Dual Contraceptive Use and Associated Factors among HIV Positive Women on Art Follow up In Mekelle Town Tigray, Ethiopia

Abstract

Introduction: Dual contraceptive use is the most important family planning utilization among HIV positive women worldwide. Globally, there are an estimated 34 million people living with HIV/AIDS more than 2 million HIVpositive women fall pregnant each year. The majorities (67.1%) are in Sub- Saharan Africa (25). Effective contraception method with consistent condom use has been advocated to reduce the risk of unplanned pregnancy, HIV infection, STI and MTCT of HIV by preventing unwanted pregnancies. Objective: To assess dual contraceptive use and associated factors among sexually active HIV positive reproductive age women who are on ART in Mekelle town Northern Ethiopia. Methods: Institution based cross-sectional study was under taken from March to May 2014 among HIV positive reproductive age women who are on ART in Mekelle town. Result: The prevalence of dual contraceptive use was found to be 233 (45.2%). The likelihood of dual contraceptive use among married individuals was 40% less likely to use dual contraceptive than single (COR= 0.604 95% CI (0.29, 1.275). Urban resident is 35% more likely to use dual contraceptive than Rural with (AOR=0.751 95% CI (0.456, 1.236) partner communication about dual contraceptive use and risk sexual behavior and was found to be positively associated with dual contraceptive use with (AOR=0.58 95% CI (0.40, 0.85)) and (AOR=0.33 95 CI (0.14, 0.74) respectively Conclusion and Recommendation: This study had demonstrated that dual contraceptive utilization is low in Ethiopia. This study shows the prevalence of dual contraceptive was low. The age of the mother, sexual behavior and partner communication had positive association with dual contraceptive use. Education about dual contraceptive use, risky sexual behavior, condom use is advisable to increase the prevalence dual contraceptive use. Strengthening dual contraceptive utilization and studies are recommended.