n African Journal for Physical Health Education, Recreation and Dance - Contraceptive use amongst HIV-infected women on antiretroviral therapy in Artesia, Botswana : HIV and AIDS

Supplement 1
  • ISSN : 1117-4315


Contraception in the context of HIV is a cost effective way of preventing unintended pregnancies and their adverse consequences. However, the neglect of contraceptive services and the limited information about how best to deal with the contraceptive need pertaining to people living with HIV, have resulted in child-bearing HIV infected women to frequently report unplanned pregnancies. The study's aim was to determine contraceptive use and predictors of contraceptive use among HIV infected women on antiretroviral treatment (ART) in Artesia, Botswana. After convenience sampling, a cross sectional study was conducted among 184 HIV infected women of reproductive age attending an ARV clinic at Artesia. Contraceptive use was assessed with a self-administered questionnaire and logistic regression was conducted to determine predictors of contraceptive use. Ninety three (92.9 %) of respondents used contraception particularly male condoms (87.1%) while the uptake of dual protection was low (35.7%). Predictors of contraceptive use were being in a relationship (Adjusted odds ratio [AOR]: 70.9, 95% Confidence Interval [CI]: 10.1-498.4), availability of contraceptive methods (AOR: 9.5, 95% CI: 2.6-35.2), source of supply (local clinic [AOR: 7.4, 95% CI: 2.2-149.8] vs. hospital [AOR: 0.1, 95% CI: 0.1-0.7]), characteristics of contraceptive method (AOR: 22.8, 95% CI: 3.3-154.4), postpartum period (AOR: 8.5, 95% CI: 2.2-33.8), male partner's opinion (AOR: 3.2, 95% CI: 1.0-10.1) and previous use of contraceptive methods (AOR: 4.9, 95% CI: 1.5-15.4). There is an urgent need to encourage good contraceptive practices among HIV infected women by promoting dual protection which can be done through the integration of HIV and reproductive health services.

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