Contraceptive use among HIV infected women attending Comprehensive Care Centre

Citation:
S.M M, J. K, Z. Q. "Contraceptive use among HIV infected women attending Comprehensive Care Centre." East Afr Med J. 2008;85(4):171-7.

Abstract:

OBJECTIVE:
To determine contraceptive use among HIV infected women attending Comprehensive Care Centre at Kenyatta National Hospital.

DESIGN:
Hospital based cross-sectional descriptive study.

SETTING:
Comprehensive Care Centre (CCC), Kenyatta National Hospital.

SUBJECTS:
The study group was non-pregnant HIV positive women on follow up at the CCC. A total of 94 HIV infected women were interviewed between May 2006 and August 2006 through a pretested interviewer administered questionnaire. Consecutive women willing to participate in the study were interviewed.

MAIN OUTCOME MEASURES:
Current contraceptive use, contraceptive methods, source of contraception, reproductive intention and unmet need of family planning.

RESULTS:
The mean age of the respondents was 34 years, 47.9% were married, all had formal education and 74.6% were employed. Eighty six percent of the respondents did not have reproduction intentions in the next two years; however, only 44.2% of the respondents were using contraception. Condoms were the most popular (81.5%) contraceptive method. Female condom was used by 10.5% of the respondents. Norplant was the only long-term contraceptive method and was used by only 2.6%. Dual method of contraception was practiced by 13.5% of the respondents. Majority of the respondents obtained contraceptives from private sector (42.9%) with less than 10% getting them from CCC. The unmet need for family planning among the study group was 30%. Marital status and regular sexual partner were significantly associated with contraceptive use.

CONCLUSION:
Although majority of respondents did not have reproduction intentions in the next two years, use of contraception was low with only 44% being on a method. Use of long-term contraceptive methods was low among respondents. Majority of the respondents obtained contraceptives away from CCC. The unmet need for family planning was high at 30%.

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