ATTITUDES OF HIV-POSITIVE PREGNANT WOMEN TOWARD FAMILY PLANNING AND ITS ASSOCIATED FACTORS IN PUBLIC HOSPITALS OF ADDIS ABABA, ETHIOPIA

Abstract

ABSTRACT
BACKGROUND: Human Immunodeficiency Virus infection of a reproductive age woman has an impact on women’s health, risk of transmission to her family and her fertility decisions. Contraception has a great importance in preventing unintended pregnancy and decrease maternal to child transmission of the virus. OBJECTIVE: This study was aimed to assess attitudes of HIV-positive pregnant women towards family planning in selected Public Health institutions of Addis Ababa, Ethiopia. METHODS: A cross-sectional study was conducted among HIV-positive pregnant women attending ANC clinics in purposely selected three teaching hospitals in Addis Ababa from April to July 2016. A total of 173 women were participated in the study. Data was collected using interviewer administered structured questionnaire and the data was analyzed using SPSS version 21 statistical software. Binary and multiple logistic regression were done to identify the associated factors of intensions to use contraception. A level of P<0.05 was considered statistically significant. RESULT: Out of the total 173 respondents, about 87.9% were intended to use contraception after delivery. Unintended pregnancy rate of the current pregnancies was 34.7%. Condom use other than its contraceptive purpose was 27% and 26% before pregnancy and during current pregnancy respectively. Prior history of use of contraception and age of the woman had shown an independent association with intention to use contraception. Conclusion: Every effort should be made to satisfy the good attitude for the contraception so as to minimize unintended pregnancy and pediatric HIV. At all levels knowledge should be transmitted and condom should be available easily and offered. KEY WORDS: Unintended pregnancy, contraception, family planning (Ethiopian Journal of Reproductive Health 2017;9:25-35)