Abstract

Background: Family planning allows people to have their desired number of children and determine spacing of children. Promoting modern contraceptive use is crucial towards the elimination of mother to child transmission of HIV by preventing unwanted pregnancies. Since mother to child transmission is responsible for 90.0% of childhood HIV infection. The objective of this study was to determine the prevalence of modern contraceptive methods use among HIV positive women attending care and treatment clinic at Amana hospital, Tanzania. Methodology: This was hospital based cross-sectional study, conducted from March to April, 2015. All women living with HIV aged 18 years and above at the time of enrollment and sign written consent was eligible for participation. A face to face interview using an interview schedule was conducted. Information on socio-demographic, use of modern contraceptive and factors influencing choice of modern contraceptive method were collected. Results: A total of 165 HIV positive women were enrolled in the study. The mean age (±SD) was 33.6 (±8.7) years. Among them, 68.5% were currently using modern contraceptives. Condom was the most preferred modern contraceptive method (42.7%), followed by dual methods 32.7%, implants 8.8% respectively. Religion was significantly association with use of modern contraceptives (OR=1.1522; 95% CI; 1.000-1.3338 p=0.037) while factors like; age, marital status, HIV status disclosure, level of formal education were not association with modern contraceptive use. Conclusion: This study has shown a high contraceptive prevalence rate among women living with HIV compared to the general population. Most women were using condoms and the main reason of choosing condom was due to its dual protection.

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