Utilization of family planning methods among women on antiretroviral therapy in Dedza district, Malawi

Utilization of family planning methods among women on antiretroviral therapy in Dedza district, Malawi

There is evidence indicating that HIV infection reduces fertility desires, but does not eliminate it. ART initiation can restore fertility in women, influencing increased fertility intentions. Meeting contraceptive needs of HIV positive women can help avoid unintended pregnancies, which would reduce...

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Bibliographic Details
Main Author: Namijingo Kamwendo, Nancy
Format: Thesis
Language:English
Published: 2021
Online Access:http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/239
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Summary:There is evidence indicating that HIV infection reduces fertility desires, but does not eliminate it. ART initiation can restore fertility in women, influencing increased fertility intentions. Meeting contraceptive needs of HIV positive women can help avoid unintended pregnancies, which would reduce maternal deaths. Literature has shown that despite being beneficial to mother and child health outcomes, utilization of family planning among clients on ART is low. This study explored current FP use, identified frequent used FP methods and underlying factors among women on ART in Dedza. This was a descriptive quantitative study. Data collection was through face-to-face interviews using a structured questionnaire. The sample consisted of 382 reproductive age women on ART, attending Dedza district hospital ART clinic. Computation of descriptive statistics determined frequencies and proportions. Chi-square test at 5% level of significance determined associations. About 55% (210) of the respondents were using family planning methods, and most of them used condoms, followed by an injectable hormone. Only 74 (48%) used the condom consistently and 103 (49%) used dual methods. Parity of the client was the significant predictor of family planning utilisation for women on ART, at Dedza district ART clinic. Generally, current use of contraceptives other than condoms was very low. These findings highlight the need for integration of family planning services and ART clinics in order to strengthen family planning services among women living with HIV on ART.

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