scholarly journals Assessment of Modern Contraceptive Utilization and Associated Factors Among Women Living With HIV/AIDS In DTRH In Debre Tabor Town, South Gondar Zone, Ethiopia

Author(s):  
Endeshaw Chekol Abebe ◽  
Teklie Mengie Ayele ◽  
Tadesse Asmamaw Dejenie ◽  
Zelalem Tilahun Muche

Abstract Background: Preventing unintended pregnancy among HIV-positive women constitutes a critical global public health priority for addressing the desperate state of maternal and child health in HIV hyper endemic settings, yet few data exist on contraceptive use among women having ART follow up in Debre Tabor Referral Hospital (DTRH). Therefore, the main objective of this study was to assess contraceptive utilization and associated factors among women aged 15-49 years living with HIV/AIDS in DTRH, Ethiopia.Methods: Institution based cross-sectional study was conducted from January 02 to February 03, 2020 on women aged 15-49 years living with HIV/AIDS in DTRH. A total of 415 reproductive women living with HIV/AIDS were selected for the study using simple random sampling technique. Data was collected using structured questionnaires through face to face interview by two trained nurses assigned at ART clinic of DTRH during data collection period. The data was presented using descriptive statistics of frequency and percentage and the association between dependent and selected independent variables was determined by inferential statistics of chi-square test.Result: The study analysis shows that there is significant association (p<0.05) between educational status (p<0.001), knowledge about modern contraceptive (p<0.001), spouse approval (p<0.001) and receive counseling about modern contraceptive (p<0.001) with their modern contraceptive use.Conclusion: This study in generally showed lower utilization of modern contraceptive in the study area.

2021 ◽  
Author(s):  
Endeshaw Chekol Abebe ◽  
Teklie Mengie ◽  
Tadesse Asmamaw Dejenie ◽  
Zelalem Tilahun Muchie

Abstract Introduction: Preventing unintended pregnancy among HIV-positive women constitutes a critical global public health priority for addressing the desperate state of maternal and child health in HIV hyper endemic settings, yet few data exist on contraceptive use among women entering ART follow up in Debre Tabor Referral Hospital. Objective: The main objective of this study was to assess contraceptive utilization and associated factors among women aged 15-49 years living with HIV/AIDS in Debre Tabor Referral Hospital.Methods: Institution based cross-sectional study was conducted from January 02 to February 03, 2020 on women aged 15-49 years living with HIV/AIDS in Debre Tabor Referral Hospital. A total of 415 reproductive women living with HIV/AIDS were selected for the study using simple random sampling technique. Data was collected using a Structured questionnaires through face to face interview by two trained nurses assigned at ART clinic of DTH during data collection period. The data was presented using descriptive statistics of frequency and percentage and the association between dependent and selected independent variables was determined by inferential statistics of chi-square test.Result: The study analysis shows that there is significant association (p-value<0.05) between educational status (p-value=0.000), knowledge about modern contraceptive (p-value=0.000), spouse approval (p-value=0.000) and receive counseling about modern contraceptive (p-value=0.000) with their modern contraceptive use.Conclusion: This study in generally showed lower utilization of modern contraceptive in the study area.


2018 ◽  
Vol 141 (1) ◽  
pp. 26-31
Author(s):  
Ali Samba ◽  
Kareem Mumuni ◽  
Joseph A. Adu ◽  
Promise E. Sefogah ◽  
William Kudzi ◽  
...  

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Yibeltal Mesfin ◽  
Muche Argaw ◽  
Shegaw Geze ◽  
Bitew Tefera

Introduction. A dual contraceptive method is the usage of any modern contraceptive method with male or female condoms which could lower sexually transmitted diseases and unwanted pregnancy. Ethiopian standard utilization of dual contraceptive is low. The hassle is more severe for HIV/AIDS-infected people. Therefore, this review was aimed at assessing dual contraceptive utilization and factor associated with people living with HIV/AIDS in Ethiopia. Method. International databases (PubMed/MEDLINE, Hinari, Embase, African Journals Online, Scopus, and Google Scholar) and Ethiopian university repository online have been covered in this review. Microsoft Excel was used for extraction, and the Stata 14 software program was used for analysis. We detected the heterogeneity between studies using the Cochran Q statistic and I 2 test. Publication bias was assessed by funnel plot and Egger’s and Begg’s tests. Result. The overall prevalence of dual contraceptive use among people living with HIV/AIDS was 27.73% (95% CI: 20.26-35.19) in Ethiopia. Discussion with the partner (OR: 3.78, 95% CI: 3.08-4.69), HIV status disclosure to the spouse/partner (OR: 2.810, 95% CI: 2.26-3.48), postdiagnosis counseling (OR: 5.00, 95% CI: 3.71-6.75), schooling in secondary and above education (OR: 3.78, 95% CI: 2.41-5.93), partner involvement in counseling (OR: 2.76, 95% CI: 1.99-3.82), urban residence (OR: 2.84, 95% CI 2.03-3.94), and having no fertility desire (OR: 4.01, 95% CI 2.91-5.57) were significantly associated with dual contraceptive use. Conclusion. Dual contraceptive utilization among people living with HIV/AIDS was found to be low in Ethiopia. This will be a significant concern unless future intervention focuses on rural residence, involvement of the partner in postdiagnosis counseling, encouraging the people living with HIV/AIDS to disclose HIV status, and discussion with the partner. Providing counseling during the antenatal and postnatal period also enhances dual contraceptive use.


