intention [AOR= 7.03, 95% CI (2.73, 18.06)] were statistically significant determinants for long acting contraceptive method utilization.Conclusion: Woman in age group of 39 and above, having no future fertility intention and being divorced/separated and widowed was found to be determinants of long acting contraceptive method utilization among HIV positive reproductive age women. In addition our study support the WHO Strategic Considerations for Strengthening the Linkages between Family Planning and HIV/AIDS Policies, Programs, and Services. Key words: - long acting contraceptive methods, HIV positive reproductive age women, Ethiopia

scholarly journals Determinants of Long Acting Contraceptive Utilization Among HIV Positive Reproductive Age Women Attending Care at Art Clinics of Public Health Facilities in Arba Minch Town, Southern Ethiopia, 2019. A Case Control Study

2020 ◽  
Author(s):  
Betselot Yirsaw ◽  
Feleke G Meskel ◽  
G-kiros G Michael ◽  
Tewoderos Shitemaw
Keyword(s):  
Contraceptive Method ◽  
Response Rate ◽  
Reproductive Age ◽  
Hiv Positive ◽  
P Value ◽  
Fertility Intention ◽  
Contraceptive Methods ◽  
Reproductive Age Women ◽  
Future Fertility ◽  
Long Acting

Abstract Background: Long acting and permanent contraceptive methods by far are the most effective, very safe and convenient methods than short acting contraceptive methods. But in less developed countries, use of long acting reversible contraceptive or permanent methods (LARCs/PMs) is very low. Therefore the aim of this study was to identify determinants of long acting contraceptive method utilization among HIV positive reproductive age women. Methods: An institutional based case control study was conducted among random sample of 354 HIV positive reproductive age women (total of 97.8% response rate) at Anti-Retroviral Therapy clinics from February 20 to March 20, 2019. Case to control ratio was 1:2. A structured questionnaire and information recorded from ART card review were used to collect the data. Each variable was entered in Bivariate analysis with dependent variables and those variables with P-value of ≤ 0.25 were included in the Multivariate analysis. Significance was determined at the level of P-value <0.05 with 95% CI of AOR. Results: A total of 354 (33.3% cases and 66.7% controls) HIV positive reproductive age women were interviewed with response rate of 97.8%. The study revealed being in age group of 39 and above [AOR=0.17, 95% CI (0.06, 0.48)], being divorced/separated and widowed [AOR=0.05, 95% CI (0.003, 0.61)], having supportive opinion and strongly supportive opinion regarding family planning service availability in ART clinic [AOR= 5.01, 95% CI (1.79, 14.07)], [AOR= 7.81, 95% CI (2.54, 24.01)] and having no future fertility intention [AOR= 7.03, 95% CI (2.73, 18.06)] were statistically significant determinants for long acting contraceptive method utilization. Conclusion: Woman in age group of 39 and above, having no future fertility intention and being divorced/separated and widowed was found to be determinants of long acting contraceptive method utilization among HIV positive reproductive age women. In addition our study support the WHO Strategic Considerations for Strengthening the Linkages between Family Planning and HIV/AIDS Policies, Programs, and Services.

scholarly journals The Relation of Diabetes Type 2 with Sexual Function among Reproductive Age Women in Iran, a Case-Control Study

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Poorandokht Afshari ◽  
Shiva Yazdizadeh ◽  
Parvin Abedi ◽  
Homayra Rashidi
Keyword(s):  
Type 2 Diabetes ◽  
Sexual Function ◽  
Case Control Study ◽  
Case Control ◽  
Reproductive Age ◽  
Diabetic Patients ◽  
Healthy Women ◽  
Reproductive Age Women ◽  
Control Study

