Contraceptive use and unmet need for family planning among HIV positive women on antiretroviral therapy in Kumasi, Ghana
Identifieur interne : 000507 ( Main/Exploration ); précédent : 000506; suivant : 000508Contraceptive use and unmet need for family planning among HIV positive women on antiretroviral therapy in Kumasi, Ghana
Auteurs : Dennis Odai Laryea [Ghana] ; Yaw Ampem Amoako [Ghana] ; Kathryn Spangenberg [Ghana] ; Ebenezer Frimpong [Ghana] ; Judith Kyei-Ansong [Ghana]Source :
- BMC Women's Health [ 1472-6874 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Antirétroviraux (usage thérapeutique), Besoins et demandes de services de santé, Comportement en matière de contraception (), Comportement procréatif, Contraceptifs féminins (usage thérapeutique), Contraceptifs oraux (usage thérapeutique), Femelle, Ghana, Humains, Infections à VIH (), Infections à VIH (traitement médicamenteux), Infections à VIH (transmission), Jeune adulte, Partenaire sexuel, Préservatifs masculins (utilisation), Services de planification familiale, Thérapie antirétrovirale hautement active, Éducation du patient comme sujet.
- MESH :
- traitement médicamenteux : Infections à VIH.
- usage thérapeutique : Antirétroviraux, Contraceptifs féminins, Contraceptifs oraux, Infections à VIH.
- utilisation : Préservatifs masculins.
- Adulte, Besoins et demandes de services de santé, Comportement en matière de contraception, Comportement procréatif, Femelle, Ghana, Humains, Infections à VIH, Jeune adulte, Partenaire sexuel, Services de planification familiale, Thérapie antirétrovirale hautement active, Éducation du patient comme sujet.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Adult, Anti-Retroviral Agents (therapeutic use), Antiretroviral Therapy, Highly Active, Condoms (utilization), Contraception Behavior (statistics & numerical data), Contraceptive Agents, Female (therapeutic use), Contraceptives, Oral (therapeutic use), Family Planning Services, Female, Ghana, HIV Infections (drug therapy), HIV Infections (prevention & control), HIV Infections (transmission), Health Services Needs and Demand, Humans, Patient Education as Topic, Reproductive Behavior, Sexual Partners, Young Adult.
- MESH :
- chemical , therapeutic use : Anti-Retroviral Agents, Contraceptive Agents, Female, Contraceptives, Oral.
- geographic : Ghana.
- drug therapy : HIV Infections.
- prevention & control : HIV Infections.
- statistics & numerical data : Contraception Behavior.
- transmission : HIV Infections.
- utilization : Condoms.
- Adult, Antiretroviral Therapy, Highly Active, Family Planning Services, Female, Health Services Needs and Demand, Humans, Patient Education as Topic, Reproductive Behavior, Sexual Partners, Young Adult.
Abstract
A key strategy for minimizing HIV infection rates especially via reduction of Mother– to-Child transmission is by reducing the unmet need for family planning. In Ghana, the integration of family planning services into Antiretroviral Therapy services for persons living with HIV/AIDS has largely been ignored. We set out to measure the prevalence of modern methods of contraception, the unmet need for family planning and to identify factors associated with the use of modern methods of contraception among HIV positive women on anti retroviral therapy.
This was a descriptive cross sectional study of HIV positive women in their reproductive ages accessing care at an adult Antiretroviral Therapy Clinic in Kumasi, Ghana. Data was collected using a structured questionnaire. Data analysis was conducted using Epi Info version 7.1.2.0.
A total of 230 women were included in the study. Fifty six percent were in the 30–39 year age group. The mean age (SD) was 36.3 (5.4) years. While 53.5% of respondents desired to have children, partner desire for children was reported by 54.6% of respondents with partners. About 74% had received information on contraception from their provider. 42.6% of participants and/or their partners were using a contraception method at the time of study; the male condom (79.6%) being the most commonly used method. The estimated unmet need for contraception was 27.8%. Contraceptive use was strongly associated with partner knowledge of HIV status (AOR = 3.64; 95% CI 1.36–9.72; p = 0.01) and use of a contraceptive method prior to diagnosis of HIV (AOR = 6.1; 2.65–14.23; p < 0.001).
Contraceptive Prevalence is high among HIV positive women in Kumasi compared with the general Ghanaian population. Despite this, there still is a high unmet need for family planning in this population. We recommend continuous education on contraceptives use to HIV patients accessing HAART services to further increase contraceptive uptake.
