title: Modern contraceptive utilization among female ART attendees in health facilities of Gimbie town, West Ethiopia.
abstract: BACKGROUND
  In many areas of the world where HIV prevalence is high, rates of unintended pregnancy have also been shown to be high. Of all pregnancies worldwide in 2008, 41% were reported as unintended and approximately 50% of these ended in abortion. To address these problems family planning is the best solution. Therefore, the purpose of the study was to assess modern contraceptive use among females on ART in health facilities of Gimbie town, Western Ethiopia.
  
  
  METHODS
  A facility based cross-sectional study was conducted in Gimbie town, western Ethiopia from December 2012 to January 2013. HIV infected women of reproductive age group (15-49 years) who came for ART care follow up during the data collection period were included in the study. Data was collected using an interviewer administered questionnaire. Binary logistic regression and multivariate analysis were employed using SPSS version 17.
  
  
  RESULTS
  Three hundred ninety five women on ART have participated in the study. More than half, 224 (56.7%), of the respondents were using modern contraceptive, of whom 67 (30%) use dual contraceptive method. Having information on modern contraception is positively associated with modern contraceptive use with (AOR=6.3, 95% CI (1.67, 24.1)) and respondents who have family size ≤4 were 50% less contraceptive users than those who have family size >4 (AOR=0.51, 95% CI (0.27, 0.96)).
  
  
  CONCLUSIONS
  In this study contraceptive use among HIV positive women is better than the general population. However, use of dual methods, long acting and permanent method of contraceptives were found to be low. Continuous and targeted information provision on modern contraceptive should be done.
authors.affiliation: Department of ART, Filtu Zonal Hospital, Somali region, Ethiopia. addispolis@gmail.com.
authors.forename: Addisu
authors.initials: A
authors.lastname: Polisi
authors.forename: Ewenat
authors.initials: E
authors.lastname: Gebrehanna
authors.forename: Gezahegn
authors.initials: G
authors.lastname: Tesfaye
authors.forename: Fekede
authors.initials: F
authors.lastname: Asefa
mesh_terms: D000028:Abortion, Induced; D000293:Adolescent; D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use; D003268:Contraception Behavior / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005002:Ethiopia; D005193:Family Planning Services; D005260:Female; D015658:HIV Infections / Q000188:drug therapy; D006268:Health Facilities; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D015999:Multivariate Analysis; D011247:Pregnancy
chemical_list: D019380:Anti-HIV Agents
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