Background.Diabetic patients are at the greater risk of retinopathy, nephropathy, neuropathy, and sexual dysfunction compared to the general population.Objective.The aim of this study was to evaluate the sexual dysfunction in type 2 diabetes reproductive age women in Iran.Method.This was a case-control study carried out on 130 women with type 2 diabetes and 130 healthy women. The type 2 diabetes diagnosis was confirmed with abnormal fasting blood sugar, abnormal random blood sugar test, and abnormal level of HbA1C. Eligible women were requested to complete a demographic questionnaire and female sexual function index (FSFI). The chi-square test, independentt-test, and Multivariate Analysis of Covariance (MANCOVA) were used for analyzing data.Results.Results of this study showed that diabetic women had significantly lower sexual desire, arousal, lubrication, and orgasm and more pain compared to the healthy women (p<0.05). Also diabetic women had lower sexual satisfaction compared to the healthy women (p=0.002). The total score of sexual function was significantly lower in the diabetic women compared to the healthy women (21.25±7.04versus22.43±7.6,p=0.004).Conclusion.Results of this study showed that the score of all dimensions of sexual function in diabetic patients was lower than that in healthy women. Education and counseling about controlling diabetes and sexual function among diabetic women in reproductive age are recommended.

scholarly journals Determinants Of Long-Acting Reversible Contraceptive Methods Utilization Among Married Women Of Reproductive Age Group In Ambo Town, Oromia Region, West Ethiopia, 2016: A Case Control Study

2019 ◽  
Author(s):  
Dawit Regassa Soboka ◽  
Fasil Tessema ◽  
Mamo Nigatu
Keyword(s):  
Wealth Quintile ◽  
Married Women ◽  
Reproductive Age ◽  
Age Group ◽  
Contraceptive Methods ◽  
Level Of Knowledge ◽  
Long Acting ◽  
Long Acting Reversible Contraceptive ◽  
Control Study ◽  
Reproductive Age Group

Abstract Background Long-acting reversible contraceptive methods are highly effective, safe, convenient and cost-effective. The prevalence of long-acting reversible contraceptive methods utilization among married women in the study area was only 10%, which is comparatively low compared to the regional and national targets. Objective To identify determinants of long-acting reversible contraceptive methods utilization among married women of the reproductive age group in Ambo town, 2016 Methods Community based unmatched case-control study was conducted in Ambo town among married women of reproductive age group. 140 cases and 280 controls were randomly included. Bivariable and multivariable logistic regression was used to identify candidate variables and independent predictor variables respectively. Adjusted odds ratios together with their corresponding 95% CI were calculated to assess the strength of association and statistical significance. Result 139 cases and 279 controls were interviewed giving a response rate of 99%. Moderate level of knowledge on long-acting reversible contraceptive methods (AOR= 8.73, 95%CI: 3.08 - 24.77), Good level of knowledge (AOR=13.99, 95%CI:4.93-39.71), spousal discussion on long-acting reversible contraceptive methods (AOR=2.88, 95%CI:1.3-6.36), attitude toward long-acting reversible contraceptive methods (AOR=7.07, 95% CI: 3.77-13.24), intention to give birth in the future (AOR=0.085, 95%CI: 0.36-0.20), Women from households in the poorest wealth quintile (AOR= 6.83, 95%CI: 2.68-17.38), Women from households in the medium wealth quintile (AOR=5.83, 95%CI: (2.23- 15.23) and woman’s expectation of restriction to methods use (AOR=0.34, 95%CI:0.22-0.53) were significant determinants of long-acting reversible contraceptive methods utilization. Conclusion & Recommendation Good knowledge, moderate knowledge, good attitude, wealth index, spousal discussion, intention to give birth in the future and woman’s expectation of restriction to method use were determinants of long-acting reversible contraceptive methods utilization.

scholarly journals Determinants of short birth interval among ever married reproductive age women: A community based unmatched case control study at Dessie city administration, Northern Ethiopia

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243046
Author(s):  
Habtamu Shimels Hailemeskel ◽  
Tesfaye Assebe ◽  
Tadesse Alemayehu ◽  
Demeke Mesfin Belay ◽  
Fentaw Teshome ◽  
...  
Keyword(s):  
Birth Interval ◽  
Contraceptive Use ◽  
Case Control Study ◽  
Case Control ◽  
Reproductive Age ◽  
Age At First Birth ◽  
Community Based ◽  
Reproductive Age Women ◽  
Short Birth Interval ◽  
Control Study

