Use of Modern Contraceptive Methods among HIV Positive Mothers Attending Mother Baby Care Points in Kabarole District, Western Uganda

  • Maternal and child health
  • Viral hepatitis and HIV
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Background: The rate of unintended pregnancies remain high due to poor contraceptive use especially during postpartum period. We estimated postpartum contraceptive, unmet need and associated factors among HIV positive women attending Mother-Baby HIV care points.
Methods: A cross-sectional study was conducted between April and May 2016 among 369 HIV positive mothers attending postpartum care at six health facilities in Kabarole district. Health facilities were stratified by level prior to selecting participants using systematic sampling. Pre- tested structured questionnaires were administered to eligible mothers (had delivered within 2to18 months) and consented. Mothers were categorized as modern contraceptive users if they mentioned current use of at least one modern method (injectables, pills, condoms, implant, tubal-ligation, IUDs). Unmet need was defined as non-use of contraceptive by women who wished to either stop or space next birth by at least two years. Key determinants of current contraceptive use were estimated using modified Poisson regression with prevalence ratios (PR) as measures of association. We used Stata version-13.
Results: A total of 369 mothers were interviewed, where 39.8% (147/369) were current users of modern contraceptives. Injectables were most used 32.4% (55/147), while condoms (12/147) and tubal-ligation (8/147) least used. A third (33.1%) of the mothers had unmet need, with need for spacing (24.4%) commonest. Factors associated with higher use of contraceptives were receipt of family planning (FP) counseling during antenatal care (adj.PR=1.48 CI 1.03, 2.12), access to contraceptive commodities at care points (adj.PR=1.80 CI 1.04, 3.12) and joint decision making on child-bearing with spouse (adj.PR=1.56, CI 1.09, 2.22).
Conclusion: Less than half were using modern contraceptives and there is need to strengthen FP services to reduce the unmet need. Onsite access to contraceptives, FP counseling during antenatal care, and couple (joint) decision making on childbearing are significant enhancers of modern contraception among postpartum mothers living with HIV.

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