Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Jul 4;18(1):121.
doi: 10.1186/s12905-018-0603-3.

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

Bilen Mekonnen Araya  1 , Abayneh Akililu Solomon  2 , Kahsay Zenebe Gebreslasie  3 , Temesgen Worku Gudayu  2 , Kiber Temesgen Anteneh  2
Affiliations

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

Bilen Mekonnen Araya et al. BMC Womens Health. .

Abstract

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 >500mm3/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.

Keywords: Amhara region; Ethiopia; HIV positive; Modern contraceptive.

PubMed Disclaimer

Conflict of interest statement

Authors’ information

BM, AA, KT and TW University of Gondar College of medicine and health sciences, department of Midwifery. KZ Mekelle University, department of Midwifery College of health sciences.

Ethics approval and consent to participate

The study was approved by University of Gondar College of medicine and health sciences ethical review committee and informed verbal consent was obtained from all study participants which was accepted and approved by the ethical review committee.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Types of modern contraceptives utilized by sexually active HIV positive reproductive age women attending ART clinics in Amhara region referral hospitals, Northwest Ethiopia 2016
Fig. 2
Fig. 2
Reasons for modern contraceptive utilization among sexually active HIV positive reproductive age women attending ART clinics in Amhara region referral hospitals, Northwest Ethiopia 2016
Fig. 3
Fig. 3
Reasons for not utilizing modern contraceptive methods among sexually active HIV positive reproductive age women attending ART clinics in Amhara region referral hospitals, northwest Ethiopia 2016
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Hubacher D, Trussell J. A definition of modern contraceptive methods. Contraception. 2015;92:420–421. doi: 10.1016/j.contraception.2015.08.008. - DOI - PubMed
    1. UNAIDS . Global HIV statistics FactSheet, Ending the AIDS epidemic. 2016.
    1. WHO . Trends in maternal mortality: 1990 to 2013. Estimates by WHO, UNICEF, UNFPA, The World Bank and the United Nations Population Division. 2014.
    1. WHO . PMTCT Strategic Vision 2010–2015, preventing mother-to-child transmission of HIV to reach the UNGASS and Millennium Development Goals. 2010.
    1. UN: Transforming our world: the 2030 agenda for sustainable development. New York 2015.

Substances