Url:
DOI: 10.1186/1472-6874-14-126
PubMed: 25306546
PubMed Central: 4286913
Affiliations:
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patient comme sujet</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>A key strategy for minimizing HIV infection rates especially via reduction of Mother– to-Child transmission is by reducing the unmet need for family planning. In Ghana, the integration of family planning services into Antiretroviral Therapy services for persons living with HIV/AIDS has largely been ignored. We set out to measure the prevalence of modern methods of contraception, the unmet need for family planning and to identify factors associated with the use of modern methods of contraception among HIV positive women on anti retroviral therapy.</p></sec><sec><title>Methods</title><p>This was a descriptive cross sectional study of HIV positive women in their reproductive ages accessing care at an adult Antiretroviral Therapy Clinic in Kumasi, Ghana. Data was collected using a structured questionnaire. Data analysis was conducted using Epi Info version 7.1.2.0.</p></sec><sec><title>Results</title><p>A total of 230 women were included in the study. Fifty six percent were in the 30–39 year age group. The mean age (SD) was 36.3 (5.4) years. While 53.5% of respondents desired to have children, partner desire for children was reported by 54.6% of respondents with partners. About 74% had received information on contraception from their provider. 42.6% of participants and/or their partners were using a contraception method at the time of study; the male condom (79.6%) being the most commonly used method. The estimated unmet need for contraception was 27.8%. Contraceptive use was strongly associated with partner knowledge of HIV status (AOR = 3.64; 95% CI 1.36–9.72; p = 0.01) and use of a contraceptive method prior to diagnosis of HIV (AOR = 6.1; 2.65–14.23; p < 0.001).</p></sec><sec><title>Conclusion</title><p>Contraceptive Prevalence is high among HIV positive women in Kumasi compared with the general Ghanaian population. Despite this, there still is a high unmet need for family planning in this population. We recommend continuous education on contraceptives use to HIV patients accessing HAART services to further increase contraceptive uptake.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kavanaugh, M" uniqKey="Kavanaugh M">M Kavanaugh</name></author><author><name sortKey="Anderson, R" uniqKey="Anderson R">R Anderson</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="O Eary, A" uniqKey="O Eary A">A O’Leary</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cates, W" uniqKey="Cates W">W Cates</name></author><author><name sortKey="Steiner, M" uniqKey="Steiner M">M 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Haddad</name></author><author><name sortKey="Goedken, P" uniqKey="Goedken P">P Goedken</name></author><author><name sortKey="Nguyen, Ml" uniqKey="Nguyen M">ML Nguyen</name></author><author><name sortKey="Cwiak, Ca" uniqKey="Cwiak C">CA Cwiak</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="King, R" uniqKey="King R">R King</name></author><author><name sortKey="Khana, K" uniqKey="Khana K">K Khana</name></author><author><name sortKey="Nakayiwa, S" uniqKey="Nakayiwa S">S Nakayiwa</name></author><author><name sortKey="Katuntu, D" uniqKey="Katuntu D">D Katuntu</name></author><author><name sortKey="Homsy, J" uniqKey="Homsy J">J Homsy</name></author><author><name sortKey="Lindkvist, P" uniqKey="Lindkvist P">P Lindkvist</name></author><author><name sortKey="Johansson, E" uniqKey="Johansson E">E Johansson</name></author><author><name sortKey="Bunnell, R" uniqKey="Bunnell R">R Bunnell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Heard, I" uniqKey="Heard I">I Heard</name></author><author><name sortKey="Potard, V" uniqKey="Potard V">V Potard</name></author><author><name sortKey="Costagliola, D" uniqKey="Costagliola D">D Costagliola</name></author><author><name sortKey="Kazatchkine, Md" uniqKey="Kazatchkine M">MD Kazatchkine</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li></country></list><tree><country name="Ghana"><noRegion><name sortKey="Laryea, Dennis Odai" sort="Laryea, Dennis Odai" uniqKey="Laryea D" first="Dennis Odai" last="Laryea">Dennis Odai Laryea</name></noRegion><name sortKey="Amoako, Yaw Ampem" sort="Amoako, Yaw Ampem" uniqKey="Amoako Y" first="Yaw Ampem" last="Amoako">Yaw Ampem Amoako</name><name sortKey="Frimpong, Ebenezer" sort="Frimpong, Ebenezer" uniqKey="Frimpong E" first="Ebenezer" last="Frimpong">Ebenezer Frimpong</name><name sortKey="Kyei Ansong, Judith" sort="Kyei Ansong, Judith" uniqKey="Kyei Ansong J" first="Judith" last="Kyei-Ansong">Judith Kyei-Ansong</name><name sortKey="Spangenberg, Kathryn" sort="Spangenberg, Kathryn" uniqKey="Spangenberg K" first="Kathryn" last="Spangenberg">Kathryn Spangenberg</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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