LEVEL OF UNMET NEED FOR MODERN FAMILY PLANNING METHODS AND FACTORS ASSOCIATED AMONG HIV POSITIVE WOMEN ON ANTIRETROVIRAL THERAPY IN PUBLIC HEALTH FACILITIES OF HORO GUDURU WOLLEGA ZONE, NORTH WEST ETHIOPIA.

Abstract

Background: Most recently contraceptive issues among Human Immunodeficiency virus positive women are becoming increasingly important. Because of Antiretroviral Therapy access and its good life effect, it is expected that the need and desire to get married, and to have sexual partners for Peoples Living with HIV/AIDS would change with the regard to reproductive health. In Ethiopia whether Human Immunodeficiency virus positive individuals are sexually active or not, level of unmet need for contraception was not well known. Objective: The aim of the study were to assess unmet need and associated factors for modern family planning among HIV positive women on ART in selected ART providing public health facilities of Horro Guduru Wollega Zone, Oromia National Regional State, Ethiopia from 1st April to 15 th April 2015 G.C. Methods: A cross-sectional, facility-based study that encompasses quantitative interviewer administered interviews was conducted. Single and double population proportion was used to estimate the required sample size for outcome and explanatory variables. Three hundred thirty five study subjects was selected using systematic random sampling technique and the data were collected using interviewer administered structured questionnaire. Data entry and analysis was performed using EPI DATA version 3.1 and SPSS version 20. P-value <0.05 was taken as statistically significant and logistic regression were used to control potential confounding factors. P-value ≤0 .2, context and result of previous study were used as a cut of point to include or exclude variables for the multivariate analysis. Result: The study findings showed that the overall prevalence of unmet need is 27.3% at 95% CI, comprising 11.8% of women who wanted to limit births and 15.5% who wanted to space births. Multiple logistic regression model revealed that being Orthodox (AOR= 1.3, 95% CI: 1.02-4.63), being Amhara (AOR= 3.1, 95% CI: 1.04-9.14), having Exposure to media (AOR=5.75, 95% CI: 1.25-130.09), ≥ two years to have child (AOR=2.26, 95% CI: 1.12-12.91), source of information for modern contraceptive (AOR= 2.6, 95% CI: 1.02-53.43), decision on contraceptive use (AOR= 2.04, 95% C.I : 1.08 - 53.19), time needed to reach F/P source (AOR= 2.5, 95% C.I: 1.01-2.13) were found significantly associated factor with unmet need for family planning. Conclusion and Recommendations: Unmet needs for F/P were high among HIV positive women on ART in study area which reveals there was broader demand for F/P services. Therefore governments, providers and stakeholders in the study area should focus on the need to develop new strategies ensure availability of family planning commodities, proactive counseling on family planning and ensure service integration at facility level by skilled service provider.