Assessment Of Magnitude And Factors Affecting Intention Of Women Who Are On Antiretroviral Therapy To Use Long Acting And Permanent Family Planning Methods In Addis Ababa City Government Public Hospitals Addis Ababa Ethiopia

Background-The use of long acting and permanent family planning methods is one of the prongernof preventing unwanted pregnancies among women on ART who tend to have complicated andrnworse birth outcomes. However, there are no substantive data available on the magnitude andrnfactors affecting the intention to use long acting and permanent family planning methods amongrnHIV positive women in Addis Ababa (Ethiopia).rnObjective- to assess the magnitude and factors affecting intention to shift to LAPMs by womenrnwho are on Anti Retroviral Therapy.rnMethods-The study was undertaken from July 2013 to Augest 2013 using quantitative studyrnmehods in the form of facility based cross sectional survey on a sample of 633 HIV positivernwomen in the ART follow up units in Addis Ababa supplemented by qualitative in-depthrninterview. A systematic random sampling procedure was applied to select respondents of thernstudy. A pretested structured questionnaire was used to collect data. Data were entered with Epirninfo, analyzed using SPSS version 20. Bivariable analysis and multivariable logistic regration wasrnemployed to see the crude and independent relationship between the independent variables andrnthe out come variable.rnResults- The proportion of women who intended to shift to LAPMs was 38.5%. Knowledge ofrnrespondents on LAPMs was 95%. Among LAPMs, IUD was known by 90% of participants, malernsterilization was least known (7.7%). The intention of HIV positive women to shift to LAPMs inrnthe future was significantly associated with women’s level of education AOR= [1.59, 95 % CI:rn1.07, 2.36], their level of knowledge about LAPMs [1.68, 95% CI: 1.09,2.60] and attitude ofrnwomen towards LAPMs [1.66, 95% CI: 1.18-2.34], where as, parity of women: one to twornchildren [0.22, 95% :0.12,0.39] and three to five children a woman had [0.12, 95% CI: 0.06,0.24]rnwere found to be significant and negatively associated with intention of women to shift tornLAPMs. From the qualitative data, most of participants were not intended to shift to LAPMsrnmainly because of women’s choices were dominated by partners, fear of side effects fromrnLAPMs like: infection and excessive vaginal secretion, rumors and misconceptions about LAPMsrnConclusions and recommendation- Women’s education, knowledge on LAPMs and positivernattitude towards LAPMs were found to be independent predictors of intention to shift to LAPMs.rnThe high proportion of women on ART not to shift in these facilities was indicative of the need tornwork on women’s desire to shift the method. Half of women have negative attitude towardsrnLAPMs. Attempts to improve womens’ knowledge and attitude towards LAPMs are veryrnimportant. Besides, Information decisimination , communication on the use of LAPMs andrnintegrating the service of HIV with family planning services especially LAPMs should give duernemphasis to allivat factors which hindered method shift among women who are on ART.

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