| 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. |
