Assessment Of Long Acting And Permanent Contraceptive Methods Utilization And Associated Factors Among Female Antiretroviral Therapy Attendees In Gondar Town North West Ethiopia 2014

Background: The prevalence of unintended pregnancy is high among HIV-positive women.rnAlthough there is higher motivation among HIV-positive women to avoid unintended pregnancyrnand desire for use of highly effective contraception, long acting and permanent contraceptivernmethods usage remained low. Preventing unintended pregnancy among women living with HIVrnis an important component of prevention of mother-to –child transmission (PMTCT), yet only arnlittle is known about LAPMs use among women who are on ART in Gondar town, North WestrnEthiopia.rnObjective: To determine long acting and permanent contraceptive methods utilization andrnassociated factors among female antiretroviral therapy attendees in Gondar town, North WestrnEthiopia, 2014rnMethod: Institution based cross-sectional study was conducted by interviewing 480 women ofrnreproductive age (15–49years) that were selected using systematic random sampling techniquernfrom a list of ART attendees in government health facilities. Structured and pretested Interviewerrnadministered questionnaire was used to obtain information from the respondents. Descriptive,rnbivariate, and multivariate methods were used to analyze utilization of LAPMs and the factorsrnassociated with LAPMs utilization.rnResult: Two hundred fifty six (85.0%) of the sexually active women were using some modernrnform of contraception. The current utilization rate of LAPMs (alone or with condom) wasrn62(24.1%). Women who had high knowledge [AOR=2.59, 95% CI [1.04, 6.45] and ever hadrnbeen pregnant since the commencement of ART [AOR= 2.68, 95%CI [1.21, 5.93] had anrnincreased odds of using LAPMs. Moreover, those women who had discussion about familyrnplanning with health care provider [AOR=2.69, 95% CI [1.18, 6.15] were more likely to usernLAPMs.rnConclusion and recommendation: The finding discloses that the general usage of contraceptivernamongst sexually active women on ART was high though specific usage of LAPMs was found tornbe low. Based on the finding, there is a need to improve the implementation of integrated FamilyrnPlanning service with ART service and improve counseling service that emphasized on LAPMsrnuse

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