2021 ◽  
Author(s):  
Lelisa Worku Belcha

Abstract Background: Globally 38 million people were living with HIV in 2019. In Africa, 25 million people are living with HIV/AIDS undernutrition and food insecurity is endemic. Hence the study aimed to assess the magnitude of undernutrition and associated factors among HIV-infected adults receiving ART. Methods: Institutional based cross-sectional study was conducted among HIV/AIDS patients who following the ART service was selected by a simple random sampling method. The data were collected by direct interview, using a structured questionnaire. Descriptive statistics and a Logistic regression model were employed. Result: The study revealed that the magnitude of under-nutrition was 18.8%. The history of opportunistic infection (AOR=4.518:95% CI: 2.304-8.857), Patients taking ART for less than one year (AOR=3.675:95% CI: 1.831-7.377) household food insecure (AOR= 3.113:95% CI: 1.628-5.950) and dietary diversity score (AOR=2.340:95% CI: 1.221-4.485) were found to have a statistically significant association with undernutrition. Conclusion: The magnitude of undernutrition among people living with HIV/AIDS was found to be high. Having an opportunistic infection, duration of taking ART treatment, household food security status, and dietary diversity status were found to statistically significant association with undernutrition.


BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e022221 ◽  
Author(s):  
Menkeoma Laura Okoli ◽  
Samuel Alao ◽  
Somtochukwu Ojukwu ◽  
Nnadozie C Emechebe ◽  
Asuelimen Ikhuoria ◽  
...  

BackgroundDespite the availability and knowledge of various contraceptive methods, consistent utilisation in women living with HIV/AIDS (WLWHA) within the reproductive age group remains below the Sustainable Development Goals (SDGs) and Family Planning 2020 goals. This study examines the association between sociodemographic factors and contraceptive use including the effect of clustering tendencies of these factors on contraceptive usage among WLWHA in Kenya.MethodsWeighted multivariate logistic regression models were conducted to determine the association of sociodemographic factors on contraception use among WLWHA using the 2008–2009 Kenya Demographic Health Survey. Spatial autocorrelation techniques were used to explore clustering tendencies of these factors on contraception utilisation. Our study population included 304 HIV positive women, aged 15–49 years.ResultsAmong 304 HIV-positive women in our study population, 92 (30.3%) reported using one method of contraception. Contraceptive use was significantly associated with wealth and education after adjustment for other sociodemographic variables. Women classified as having low and middle wealth index were less likely to use contraceptives (OR=0.17, 95% CI 0.07 to 0.43; OR=0.33, 95% CI 0.11 to 0.98, respectively) compared with women classified as having high wealth index. Similarly, women with primary education only were less likely to use contraceptives compared with women with secondary or higher education (OR=0.42, 95% CI 0.18 to 0.98). Spatial autocorrelation revealed significant positive clusters with weak clustering tendencies of non-contraceptive use among different levels of wealth index and education within different regions of Kenya.ConclusionThese findings underscores the need for intervention programmes to further target socially disadvantaged WLWHA, which is necessary for achieving the SDGs.


2013 ◽  
Vol 89 (Suppl 1) ◽  
pp. A228.2-A228
Author(s):  
A E Miranda ◽  
L C Ferreira-Silva ◽  
R S Batalha ◽  
R L Monte ◽  
S Talhari

PLoS ONE ◽  
2017 ◽  
Vol 12 (10) ◽  
pp. e0186267 ◽  
Author(s):  
Marise Ramos de Souza ◽  
Waldemar Naves do Amaral ◽  
Rafael Alves Guimarães ◽  
Giovanni Rezza ◽  
Sandra Maria Brunini

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255613
Author(s):  
Hana Mamo ◽  
Abinet Dagnaw ◽  
Nigussie Tadesse Sharew ◽  
Kalayu Brhane ◽  
Kehabtimer Shiferaw Kotiso

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.


2020 ◽  
Author(s):  
Yosef Wasihun ◽  
Mengistu Yayehrad ◽  
Samuel Dagne ◽  
Yonatan Menber ◽  
Tadesse Awoke ◽  
...  

Abstract Introduction: Human immunodeficiency virus/ Acquired immunodeficiency syndrome (HIV/AIDS) is one of the major public health Problem worldwide and its epidemic is occurring in populations where malnutrition is already endemic. Ethiopia is among the countries most affected by under nutrition and HIV epidemic in the region. The objective of this study was to determine the prevalence of under nutrition and associated factors among adult people living with HIV/AIDS and on ART in Achefer Woreda, North West Ethiopia.Methods and Materials: Institution based cross sectional study design was used and conducted from May 01–30/2015. Systematic random sampling technique was used to select the study subjects and the data was collected using clinical assessment, measurements and interviewer administered questionnaire. To identify independent predictors of under nutrition of adult people living with HIV/AIDS and on ART, we performed multivariable logistic regression analyses using SPSS version 20 with CI of 95% at p-value < 0. 05.Result: Three hundred fifty HIV/AIDS on ART patients were included in the study. The overall prevalence of under nutrition was 26.9% and females were most affected 57 (18.1%). Anti-retroviral treatment duration of 6-11months and 12–24 months (AOR = 4.72, 95% CI, 1.10-20.35) and (AOR = 6.93, 95% CI, 1.614–29.754) respectively, WHO Stage two and three (AOR = 3.01, 95% CI,1.061–8.534) and (AOR = 12.56, 95% CI, 4.27–36.99) respectively and dietary counseling (AOR = 0.20, 95% CI, .05-.78) were significantly associated with under nutrition.Conclusion and Recommendation: Undernutrition was high in PLWHA and on ART. ART duration, WHO clinical staging, presence of eating problem and dietary counselling were the predictors for under nutrition of HIV patients on ART. Only increasing access to ART can’t solve problem of under nutrition, therefore nutrition therapy and support, site expansion also as an accessory to the initiation of ART should be considered.


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