scholarly journals Integration of Family Planning Services With HIV Treatment for Women of Reproductive Age Living With HIV Attending ART in Special Zone of Oromia Regional State, Ethiopia

2020 ◽  
Author(s):  
Dereje Bayissa Demissie ◽  
Rose Mmusi-Phetoe
Keyword(s):  
Family Planning ◽  
Hiv Treatment ◽  
Reproductive Age ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Family Planning Services ◽  
Hiv Services ◽  
Women Living With Hiv ◽  
Living With Hiv ◽  
Special Zone

Abstract Background: In settings where HIV prevalence is high, management of sexual and reproductive health is critical to reducing HIV transmission and maternal mortality. Integration of family planning with HIV services is appropriate model for HIV therapy, HIV prevention and care with family planning services in a resource limiting area like Ethiopia. The aims of the study were to determine the status of integration of family planning services with HIV treatment for women of reproductive age in Oromia, Ethiopia Methods: A Health facility based cross-sectional study design was conducted with quantitative data collection approach was used to collect data from women living with HIV attending ART clinics in special zone of surrounding Finfinne, Oromia Region in five health centres. Simple random sampling computer-generated sample was used to select 654 respondents. The returned questionnaires were checked for completeness, cleaned manually, coded and entered into EPI INFO 7.1.6 version. These were then transferred to statistical Package for Social Sciences 23.0 for further analysis. Bivariate and multivariable logistic regressions analysis was used to identify factors associated with integration family planning with HIV services with the significant association at adjusted odds ratio (AOR) with 95% confidence interval (CI) to controlled effects of possible confounders from final model. Result: After discarded16 spoiled questionnaires, the completed response rate of this study was 97.6% (654/670). There were 654 respondents whose ages ranged between 18 and 49 years. The mean age of the respondents was 31.86 years with a SD of ±6.0 years. Most of the respondents in the sample were in the age group 26-35 (n=374, 57%), and only 96 (14.7%) were in the age group 18-25. This study determined the overall integration FP-HIV services were 55.8% among reproductive age women living with HIV in Oromia regional state of special zone health centres. Almost all respondents (n=635, 97.1%) preferred integrated sexual reproductive health and HIV services at the same facility, from the same providers, and 622 (95%) were very or mostly satisfied with the utilisation of integrated family planning/HIV services.Conclusion: The identified factors that affected the integration of family planning with HIV services were educational and occupational status, residence, discussion of family planning with healthcare providers, fertility desire and CD4 counts. Therefore, Ministry of health should engage women in the planning, implementation and evaluation of the integrated family planning/HIV services.

scholarly journals Integration of family planning services with HIV treatment for women of reproductive age attending ART clinic in Oromia regional state, Ethiopia

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Dereje Bayissa Demissie ◽  
Rose Mmusi-Phetoe
Keyword(s):  
Family Planning ◽  
Hiv Treatment ◽  
Health Centers ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Family Planning Services ◽  
Hiv Services ◽  
Women Living With Hiv ◽  
Living With Hiv ◽  
Special Zone

Abstract Background In settings where HIV prevalence is high, management of sexual and reproductive health is critical to reducing HIV transmission and maternal mortality. Integration of family planning with HIV services is appropriate for HIV therapy, HIV prevention, and care in a resource-limited country s like Ethiopia. The study aimed at examining the status of integration of family planning services with HIV treatment and factors associated with successful integration of family planning and HIV services for women of reproductive age in Oromia, Ethiopia for better health outcomes. Methods The research design of this study was a quantitative survey, non-experimental, explorative and descriptive. A questionnaire was used to collect data from women living with HIV attending ART clinics in the special zone of surrounding Finfinne, Oromia Region in five health centers. Simple random sampling was used to select 654 respondents. Data was analysed through the use of Statistical Package for Social Sciences version 23.0. Bivariate and multivariate logistic regressions were performed to identify factors associated integration of family planning with HIV services with the significant association at an adjusted odds ratio (AOR) with a 95% confidence interval (CI) to controlled effects of possible confounders from the final model. Result The response rate of this study was 97.6% (654/670). The ages of those who responded to the administered questionnaires ranged between 18 and 49 years. The mean age of the respondents was 31.86 years with an SD of ± 6.0 years. Most of the respondents in the sample were in the age group 26–35 (n = 374, 57%), and only 96 (14.7%) were in the age group 18–25. This overall integration of FP-HIV services among reproductive-age women living with HIV in Oromia regional state of special zone health centers was found to be 55.8%. Almost all respondents (n = 635, 97.1%) preferred integrated family planning and HIV services from the same facility and the same providers. the study found that 622 (95%) were most satisfied with the utilization of integrated family planning/HIV services. Conclusion This study established that in overall, the integration of family planning/HIV services was relatively moderate among women of reproductive age living HIV. The identified factors that affected the integration of family planning with HIV services were the level of education, occupational status, residence, discussion of family planning with healthcare providers, fertility desire and CD4 counts.

