Abstract:
Background: The prevention of unplanned pregnancy among women infected with human immunodeficiency
virus (HIV) is critical for the prevention of mother-to-child transmission (PMTCT) of HIV. Of the prevention strategies,
deployment of modern contraceptives is principal one. However, there were limited facts on utilization of modern
contraceptives and associated factors among HIV infected women, in particular of resource-limited settings in
Ethiopia. Hence, we aimed to quantify the proportion of modern contraceptive utilization and the possible related
factors among women infected HIV.
Methods: A facility-based cross-sectional study was conducted on randomly selected 632 women infected with HIV
from 05 February to 25 March 2018. Data on their treatment, socio-economic, and demographic background were
collected through a structured interviewer administered questionnaire. Binary logistic regression model was fitted
to identify the associated factors of modern contraceptive use among women infected with HIV.
Result: We found 61.4% (95% CI, 57.6–65.2) were using modern contraceptives. Greater than four family size (AOR:
2.17; 95%CI: 1.31–3.59), family planning counseling service (AOR: 2.37; 95% CI: 1.44–3.91), discussing contraceptive
issues with sexual partner (AOR: 1.76; 95% CI: 1.12–2.77), history of giving birth (s) (AOR:2.21; 95%CI:1.20–4.05) and
World Health Organization (WHO) clinical stage III or IV (AOR: 3.59; 95%CI: 1.37, 9.44) were positively associated with
modern contraceptives use, whereas, older age (AOR: 0.45; 95% CI: 0.24–0.81) and being widowed (AOR: 0.34; 95%
CI: 0.14–0.83), abridged the chances of modern contraceptives use.
Conclusion: The prevalence of modern contraceptive use among women infected with HIV is low. Higher family
size, counseling on contraceptives, discussing contraceptives issues with partner, history of giving births and WHO
clinical stage III/IV were positively related with contraceptives use, whereas, older age and being widowed abridged
the chances of contraceptives use among HIV infected women. Therefore, our findings support calls for the district
health office and the antiretroviral treatment clinics of the resource-limited settings to work more on family
planning counseling services and promoting more dialogues with sexual partners on modern contraceptives use
