Modern family planning use among people living with HIV/AIDS : a facility based study in Ethiopia

dc.contributor.authorDerek, Akateh
dc.contributor.authorSeme, Assefa Seme
dc.contributor.authorAnye, Cho Sabastine
dc.contributor.authorNkfusai, Claude Ngwayu
dc.contributor.authorCumber, Samuel Nambile
dc.date.accessioned2020-08-19T08:15:52Z
dc.date.available2020-08-19T08:15:52Z
dc.date.issued2019-07
dc.description.abstractINTRODUCTION: despite increasing efforts to address the reproductive health needs of persons living with Human Immuno-Deficiency Virus (HIV), a high unmet need for contraception exists among HIV+ women in sub-Saharan Africa. Currently, Ethiopia promotes integration of family planning (FP) services in to HIV chronic care. Yet the contraceptive prevalence rate among clients remains low. The objective of the study was to assess the role of socio-cultural factors on modern family planning use among HIV+ clients attending Anti-Retroviral Therapy clinics in Addis Ababa sub-cities. METHODS: the study involved a facility based cross sectional survey. The ten sub cities were initially categorized/stratified into 5 based on direction (East, West, South, North and Central) and from each category one sub city was randomly selected. The total sample size was proportionally allocated to the selected health facilities according to previous monthly average client load per health center. Participants were selected using simple random sampling technique during their routine visit at the health centers. Data were collected through a semi-structured interviewer administered questionnaire. Both descriptive and inferential statistics were generated and results considered significant at 95% confidence level using STATA version 14.0. RESULTS: six hundred and thirty-six clients participated in the study. Majority of them were age between 30-39 years. Though majority, 607 (95.4%) participants approved the use of modern FP method, current use rate stood at 39%. Condom was the most (14.5%) commonly used single method. The odds of FP use by participants who disclosed their HIV status were almost twice that of their counterparts (AOR= 1.84; 95% CI: 1.14, 2.95). Participants who held discussion with their spouse/partners concerning FP, irrespective of the frequency had an odd of more than four when using FP than their counterparts (AO= 4.35; 95% CI: 2.69, 7.04). CONCLUSION: this study revealed that 6 out of every 10 HIV+ clients are not currently using FP methods. Disclosure of HIV status as well as open discussion with spouse/partner were positively associated with family planning use. These study findings call for comprehensive and client focus FP education and counseling in line with disclosure of HIV status and dialogue with spouse/partner in order to increase uptake and utilization of FP among clients. Partners have a great influence on the use and choice of FP methods, so their views are paramount.en_ZA
dc.description.departmentSchool of Health Systems and Public Health (SHSPH)en_ZA
dc.description.librarianpm2020en_ZA
dc.description.urihttp://www.panafrican-med-journal.comen_ZA
dc.identifier.citationDerek, A., Seme, A.S., Anye, C.S. et al. 2019,'Modern family planning use among people living with HIV/AIDS: a facility based study in Ethiopia', Pan African Medical Journal, vol. 33, art. 224, pp. 1-12.en_ZA
dc.identifier.issn1937-8688 (online)
dc.identifier.other10.11604/pamj.2019.33.224.19025
dc.identifier.urihttp://hdl.handle.net/2263/75813
dc.language.isoenen_ZA
dc.publisherAfrican Field Epidemiology Networken_ZA
dc.rights© Akateh Derek et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0).en_ZA
dc.subjectFamily planningen_ZA
dc.subjectART-clinicsen_ZA
dc.subjectSocio-cultural factorsen_ZA
dc.subjectEthiopiaen_ZA
dc.subjectHuman immunodeficiency virus (HIV)en_ZA
dc.subjectAcquired immune deficiency syndrome (AIDS)en_ZA
dc.subjectPeople living with HIV and AIDS (PLWHA)en_ZA
dc.subjectAntiretroviral therapy (ART)en_ZA
dc.titleModern family planning use among people living with HIV/AIDS : a facility based study in Ethiopiaen_ZA
dc.typeArticleen_ZA

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