IDENTIFYING THE UNMET NEED OF CONTRACEPTION AMONG HIV SEROPOSITIVE WOMEN ATTENDING ANTIRETROVIRAL TREATMENT (ART) CLINIC IN TERTIARY CARE CENTRE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 11
Abstract
BACKGROUND Contraceptive use among HIV positive women plays a crucial role in meeting their reproductive health needs. This is a study with the primary aim to estimate the magnitude of unmet need for family planning among HIV seropositive women of reproductive age in central India and to identify the various socio-demographic factors and reasons associated with unmet need for family planning. MATERIALS AND METHODS The study is an institutional cross- sectional study. The unmet need of 400 women with HIV positive status in reproductive age group (15-49 years) attending Anti-Retroviral Therapy (ART) clinic in a tertiary care center in central India was evaluated on the basis of their age, living region, type & size of family, education, duration of marriage, occupation, religion and by Modified BG Prasad sociodemographic class. The use of contraceptives and the reasons for not using any temporary or permanent method of family planning was evaluated. RESULTS The prevalence of unmet need of contraception in study population was found to be 28%. There is a significant association between age, education, socioeconomic status, type of family, duration of marriage, parity and HIV status of partner, duration of antiretroviral treatment with met and unmet needs of contraception. Little perceived risk of pregnancy was the most common reason for not willing to use contraception. Opposition from partner or family members, cultural & religious opposition (13%) also constitutes the major causes of not using contraception. Lack of awareness (1.8%) was the least common cause for reasons for not using contraception. CONCLUSION Efforts to integrate the family planning services and HIV care services, strengthening the traditional family programmes and expanding the access of contraception are prerequisites to reduce unmet needs
Authors and Affiliations
Pratima Koshewara, Rujuta Parimal Fuke
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