Unmet need for family planning and factors associated among women living with HIV in Oromia regional state, Ethiopia

Abstract

Abstract

Objectives The purpose of this study was to determine the prevalence of the unmet need and identifying factors associated with the unmet need among women of reproductive age living with HIV in Oromia regional state, Ethiopia. One critical component of both a full range of contraceptives and satisfying demand for family planning with HIV services all women living with HIV is the appropriate model for HIV therapy, HIV prevention, and care with family planning services in a resource-limiting area like Ethiopia.

Methods Health facility-based cross-sectional study design was conducted among women living with HIV attending ART clinics in the special zone of, Oromia regional state, by simple random sampling was used to select 654 respondents. Both bivariate and multivariable logistic regressions analysis was used to identify at adjusted odds ratio (AOR) with 95% CI in the final model.

Result The study assessed the magnitude of demand for family planning among HIV-infected women and established that the demand was 630 (96.3%), of which 100 (16%) of women of reproductive age living with HIV had unmet needs for family planning while attending monthly ART clinic drug refilling and follow up. This study identified that factors found to be associated with met needs for family planning among women of reproductive age living with HIV attending ART/PMTC were discussions with healthcare providers (AOR = 4.33, 95% CI 2.56–7.32), previous pregnancy (AOR = 3.07, 95% CI 1.84–5.12); future fertility desire (AOR = 2.15, 95% CI 1.31–3.51); having sexual partners (AOR = 5.26, 95% CI 1.79–15.5) and the number of the sexual partner (one) (AOR = 7.24, 95% CI 1.82–28.74) were identified independent predictors of met needs for family planning.

Conclusion The overall demand for family planning was 96% among the women living with HIV, and that 16% of women had an unmet need for family planning. The authors conducted a logistic regression and find various dependent variables that are associated with the met need for family planning services, such as having discussions with healthcare providers, having a partner and previous pregnancy; future fertility desire, the last pregnancy being intended. These results are interpreted to suggest that clear policy implications of family planning must be better integrated into ART clinics.

Plain Language summary The overall demand for family planning was 96% among the women living with HIV, and that 16% of women had an unmet need for family planning. The authors conducted a logistic regression and find various dependent variables that are associated with the met need for family planning services, such as having discussions with healthcare providers, having a partner and previous pregnancy; future fertility desire, the last pregnancy being intended. It was established that high met need demand for family planning among HIV-infected women. These results are interpreted to suggest that clear policy implications of family planning must be better integrated into ART clinics an important conclusion of this study result. Policymakers would be better considers the future developments of national guidelines/strategies and training modules of family planning and HIV would be integrated family planning services into facility-based care for women living with HIV should consider these identified factors to increase the availability of family planning among women of reproductive age living with HIV. After the implementation of the final strategic plan, the integration of family planning and HIV services should lead to an increase in the utilization of family planning, dual contraceptive methods, the need for family planning being met, prevent repeated unwanted pregnancy, and offer HIV services. This will ultimately improve the quality of life of reproductive-aged women, the community, and families at large. Policymakers would better establish women-centered integrated family planning with HIV service could facilitate that the met need demand for family planning services of reproductive age women living with HIV.