Prevalence and Factors Associated with Contraceptive Use among HIV-Infected Women of Reproductive Age Attending Infectious Disease Clinic at Gulu Regional Referral Hospital, Northern Uganda
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Date
2018-06-10Author
Bongomin, Felix
Chelangat, Mercy
Eriatu, Anthony
Onen, Bruno Chan
Cheputyo, Priscilla
Godmercy, Stephen A.
Ekuk, Eddymond
Idony, Francis
Obol, James Henry
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Background. Reproductive planning by HIV-infected women is essential, as it helps to prevent transmission of HIV to their unborn
babies. Integrating contraceptive services to routine HIV care signifcantly increases the use of modern contraceptive methods, thus
reducing vertical transmission of HIV. Objectives. To determine the prevalence and factors associated with contraceptive use among
HIV-infected women attending Infectious Disease Clinic (IDC) at Gulu Regional Referral Hospital (GRRH) in Northern Uganda.
Methodology. A hospital-based cross-sectional study was performed. We used simple random sampling to recruit HIV-infected
women receiving routine care from IDC, GRRH, into our study. Sample size was estimated using modifed Kish-Leslie formula
and semistructured questionnaire was used for data collection. Data was entered into EpiData version 3.1 and analysed using Stata
v11.0. We used logistic regression model to assess the associations and any factor with p≤0.05 was considered statistically signifcant.
Results. Te prevalence of contraceptive use was found to be 36% (95% CI 31 – 40%). Factors which promoted contraceptive use
were as follows: being married (aOR=2.68, 95% CI 1.54-4.65, p<0.001) and monthly income of $35 -250 (aOR= 2.38, 95% CI: 1.39-
4.09, p=0.002). Factors that hindered contraceptive use were having no child (nulliparity) (aOR= 0.16; 95% CI: 0.05-0.49; p=0.002)
and age range of 31-49 years (aOR= 0.53; 95% CI: 0.33 - 0.84; p=0.007). Conclusion. In this study, just over a third of sexually active
HIV-infected women reported use of modern contraceptives. Tis is a low level of usage and, therefore, clinicians and stakeholders
should sensitise HIV-infected women on the importance of contraceptive use in the fight against HIV/AIDS and encourage them
to use contraceptives to avoid vertical transmission of HIV through unintended pregnancy.
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