scholarly journals Risky sexual practice, unintended pregnancy, contraceptive utilisation, and its determinants among HIV-infected women in Special Zone of Oromia regional state, Ethiopia

2021 ◽  
Author(s):  
Dereje Bayissa Demissie ◽  
Rose Mmusi-Phetoe
Keyword(s):  
Family Planning ◽  
Healthcare Providers ◽  
Reproductive Age ◽  
Hiv Status ◽  
Women Of Reproductive Age ◽  
Modern Family ◽  
Risky Sexual Practice ◽  
Open Discussion ◽  
Living With Hiv ◽  
Special Zone

Abstract Background: In settings where HIV prevalence is high, management of sexual and reproductive health is critical to reducing HIV transmission and maternal mortality. Integration of family planning with HIV services is appropriate model for HIV therapy, HIV prevention and care with family planning services in a resource limiting area like Ethiopia. The aims of the study were to determine risky sexual practice, unintended pregnancy, contraceptive utilisation, and its determinants among women of reproductive age in Oromia, Ethiopia Methods: A Health facility based cross-sectional study design was conducted with quantitative data collection approach was used to collect data from women living with HIV attending ART clinics in special zone of surrounding Finfinne, Oromia Region in five health centres. Simple random sampling computer-generated sample was used to select 654 respondents. The returned questionnaires were checked for completeness, cleaned manually, coded and entered into EPI INFO 7.1.6 version and exported to SPSSS 23.0 for further analysis. Bivariate and multivariable logistic regressions analysis was used to identify factors association with adjusted odds ratio (AOR) with 95% confidence interval (CI) to controlled effects of possible confounders from final model. Result: After discarded16 spoiled questionnaires, the completed response rate of this study was 97.6% (654/670). There were 654 respondents whose ages ranged between 18 and 49 years. The current family planning utilisation among women of reproductive age living with HIV was 548 (83.8%). The following were identified as determinants of current family planning among HIV-infected women in the area of study: open discussion on modern family planning utilisation with healthcare providers; being knowledgeable about modern family planning; number of sexual partners; previous unplanned pregnancy; partner’s HIV status; and disclosure status of HIV to their family. The last two factors led to higher odds of family planning utilisation among women of reproductive age living with HIV in Oromia Region.The study further established that contraception utilisation was influenced by the fact that 608 (94.9%) respondents were sexually active during the last six months. Disclosure of HIV status added to the list whereby 589 (91.4%) respondents had disclosed their HIV serostatus to a regular sexual partner and 499 (76.3%) had disclosed to family. The prevalence of dual contraceptive utilisation was 425 (73.8%), of which 343 (80.7%) and 306 (72%) were consistent and sustained users of dual contraceptive methods, respectively. The factors which were assumed to be increasing dual contraception method utilisation were: open discussion on family planning with healthcare providers; having received family planning counselling about the efficacy of each method and side effects and the mixed method available. Conclusion: The current family planning utilisation among women of reproductive age was higher than the national contraceptive prevalence rate. This proportion is parallel to the proportion of service providers reporting to provide both HIV- and family planning-related services as being largely dependent on training on integrated family planning and HIV services.

scholarly journals Unmet need for family planning and factors associated among women living with HIV in Oromia regional state, Ethiopia

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Dereje Bayissa Demissie ◽  
Gizachew Abdissa Bulto ◽  
Rose Mmusi-Phetoe
Keyword(s):  
Family Planning ◽  
Healthcare Providers ◽  
Unmet Need ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Women Living With Hiv ◽  
Regional State ◽  
Future Fertility ◽  
Met Needs ◽  
Living With Hiv

Abstract Objectives The purpose of this study was to determine the prevalence of the unmet need and identifying factors associated with the unmet need among women of reproductive age living with HIV in Oromia regional state, Ethiopia. One critical component of both a full range of contraceptives and satisfying demand for family planning with HIV services all women living with HIV is the appropriate model for HIV therapy, HIV prevention, and care with family planning services in a resource-limiting area like Ethiopia. Methods Health facility-based cross-sectional study design was conducted among women living with HIV attending ART clinics in the special zone of, Oromia regional state, by simple random sampling was used to select 654 respondents. Both bivariate and multivariable logistic regressions analysis was used to identify at adjusted odds ratio (AOR) with 95% CI in the final model. Result The study assessed the magnitude of demand for family planning among HIV-infected women and established that the demand was 630 (96.3%), of which 100 (16%) of women of reproductive age living with HIV had unmet needs for family planning while attending monthly ART clinic drug refilling and follow up. This study identified that factors found to be associated with met needs for family planning among women of reproductive age living with HIV attending ART/PMTC were discussions with healthcare providers (AOR = 4.33, 95% CI 2.56–7.32), previous pregnancy (AOR = 3.07, 95% CI 1.84–5.12); future fertility desire (AOR = 2.15, 95% CI 1.31–3.51); having sexual partners (AOR = 5.26, 95% CI 1.79–15.5) and the number of the sexual partner (one) (AOR = 7.24, 95% CI 1.82–28.74) were identified independent predictors of met needs for family planning. Conclusion The overall demand for family planning was 96% among the women living with HIV, and that 16% of women had an unmet need for family planning. The authors conducted a logistic regression and find various dependent variables that are associated with the met need for family planning services, such as having discussions with healthcare providers, having a partner and previous pregnancy; future fertility desire, the last pregnancy being intended. These results are interpreted to suggest that clear policy implications of family planning must be better integrated into ART clinics.

