Published December 30, 2024 | Version v1
Journal article Open

Factors Affecting Modern Contraception Uptake among Women of Reproductive Age Living with HIV in Bujumbura, Burundi: A Cross-Sectional Study

Authors/Creators

Contributors

Hosting institution:

Description

Background: Despite experiencing reproductive processes similar to those without Human immunodeficiency virus (HIV), women living with HIV frequently receive insufficient attention concerning contraception and data on this is few especially in Burundi. This study aims to identify the factors that affect the uptake of contraception among women living with HIV in the Bujumbura province of Burundi.

Methodology: The data for this cross-sectional study was collected from women of reproductive aged 18-49 years using interviewer’s administered questionnaire. Both bivariate and multivariate analyses were used to identify the factors that affect the uptake of contraception among women living with HIV in Bujumbura.

Results: A total of 386 individuals participated in the study, with a current contraceptive usage prevalence of 49.2%. The most used contraceptive method was injectables (49.5%) of the participants. Not being enough sexually active (27.6%), Unmet need to space (23.5%), Not know if it is indicated for woman living with HIV (13.3%) and Partner opposition (8.2%) are main reasons stated by our participants for not using modern contraceptives. Factors such as the duration of living with HIV (Odds ratio (OR): 1.38, 95% confidence interval (CI): 1.08; 1.65, P-value (P) < 0.01), having 1 to 3 children (OR: 1.572, 95% CI: 1.35; 1.97), not receiving information (OR: 0.143, 95% CI: 0.065; 0.317), not receiving advice on contraceptive methods (OR: 0.284, 95% CI: 0.106; 0.517), and lack of access to needed contraception (OR: 0.421, 95% CI: 0.33; 1.84) were significantly associated with contraceptive use.

Conclusion: This study demonstrated the low prevalence of contraceptive use among Burundian women living with HIV. Conversely, there was a higher prevalence of contraceptive use among women with a university-level education, those whose partners had a negative HIV status, and women with an undetectable viral load.

Files

Files (92.9 kB)

Name Size Download all
md5:97a181bb4d73d6644be3694c2417da4f
92.9 kB Download

Additional details

Identifiers

URL
https://journal.medtigo.com/factors-affecting-modern-contraception-uptake-among-women-of-reproductive-age-living-with-hiv-in-bujumbura-burundi-a-cross-sectional-study/

Related works

Is published in
Journal: 10.5281/zenodo.14202293 (DOI)
Journal: 3066-3202 (ISSN)

