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The role of counseling on modern contraceptive utilization among HIV positive women: the case of Northwest Ethiopia

BACKGROUND: Over 90% of the children with Human Immunodeficiency Virus are infected through the mother to child transmission process according to literatures. Preventing unintended pregnancy by using contraceptive methods is crucial for reducing maternal and child mortality and morbidity. Here we se...

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Autores principales: Araya, Bilen Mekonnen, Solomon, Abayneh Akililu, Gebreslasie, Kahsay Zenebe, Gudayu, Temesgen Worku, Anteneh, Kiber Temesgen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6033227/
https://www.ncbi.nlm.nih.gov/pubmed/29973171
http://dx.doi.org/10.1186/s12905-018-0603-3
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author Araya, Bilen Mekonnen
Solomon, Abayneh Akililu
Gebreslasie, Kahsay Zenebe
Gudayu, Temesgen Worku
Anteneh, Kiber Temesgen
author_facet Araya, Bilen Mekonnen
Solomon, Abayneh Akililu
Gebreslasie, Kahsay Zenebe
Gudayu, Temesgen Worku
Anteneh, Kiber Temesgen
author_sort Araya, Bilen Mekonnen
collection PubMed
description BACKGROUND: Over 90% of the children with Human Immunodeficiency Virus are infected through the mother to child transmission process according to literatures. Preventing unintended pregnancy by using contraceptive methods is crucial for reducing maternal and child mortality and morbidity. Here we set out to assess the prevalence and associated factors of modern contraceptive utilization among sexually active reproductive age women attending Anti-Retroviral Therapy clinics in Amhara Region referral hospitals in 2016. METHODS: An institution based cross sectional study was carried out from April to July 2016 surveying women of reproductive age attending the Anti-Retroviral Therapy clinics in the five Amhara Region referral hospitals. A pretested and semi-structured questionnaire was used to collect data. EpiInfo7 and SPSS version 20 soft wares were used for data entry and analysis, respectively. Significant associations were identified on the basis of the adjusted odds ratio, with 95% Confidence Interval, and p value ≤0.05, was taken as statistically significant. RESULT: The proportion of women utilizing modern contraceptives was 47.7% with (95% CI: 43, 52.5%), the male condom being the most (64.2%) utilized method. The use of the contraceptive methods was most prevalent among women 15–24 years of age (AOR = 6.5, 95% CI: 2–10) and age of 25–34 (AOR = 3, 95% CI: 1.6–5.5), having an urban residence (AOR = 0.095, 95% CI: 0.03–0.28), having discussed contraceptives with partner (AOR = 7, 95% CI: 5.3–11.9), receiving counseling from health care providers (AOR = 4.8, 95% CI: 1.8–7), previous history of contraceptive utilization (AOR = 5.6, 95% CI: 2.6–8.3), and with CD4 count >500mm(3)/dl (AOR = 2.4, 95% CI: 1.3–4.3). CONCLUSION: The proportion of women utilizing contraceptive has been low in Amhara Region referral hospitals. Encouraging patients to discuss about contraception with partners and repeated counseling by health care providers may strengthen contraceptive utilization.
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spelling pubmed-60332272018-07-12 The role of counseling on modern contraceptive utilization among HIV positive women: the case of Northwest Ethiopia Araya, Bilen Mekonnen Solomon, Abayneh Akililu Gebreslasie, Kahsay Zenebe Gudayu, Temesgen Worku Anteneh, Kiber Temesgen BMC Womens Health Research Article BACKGROUND: Over 90% of the children with Human Immunodeficiency Virus are infected through the mother to child transmission process according to literatures. Preventing unintended pregnancy by using contraceptive methods is crucial for reducing maternal and child mortality and morbidity. Here we set out to assess the prevalence and associated factors of modern contraceptive utilization among sexually active reproductive age women attending Anti-Retroviral Therapy clinics in Amhara Region referral hospitals in 2016. METHODS: An institution based cross sectional study was carried out from April to July 2016 surveying women of reproductive age attending the Anti-Retroviral Therapy clinics in the five Amhara Region referral hospitals. A pretested and semi-structured questionnaire was used to collect data. EpiInfo7 and SPSS version 20 soft wares were used for data entry and analysis, respectively. Significant associations were identified on the basis of the adjusted odds ratio, with 95% Confidence Interval, and p value ≤0.05, was taken as statistically significant. RESULT: The proportion of women utilizing modern contraceptives was 47.7% with (95% CI: 43, 52.5%), the male condom being the most (64.2%) utilized method. The use of the contraceptive methods was most prevalent among women 15–24 years of age (AOR = 6.5, 95% CI: 2–10) and age of 25–34 (AOR = 3, 95% CI: 1.6–5.5), having an urban residence (AOR = 0.095, 95% CI: 0.03–0.28), having discussed contraceptives with partner (AOR = 7, 95% CI: 5.3–11.9), receiving counseling from health care providers (AOR = 4.8, 95% CI: 1.8–7), previous history of contraceptive utilization (AOR = 5.6, 95% CI: 2.6–8.3), and with CD4 count >500mm(3)/dl (AOR = 2.4, 95% CI: 1.3–4.3). CONCLUSION: The proportion of women utilizing contraceptive has been low in Amhara Region referral hospitals. Encouraging patients to discuss about contraception with partners and repeated counseling by health care providers may strengthen contraceptive utilization. BioMed Central 2018-07-04 /pmc/articles/PMC6033227/ /pubmed/29973171 http://dx.doi.org/10.1186/s12905-018-0603-3 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Araya, Bilen Mekonnen
Solomon, Abayneh Akililu
Gebreslasie, Kahsay Zenebe
Gudayu, Temesgen Worku
Anteneh, Kiber Temesgen
The role of counseling on modern contraceptive utilization among HIV positive women: the case of Northwest Ethiopia
title The role of counseling on modern contraceptive utilization among HIV positive women: the case of Northwest Ethiopia
title_full The role of counseling on modern contraceptive utilization among HIV positive women: the case of Northwest Ethiopia
title_fullStr The role of counseling on modern contraceptive utilization among HIV positive women: the case of Northwest Ethiopia
title_full_unstemmed The role of counseling on modern contraceptive utilization among HIV positive women: the case of Northwest Ethiopia
title_short The role of counseling on modern contraceptive utilization among HIV positive women: the case of Northwest Ethiopia
title_sort role of counseling on modern contraceptive utilization among hiv positive women: the case of northwest ethiopia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6033227/
https://www.ncbi.nlm.nih.gov/pubmed/29973171
http://dx.doi.org/10.1186/s12905-018-0603-3
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