Abstract:
Background: Human immune deficiency virus continues to have disastrous medical,
economic, social, and physical impacts on individuals, their communities and the nations of
the world. Sub-Saharan Africa is at the epicenter of the epidemic and continues to carry the
full brunt of its health and socioeconomic impact. Dual protection is a strategy that prevents
both unwanted pregnancy and sexually transmitted infections, including human immune
deficiency virus. Also antiretroviral treatment has contributed a lot in decline of human
immune deficiency virus related morbidity and mortality.
Objectives: To assess dual contraceptive utilization and associated factors among women
living with human immune deficiency virus in Nigist Ellen Mohammed Memorial Hospital,
Hossana, South Nation Nationalities and Peoples Regional State, Ethiopia.
Methods: Facility based cross-sectional study was conducted among women living with human
immune deficiency virus in Nigist Ellen Mohammed Memorial Hospital. Data were collected
through face-to-face interview using structured questionnaires. Participants were selected by using
simple random sampling technique from sampling frame. Descriptive statistics was done to
describe the data. Bivariate and multivariable analysis was performed using logistic regression on
SPSS version 20.0 software/ Adjusted odds ratio along with 95%CI were estimated to identify
factors associated with dual contraceptive utilization. Level of statistical significance was
decleared at p-value less than 0.05.
Results: The prevalence of dual contraceptive utilization of women living with human immune
deficiency virus in Nigist Ellen Mohammed Memorial Hospital was 28.3% (95% CI: 23.8,
33.7). Dual contraceptive utilization was significantly associated with participants who
receiving follow up counseling in the last three months (AOR: 6.05; 95% CI: 2.46, 14.83),
starting antiretroviral treatment (AOR: 0.21; CI: 0.07, 0.64), had no child (AOR: 0.19; 95%
CI: 0.06, 0.57), supporting to use dual contraceptive utilization (AOR: 6.36; 95% CI: 2.49,
16.28).
Conclusions: Dual contraception utilization by women living with human immune deficiency
virus was low and had no child; receiving follow up counseling in the last 3 months; starting
antiretroviral treatment; supporting to use dual contraceptive methods were associated with
dual contraceptive utilization