Dates

Accepted
2024-11-22

References

  • 1. Mitchell HS, Stephens E. Contraception choice for HIV positive women. Sex Transm Infect. 2004;80(3):167-173. doi:10.1136/sti.2003.008441
  • 2. Nkhoma L, Sitali DC, Zulu JM. Integration of family planning into HIV services: a systematic review. Ann Med. 2022;54(1):393-403. doi:10.1080/07853890.2021.2020893
  • 3. Jacobstein R, Curtis C, Spieler J, Radloff S. Meeting the need for modern contraception: effective solutions to a pressing global challenge. Int J Gynaecol Obstet. 2013;121 Suppl 1:S9-S15. doi:10.1016/j.ijgo.2013.02.005
  • 4. McCall J, Vicol L. HIV infection and contraception. J Assoc Nurses AIDS Care. 2011;22(3):193-201. doi:10.1016/j.jana.2010.09.002
  • 5. Samba A, Mumuni K, Adu JA, et al. Modern contraceptive use among women living with HIV/AIDS at the Korle Bu Teaching Hospital in Ghana. Int J Gynaecol Obstet. 2018;141(1):26-31. doi:10.1002/ijgo.12440
  • 6. Stewart ZA, Shipley K, Spelman T, Giles ML. Factors associated with discussion of sexual activity and contraception in women with HIV. J Fam Plann Reprod Health Care. 2016;42(1):12-16. doi:10.1136/jfprhc-2014-100937
  • 7. Chopra M, Daviaud E, Pattinson R, Fonn S, Lawn JE. Saving the lives of South Africa's mothers, babies, and children: can the health system deliver?. Lancet. 2009;374(9692):835-846. doi:10.1016/S0140-6736(09)61123-5
  • 8. McCoy SI, Buzdugan R, Ralph LJ, et al. Unmet need for family planning, contraceptive failure, and unintended pregnancy among HIV-infected and HIV-uninfected women in Zimbabwe. PLoS One. 2014;9(8):e105320. doi:10.1371/journal.pone.0105320
  • 9. Idris IM, Wolday SJ, Hassan DN, et al. Contraception use among HIV-positive women attending ART clinic: a cross-sectional study in Halibet Referral Hospital. Glob Reprod Health. 2021;6(3):e55. doi:10.1097/GRH.0000000000000055
  • 10. Rourke S, Farley LT, Atkinson D. Behavioral Interventions for Improving Contraceptive Use Among Women Living with HIV: Cochrane Nursing Care Field - Cochrane Review Summary. J Assoc Nurses AIDS Care. 2017;28(4):659-661. doi:10.1016/j.jana.2016.12.003
  • 11. Woldesenbet S, Kufa T, Lombard C, et al. The prevalence of unintended pregnancy and its association with HIV status among pregnant women in South Africa, a national antenatal survey, 2019. Sci Rep. 2021;11(1):23740. doi:10.1038/s41598-021-03096-z
  • 12. Mumbo EM, Mutisya R, Ondigi A. Unmet need for contraception use among HIV positive women in Kwale County, Kenya. Afr J Health Sci. 2021;34(6):767-778. Accessed November 21, 2024. https://www.ajol.info/index.php/ajhs/article/view/220554
  • 13. Gedefaw G, Wondmieneh A, Demis A. Contraceptive Use and Method Preferences among HIV Positive Women in Ethiopia: A Systematic Review and Meta-analysis. Biomed Res Int. 2020;2020:6465242. doi:10.1155/2020/6465242
  • 14. Damian DJ, George JM, Martin E, Temba B, Msuya SE. Prevalence and factors influencing modern contraceptive use among HIV-positive women in Kilimanjaro region, northern Tanzania. Contracept Reprod Med. 2018;3:7. doi:10.1186/s40834-018-0060-2
  • 15. Yaya I, Patassi AA, Landoh DE, et al. Modern contraceptive use among HIV-infected women attending HIV care centres in Togo: a cross-sectional study. BMJ Open. 2018;8:e019006. doi:10.1136/bmjopen-2017-019006
  • 16. Corker J, Rossier C, Zan LM. Fertility among better-off women in sub-Saharan Africa: nearing late transition levels across the region. Demogr Res. 2022;46:849-864. https://www.semanticscholar.org/paper/Fertility-among-better-off-women-in-sub-Saharan-the-Corker-Rossier/fb15e96c106ec4175cd9c369798f9dadf1dd6357
  • 17. Todd CS, Anderman TC, Long S, et al. A systematic review of contraceptive continuation among women living with HIV. Contraception. 2018;98(1):8-24. doi:10.1016/j.contraception.2018.02.002
  • 18. Njuguna E, Ilovi S, Muiruri P, et al. Factors influencing the utilization of family planning services among HIV-infected women in a Kenyan health facility. Int J Reprod Contracept Obstet Gynecol. 2017;6:1746-1752. doi:10.18203/2320-1770.ijrcog20171935
