Aradom Habtom Semereab, Sendo Endalew Gemechu, Teshome Girum Sebsibe, Dinagde Negalign Getahun, Demie Takele Gezahegn
Department of Midwifery, College of Health Sciences, Jigjiga University, Jigjiga, Ethiopia.
School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Ther Adv Reprod Health. 2020 Dec 13;14:2633494120976961. doi: 10.1177/2633494120976961. eCollection 2020 Jan-Dec.
Family planning helps to reduce the number of high-risk births and prevent unplanned pregnancies and mother-to-child transmission of HIV. The main purpose of this study was to determine the usage of family planning and its associated factors among women living with HIV who attended care and treatment clinics.
This was a health facility-based cross-sectional study conducted among 332 sexually active reproductive-age women living with HIV who visited care and treatment clinics from 15 April and 15 June 2017. We used a systematic sampling technique for sample selection. The data were collected using pretested and structured questionnaires through face-to-face interviews. Seriously ill women living with HIV who were unable to respond to the questionnaire and refused to participate were excluded from this study. Logistic regression was fitted, and an odds ratio with a 95% confidence interval with a value less than 0.05 was used to identify factors associated with modern family planning use.
The study revealed that the overall use of the modern family planning method was 56.3%, and the most common method used was injectable (37.4%) followed by implants (28.9%). About 19% of the users reported dual contraceptive use. About 58% got family planning from antiretroviral therapy clinics. Almost all the women (97.6%) had heard of seven modern family planning methods. Desire to have another child was the most common (79.7%) reason for not using family planning. Women who attended primary/secondary education (adjusted odds ratio: 2.61; 95% confidence interval: 1.29-5.28], who had no future fertility desire (adjusted odds ratio: 2.94; 95% confidence interval: 1.51-5.73), who had discussed family planning with their husband (adjusted odds ratio: 2.06; 95% confidence interval: 1.04-4.10), and who were counseled by the antiretroviral therapy provider about family planning (adjusted odds ratio: 4.53; 95% confidence interval: 1.70-12.06) were more likely to use family planning methods than their counterparts.
The results of this study revealed that the use of modern family planning was low. There is a high frequency of implant usage, fear of mother-to-child transmission as a motivator for family planning usage, and low dual method usage. Hence, improving women's education, involving husbands, and consistent family planning counseling by antiretroviral therapy providers are promising strategies to improve the uptake of modern family planning by women living with HIV.
计划生育有助于减少高危分娩数量，预防意外怀孕和艾滋病毒母婴传播。本研究的主要目的是确定在接受护理和治疗诊所服务的感染艾滋病毒女性中计划生育的使用情况及其相关因素。
这是一项基于医疗机构的横断面研究，研究对象为2017年4月15日至6月15日期间前往护理和治疗诊所就诊的332名性活跃的育龄感染艾滋病毒女性。我们采用系统抽样技术进行样本选择。通过面对面访谈，使用经过预测试的结构化问卷收集数据。无法回答问卷且拒绝参与的重症感染艾滋病毒女性被排除在本研究之外。进行逻辑回归分析，使用比值比及95%置信区间（P值小于0.05）来确定与现代计划生育使用相关的因素。
研究显示，现代计划生育方法的总体使用率为56.3%，最常用的方法是注射剂（37.4%），其次是植入剂（28.9%）。约19%的使用者报告使用了双重避孕方法。约58%的人从抗逆转录病毒治疗诊所获得计划生育服务。几乎所有女性（97.6%）都听说过七种现代计划生育方法。想要再要一个孩子是不使用计划生育最常见的原因（79.7%）。接受过小学/中学教育的女性（调整后的比值比：2.61；95%置信区间：1.29 - 5.28）、没有未来生育意愿的女性（调整后的比值比：2.94；95%置信区间：1.51 - 5.73）、与丈夫讨论过计划生育的女性（调整后的比值比：2.06；95%置信区间：1.04 - 4.10）以及接受过抗逆转录病毒治疗提供者关于计划生育咨询的女性（调整后的比值比：4.53；95%置信区间：1.70 - 12.06）比其他女性更有可能使用计划生育方法。
本研究结果显示现代计划生育的使用率较低。植入剂的使用频率较高，担心母婴传播是使用计划生育的一个动机，双重方法的使用率较低。因此，提高女性教育水平、让丈夫参与以及抗逆转录病毒治疗提供者持续提供计划生育咨询是提高感染艾滋病毒女性对现代计划生育接受度的有前景的策略。
