Unintended pregnancyand associated factorsamong hiv positive womenattending antiretroviral therapy clinics at public health facilities of iluababora zone south western Ethiopia, 2017

Abstract

Background: Unintended pregnancy reflects the existence of unprotected sex. Understanding factors associated with unintended pregnancy among HIV positive women is very important to design strategy for prevention of further transmission and infection with new virus. However, there is paucity of information in this regard. Given the degree of HIV prevalence among women and the current antiretroviral therapy scale up in Ethiopia, it is important to understand factors predicting un- intended pregnancy in order to prevent mother to child transmission. Objective: To assess the magnitude and associated factors of un- intended pregnancy among HIV positive women attending antiretroviral therapy clinics at public health facilities of Ilu Aba Bora zone Oromia region, south western Ethiopia, 2017. Methods: Institution based cross-sectional study design with both quantitative and qualitative method of data collection was used. The sample size was 353; all anti retroviral therapy clinics in the zone were included and simple random sampling was used to select if more than one antiretroviral therapy sites in one woreda.Consecutive sampling was employed to get study participants for quantitative study and purposive random sampling method was used for qualitative study and data collection period was from March9 to April 13.The data was entered using EPI data version 3.1 and analyzed using SPSS version 21. Descriptive statistics was done and logistic regression was used to identify independent predictors of un- intended pregnancy among HIV positive women. P-value < 0.05 at 95 % CI was considered statistically significant. Qualitative data was analyzed through thematic analysis approach. Result: The prevalence ofunintended pregnancy among the participantis40.9%. In the multi variate logistic regression, unemployment (AOR, 3.36[1.55, 7.26],95%CI), being not knowledgable on MTCT and PMTCT (AOR,3.18[1.92,5.24],95%CI), having no discussion on reproductive health (AOR,1.83[1.09,3.07], 95% CI) issues are factors significantlyassociated with unintended pregnancy occurrence among HIV positive women on antiretroviral therapy. Conclusion and Recommendation: The prevalence of unintended pregnancy among the women in the study is high. To avoid unintended pregnancies, HIV-infected women need access to effective family planning services and risk reduction discussions during routine care visits.