Prevalence and factors associated with modern contraceptive use among HIV positive women at Mulago ISS Clinic

Abstract

Background Modern contraceptive use is an important strategy for prevention of mother to child transmission of HIV (WHO,2020). The modern contraceptive prevalence rate is still low in the general population at 35%(UDHS,2016), however, among the HIV positive women, the contraceptive rate has been lower. Knowledge about modern contraceptive use among women and men has been high, 97%and 98% respectively in the general population. In situation where the knowledge of modern contraceptive is high, it would mean that this translates to high contraceptive prevalence rate which is not the case. This study has been designed to determine the prevalence and factors associated with modern contraceptive use among HIV positive women at Mulago ISS clinic. Method: Consecutive sampling was used to select participants. 400 HIV positive women were interviewed using interviewer administered pretested questionnaire. Data was collected on the independent variables, checked, then entered in EPIDATA version 4.6 entry. The data was then analyzed using STATA version 14 at three levels; descriptive statistics were presented as frequencies and percentages, meanwhile association between independent variable and modern contraceptive use was analyzed using chi square. Logistic regression model was the used to further determine the effect of each associated variable on modern contraceptive use. Results: Prevalence of modern contraceptive use among HIV-positive women was 37%. In the multivariate analysis – using the logistic regression - significant variation in modern contraceptive use of HIV-positive women was noted by marital status of the woman, importance of religion, received communication messages about contraceptives and knowledge about contraceptive (p < 0.05). xiii Conclusion: The prevalence of modern contraceptive use was 37% among HIV positive women in Mulago ISS clinic. Importance of religion, knowledge about contraceptive, receiving of communication messages about family planning and marital status of being married were associated with modern contraceptive use at Mulago ISS clinic. Therefore, health education sessions should be provided routinely on modern contraceptive methods for HIV positive women at Mulago ISS clinic. Information , Education and Communication materials should be placed accessible to HIV positive women about benefits and different types of modern contraceptive methods.