Background Short birth interval is a universal public health problem resulting in adverse fetal, neonatal, child and maternal outcomes. In Ethiopia, more than 50% of the overall inter birth spacing is short. However, prior scientific evidence on its determinants is limited and even then findings are inconsistent. Methods A community -based unmatched case-control study was employed on 218 cases and 436 controls. Cases were ever married reproductive age women whose last delivery has been in the past five years with birth interval of less than 3 years between the latest two successive live births whereas those women with birth interval of 3–5 years were taken as controls. A multistage sampling technique was employed on 30% of the kebeles in Dessie city administration. A pre-tested interviewer based questionnaire was used to collect data by 16 trained diploma nurses and 8 health extension workers supervised by 4 BSc nurses. The collected data were cleaned, coded and double entered into Epi-data version 4.2 and exported to SPSS version 22. Binary logistic regression model was considered and those variables with P<0.25 in the bivariable analysis were entered in to final model after which statistical significance was declared at P< 0.05 using adjusted odds ratio at 95% CI. Result In this study, contraceptive use (AOR = 11.2, 95% CI: 5.95–21.15), optimal breast feeding for at least 2 years (AOR = 0.098, 95% CI:0.047–0.208), age at first birth <25 years (AOR = 0.36, 95% CI: 0.282–0.761), having male preceding child (AOR = 0.46, 95% CI: 0.166–0.793) and knowing the duration of optimum birth interval correctly (AOR = 0.45, 95% CI: 0.245–0.811) were significant determinants of short birth interval. Conclusion Contraceptive use, duration of breast feeding, age at first birth, preceding child sex and correct understanding of the duration of birth interval were significant determinants of short birth interval. Fortunately, all these significant factors are likely modifiable. Thus, the existing efforts of optimizing birth interval should be enhanced through proper designation and implementation of different strategies on safe breastfeeding practice, modern contraceptive use and maternal awareness about the health merits of optimum birth interval.

scholarly journals Utilization of Long Acting and Permanent Contraceptive Method and Associated Factor Among Women of Reproductive Age in West Guji Zone, Southern Ethiopia, 2018.

2021 ◽  
Author(s):  
Eden Dagnachew Zeleke ◽  
Dawit Getachew Assefa ◽  
Tigist Tekle Woldesenbet ◽  
Rediet Gido
Keyword(s):  
Family Planning ◽  
Waiting Time ◽  
Contraceptive Method ◽  
Educational Status ◽  
Planning Method ◽  
Reproductive Age ◽  
Contraceptive Methods ◽  
Women Of Reproductive Age ◽  
Poor Knowledge ◽  
Long Acting

Abstract Background: Increasing access to family planning helps to ensure the reproductive right, decrease unintended pregnancy, improve health and nutritional status of children, reduction of maternal mortality and enhance longer birth spacing . There is continually low utilization of long acting and permanent contraceptive method among low and middle income countries. The aim of this study was to assess the Utilization of Long Acting and permanent Contraceptive methods and associated factor among Women of Reproductive Age in west Guji Zone.Methods: Mixed study design was conducted among women of reproductive age in West Guji Zone. Systematic random sampling method was used to select study subjects for the survey with sample size of 507. Descriptive was utilized to summarize the data while logistic regression to assess factors influencing the utilization of Long Acting and permanent Contraceptive methods use. Statistical significance was declared for variables outcomes of the P-value less than 0.05.Result: Current utilization of Long Acting And permanent Contraceptive methods at West Guji zone among reproductive aged group was 51.1%. More than median of participants had negative altitude (72.4%) and poor knowledge (57%) towards long acting and permanent contraceptive method. Educational status of women, number of alive children, acceptance of utilization of Long Acting And permanent Contraceptive methods , how treated by other staff and waiting time during service delivery are significant determinant factor of long acting and permanent family planning method. According to qualitative data, Myths and misconceptions about utilization of intrauterine contraceptive device and implants and negative altitude to ward Long Acting And permanent Contraceptive methods were major barriers to the use of Long Acting And permanent Contraceptive methods.Conclusion: Educational status, number of alive children ( Parity) , acceptance of Long Acting And permanent Contraceptive methods , how treated by other staff and waiting time to get the service are statistically significant predictors of utilization of long acting and permanent family planning methods. More than half of women had negative altitude and poor knowledge on Long Acting And permanent Contraceptive methods. Myths and misconception might affect the utilization of long acting and permanent family planning method.

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