  • 19. Kaida A, Laher F, Strathdee S, et al. Childbearing intentions of HIV-positive women of reproductive age in Soweto, South Africa: the influence of expanding access to HAART in an HIV hyperendemic setting. Am J Public Health. 2011;101(2):350-358. doi:10.2105/AJPH.2009.177469
  • 20. UNAIDS. Fact sheet 2021: global HIV statistics. 2021. https://embargo.unaids.org/static/files/uploaded_files/UNAIDS_2021_FactSheet_en_em_FPpTebz.pdf
  • 21. Kebede YB, Geremew TT, Mehretie Y, Abejie AN, Bewket L, Dellie E. Associated factors of modern contraceptive use among women infected with human immunodeficiency virus in Enemay District, Northwest Ethiopia: a facility-based cross-sectional study. BMC Public Health. 2019;19(1):1584. doi:10.1186/s12889-019-7675-3
  • 22. Reta MM, Tessema GA, Shiferaw G. Prevalence of dual contraceptive use and associated factors among HIV positive women at University of Gondar Hospital, Northwest Ethiopia. BMC Res Notes. 2019;12(1):36. doi:10.1186/s13104-019-4053-2
  • 23. Bongomin F, Chelangat M, Eriatu A, et al. Prevalence and Factors Associated with Contraceptive Use among HIV-Infected Women of Reproductive Age Attending Infectious Disease Clinic at Gulu Regional Referral Hospital, Northern Uganda. Biomed Res Int. 2018;2018:9680514. doi:10.1155/2018/9680514
  • 24. Dugg P, Chhabra P, Sharma AK. Contraceptive use and unmet need for family planning among HIV-positive women: A hospital-based study. Indian J Public Health. 2020;64(1):32-38. doi:10.4103/ijph.IJPH_123_19
  • 25. Demissie DB, Bulto GA, Mmusi-Phetoe R. Unmet need for family planning and factors associated among women living with HIV in Oromia regional state, Ethiopia. Reprod Health. 2021;18(1):227. doi:10.1186/s12978-021-01280-y
  • 26. Alene KA, Atalell KA. Contraceptive use and method preference among HIV-positive women in Amhara region, Ethiopia. BMC Womens Health. 2018;18(1):97. doi:10.1186/s12905-018-0608-y
  • 27. Johannesburg I, Nkengasong AJ. On UNAIDS 95-95-95 goals, Burundi is leading the way. 2023. https://publications.jsi.com/JSIInternet/Inc/Common/_download_pub.cfm?id=25721&lid=3
  • 28. Bule V, Pitkevica I, Lazdane G. Contraception among HIV-positive women in Latvia- knowledge, experience and factors influencing the choice. Eur J Contracept Reprod Health Care. 2022;27(5):390-396. doi:10.1080/13625187.2022.2088730
  • 29. Feyissa TR, Harris ML, Forder PM, Loxton D. Contraceptive use among sexually active women living with HIV in western Ethiopia. PLoS One. 2020;15(8):e0237212. doi:10.1371/journal.pone.0237212
  • 30. Pokharel R, Bhattarai G, Shrestha N, Onta S. Knowledge and utilization of family planning methods among people living with HIV in Kathmandu, Nepal. BMC Health Serv Res. 2018;18(1):836. doi:10.1186/s12913-018-3643-3
  • 31. Laryea DO, Amoako YA, Spangenberg K, Frimpong E, Kyei-Ansong J. Contraceptive use and unmet need for family planning among HIV positive women on antiretroviral therapy in Kumasi, Ghana. BMC Womens Health. 2014;14:126. doi:10.1186/1472-6874-14-126
  • 32. Muyindike W, Fatch R, Steinfield R, et al. Contraceptive use and associated factors among women enrolling into HIV care in southwestern Uganda. Infect Dis Obstet Gynecol. 2012;2012:340782. doi:10.1155/2012/340782
  • 33. Hancock NL, Chibwesha CJ, Bosomprah S, et al. Contraceptive use among HIV-infected women and men receiving antiretroviral therapy in Lusaka, Zambia: a cross-sectional survey. BMC Public Health. 2016;16:392. doi:10.1186/s12889-016-3070-5
  • 34. Iliyasu Z, Galadanci HS, Zubair KA, et al. Fertility desire concordance and contraceptive use among couples living with HIV in northern Nigeria. Eur J Contracept Reprod Health Care. 2020;25(5):372-380. doi:10.1080/13625187.2020.1807499
  • 35. Budhwani H, Hearld KR, Dionne-Odom J, et al. HIV Status and Contraceptive Utilization among Women in Cameroon. J Int Assoc Provid AIDS Care. 2019;18:2325958219826596. doi:10.1177/2325958219826596
  • 36. Tewabe T, Ayalew T, Abdanur A, et al. Contraceptive use and associated factors among sexually active reproductive age HIV positive women attending ART clinic at Felege Hiwot Referral Hospital, Northwest Ethiopia: A cross-sectional study. Heliyon. 2020;6(12):e05653. doi:10.1016/j.heliyon.2020.e05653