Abiy DessalegnMPH April 52019 AA Background of The Study HIV positive women have risk of unplanned pregnancies Worldwide two in every five pregnancies are unplanned Zimbwa I ID: 911435
Download Presentation The PPT/PDF document "Modern contraceptive use and its determi..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Modern contraceptive use and its determinants among partnered (Sero-concordant) Antiretroviral Treatment Service Users in selected Public Health Centers, Addis Ababa, Ethiopia
Abiy
Dessalegn,MPH
April 5,2019
A.A
Slide2Background of The Study
HIV positive women have risk of unplanned pregnancies.
Worldwide, two in every five pregnancies are unplanned
(
Zimbwa
I.,
Vwalika
B. Med J Zambia 2010
)
In studies of 42 sub-Saharan Africa counties, last pregnancy of 10-65% of women had been unplanned.
(
Akelo
V., Kisumu, 2013)
High rate of unintended pregnancies (62.7%) after knowing of HIV infection among women under ART is reported from Kigali, Rwanda
(Kikuchi K1,2011)
In Abidjan, Cote d'Ivoire, around 50% of pregnancies that occurred after knowing of their HIV status were unintended
(
S.Arikawa
, 2013)
50 % utilization of contraception among sexually active HIV positive women attending ART clinic of a teaching hospital, north west Ethiopia
(
Worke
et al
2016)
Slide3Objectives
General objective
To assess the prevalence and factors associated with modern contraceptive use among partnered ART service users in Addis Ababa
Specific objectives
To assess prevalence of modern contraceptive use among partnered ART service users
To determine the extent of unmet needs for family planning among partnered ART service users
To determine factors associated with use of modern contraceptives among partnered ART service users
Slide4MethodsA facility based cross-sectional study was conducted in ten randomly selected health centers out of the ten sub cities of
A .A
from May to June 2017.
Using
systematic random sampling technique 414 partnered
ART
users were interviewed using pre-tested structured questionnaire with a response rate of 100%.
Data
was entered and analyzed using SPSS version 20.0.
Slide5Ethical Consideration
Ethical clearance was Secured From
Sante
Medical College IRB.
Ethical clearance from A.A.C.A.H.B. Public Health Research & Emergency Management Core Process & from the Sub cities Health offices.
Verbal consent was sought from participants during the time of data collection
Slide6ResultsOf the 414 partnered ART service users, 322 (77.8%) were females and 92 (22.2%) males.
The
prevalence of modern contraceptive method was 63.8
%.
Educational
status, mostly secondary education, [(AOR (95% CI) 28.62 (11.61, 70.358
)],
A
ge
group18-28 years [(AOR=13.68 (4.60, 40.71))] had shown a greater and having three or more children [(AOR 0.24(0.09, 0.58)) ] a lesser likelihood to use contraception methods
.
Most of the respondents 198 (75.0%) prefers to get FP in the same unit they get the ART treatment.
Slide7Strength of the StudyThe study subjects were selected using systematic random sampling technique, which help to avoid selection bias
The study relatively used adequate sample size and had 100% response rate
Slide8Limitations of the study
Social desirability bias
( it didn’t use qualitative study design to explore the societal, cultural norms and values that shape the influence of women’s status on contraceptive use behavior)
Lack of generalizability
(social desirability and stigma may have biased respondents’ answers.)
Cross-sectional nature of the study
(we are unable to make definitive conclusions on cause and effect relation.)
Slide9Conclusions
Contraceptive prevalence among ART clients on follow up care was high.
In this study Modern contraceptive use among ART Partnered is better than the general population.
The main reasons mentioned by non-users for not practicing modern contraceptive methods were fear of complication with ART drugs followed by desire for children.
Educational level at high school level and above, Age 18-28yrs, spousal discussion, are positively associated with current contraceptive utilization.
Slide10Recommendations
Provision of FP services at ART centers as well as encouraging communication between couples shall be considered since it has a great implication for the adoption and use of contraception
PLHIV should be considered as a priority group since there is evidence of unmet needs among them
The programs should advocate the minimal risk or side effects associated with contraceptive methods compared to health problems
FP information, education and communication programs & strategies should be designed to encourage couples to discuss FP issues on the no. of children they want and when to have them.
Slide11