000 04010nam a22003257a 4500
001 CUHAS/MMED/6000189/T/15
003 CUHAS/MMED/6000189/T/15
005 20240418105304.0
008 210821b |||||||| |||| 00| 0 eng d
028 _bWurzburg Road 35, BMC Premises, Post Code: 33102:
028 _b P. O Box 1464, Mwanza – Tanzania:
028 _bPhone: +255 28 298 3384:
028 _bFax: +255 28 298 3386:
028 _b Email: vc@bugando.ac.tz :
028 _bwww.bugando.ac.tz
035 _aCUHAS/MMED/6000189/T/15
040 _bEnglish
_cddc
041 _aEnglish
100 _aAbdallah Mbaruku Mmbaga
_922668
_d[Male]
_eCUHAS/MMED/6000189/T/15
245 _aModern Family Planning Utilization and Associated Factors Among HIV Positive Women of Reproductive Age Attending HIV Care and Treatment Clinics (CTCs) in Mwanza City, Tanzania
260 _aMwanza, Tanzania:
_bCatholic University of Health and Allied Sciences [CUHAS - Bugando] :
_c2018
300 _a xiii; 63 Pages
300 _aIncludes Reference and Appendices
520 _aABSTRACT Background: In Sub-Saharan Africa HIV/AIDS prevalence remains high and makes it the world’s most severely affected region. The use of family planning helps to prevent unplanned pregnancies among HIV positive women of reproductive age. There is a dearth of evidence on the preferred methods, reasons for use and non-use and discontinuation of the use of family planning among HIV positive women of reproductive age appearing at HIV Care and Treatment Clinics (CTCs) in Mwanza City. Therefore this study was conducted to determine family planning uptake, methods preferred and the reasons for discontinuation of the use of family planning among HIV positive women of reproductive age appearing at HIV Care and Treatment Clinics (CTCs) in Mwanza City. Methods: This is a hospital based cross-sectional study involving 440 HIV positive reproductive age women (18 – 49 years) who were attending Bugando Medical Centre, Sekou Toure Regional Referral Hospital and Buzuruga Health Centre HIV Care and Treatment Clinics was carried out. A structured pre tested questionnaire was used to collect data on socio-demographic characteristics, information on current family planning use, health service related factors, family factors, disclosure and ART status, and factors associated with modern family planning use. Data analysis was done using STATA version 13 according to objectives. Results: A total of 440 participants were enrolled in the study and their mean age was 36 [IQR 30 – 42] years. Majority, 246 (56.2%) of the participants were aged 35 to 49 years. Most, 279 (63.4%) of women attained primary education. Factors associated with family planning discontinuation were not been counseled on FP (AOR 5.5; 95% CI 2.0 – 15.1; p – value 0.001), Partner has no desire of children AOR 0.3; 95% CI 0.1 – 0.8;p-value=0.029), Advanced stage of HIV (AOR13.4; 95% CI 5.1 – 35.0; p –value<0.001 ), Divorced women (AOR 3.2; 95% CI 1.1 – 9.7; p-value=0.038) and women’s age ≥35 years (AOR 6.8; 95% CI 2.2 – 20.9 p-value=0.001). Conclusion: The overall uptake of modern family planning methods was low. Integration of modern family planning services within the CTCs has not been implemented in all the facilities surveyed. Dual contraceptive utilization was strikingly low. A large proportion of HIV-positive reproductive age women discontinued FP. Women utilizing modern methods of family planning, preferred implant the most followed by condoms, injectable contraceptives, followed by those who underwent bilateral tubal ligation, combined oral contraceptives and intrauterine contraceptive devices respectively. Insist on consistence of uptake of modern FP and discourage discontinuation of FP.
600 _xObstetrics and Gynecology
_948284
654 _xObstetrics and Gynecology
700 _aHappiness Mbena
_930511
700 _aAlphaxard Kajura
_944836
942 _2ddc
_cMP
999 _c18395
_d18395