Utilization of Family Planning Methods and Associated Factors among Women Living with HIV Attending ART Clinics in Nekemte Public Health Facilities, East Wollega Zone, Ethiopia

Abstract

This study was designed to assess the utilization of Family planning methods and associated factors among HIV-infected women in ART clinics of public health institutions Nekemte town, East Wollega zone, Ethiopia. Facility based cross sectional study design using quantitative technique of data collection method undertaken from May 1^st to May 26^th, 2012, on a sample of 456 women living with HIV who are on follow up care in ART clinics. Univariate analysis was done to determine frequencies of FP methods used. Factors associated with use of family planning methods were examined using logistic regression methods at p<0.05. There was a
high level of knowledge about family planning with more than 98% of women knowledgeable of at least one method used to prevent conception. Out of 456 respondents 303(66.4%) were using different methods of family planning during the study period and condom is the dominant method used by the client (41.6%).High proportion (42.1%) of women living with HIV/AIDS expressed a desire for having more children in the future. Logistic regression result showed that educational attainment (AOR=3.199, 95% CI (1.487-6.541), marital status (AOR= 95% CI, 6.252 (4.008-9.752), and having open discussion with ones partner about family planning (AOR=95% CI, 13.846 (5.062-37.875) were statistically  associated with current family planning use at p<0.05. Generally current use of modern contraceptive other than condoms was very low in the study area. These findings highlight the need for integration of family planning and HIV care and treatment and strengthening of family planning services for HIV infected people.