scholarly journals Knowledge, attitude and practice of family planning among women of reproductive age group attending outpatient department in a tertiary centre of Northern India

2019 ◽  
Vol 8 (5) ◽  
pp. 1775 ◽  
Author(s):  
Mahvish Qazi ◽  
Najmus Saqib ◽  
Sachin Gupta
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Total Fertility Rate ◽  
Reproductive Age ◽  
Age Group ◽  
Contraceptive Methods ◽  
Women Of Reproductive Age ◽  
Jammu And Kashmir ◽  
Planning Methods ◽  
Family Planning Methods

Background: India with 1.35 billion people is the second most populated country in the world next to China. Total fertility rate of India is 2.2 and the current total fertility rate of Jammu and Kashmir is 1.7 which is still lagging behind various states. This study was conducted to investigate the knowledge, attitude and practices of contraception in women of reproductive age in this set up.Methods: The present cross-sectional study was carried out in patients attending OPD (outpatient department) of Obstetrics and Gynecology at ASCOMS, Jammu, Jammu and Kashmir, India from 1st September 2017 to 31st August 2018. 200 married women aged between 18-49 years were included in this study. Socio-demographic characteristics of the women, their knowledge, attitude and practices on contraception were evaluated with the help of predesigned questionnaire.Results: Out of 200 women, maximum respondents belong to age group of 21-25 years (75.6%). Most of the contraceptive non-users belongs to age below 20 years (62.5%). Majority of respondents were Hindu (70.37%), maximum studied up to secondary level education (84.61%), 70.30% were housewives and 56.58% belongs to middle class. In 45% of respondents, media was the main source of information. Preferred spacing method was condom in 85% of cases. 68% women had knowledge of female sterilization. According to most women, family planning methods are meant for limitations of birth (43%) and 36% meant for spacing of birth. 80% women had positive attitude towards contraceptive usage. 50% experienced side effects with the use of contraceptives. The most common side effect was menstrual irregularities in 25% of cases. Most common reason for not using contraceptive methods among non-respondents were lack of knowledge in 50% of cases.Conclusions: The study showed that inspite of having good knowledge, utilization of contraceptives were less because of large family norm, religious myth, cultural and political barriers. Ignorance regarding use and side effects of various contraceptive methods is another reason for inadequate practice of family planning methods.

scholarly journals Assessment of family planning practices of women of reproductive age group in rural area of Jammu region

2019 ◽  
Vol 6 (9) ◽  
pp. 3804
Author(s):  
Deepika Dewan ◽  
Heena Nazir ◽  
Tania Kakkar
Keyword(s):  
Family Planning ◽  
The Other ◽  
Reproductive Age ◽  
Family Welfare ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Training Centre ◽  
Planning Methods ◽  
Family Planning Methods ◽  
Reproductive Age Group

Background: Despite more than fifty years of implementation of National Family Planning and Welfare programme, unmet need for family Planning is still high which poses a big challenge for family planning programme. The aim is to reach all women whose reproductive behaviour requires one or the other forms of contraception but for various factors are not practicing them.Methods: A cross-sectional descriptive study was carried out amongst women of reproductive age group in the field practice area of Rural Health Training Centre of Dept. of Community Medicine of a Government Medical College, Jammu during the period of January to June 2018. Ethical clearance was obtained from the Institutional Ethics committee prior to the start of the study. Total of 541 eligible couples attending the family welfare section were interviewed by the trained staff using the pre-tested questionnaire. The information about various family planning methods adopted by couple was elicited. Data was analysed by using appropriate test whenever necessary.Results: A total of 541 eligible couples were interviewed. Maximum couples were in the age group of 30-34 years. 300 (55.4%) couples were using one or the other method of family planning. Condoms were most commonly used method by 148 (49.3%) couples followed by oral contraceptive pills (30.6%). Among permanent methods of family planning, tubectomy was adopted by 10 (3.3%) and vasectomy only by 4 (1.3%) couples. No one was practising any miscellaneous method of contraception. The percentage of family planning methods used by Hindus was maximum (65%). Difference was also observed in the context of socio-economic status.Conclusions: Nearly half of eligible couples were not practising any method of contraception. There is need to increase motivation among eligible couples to increase adoption of permanent methods of contraception especially vasectomy.

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