Modern contraceptive use among HIV-infected women attending HIV care centres in Togo: a cross-sectional study - Archive ouverte HAL Access content directly
Journal Articles BMJ Open Year : 2018

Modern contraceptive use among HIV-infected women attending HIV care centres in Togo: a cross-sectional study

(1) , (2) , (3) , (4) , (5) , (6) , (7) , (4) , (2) , (2)
1
2
3
4
5
6
7

Abstract

Introduction Contraceptive use among HIV-infected women in Togo is poorly documented. We aim at assessing the prevalence of modern contraceptive use and associated factors among HIV-infected women in Togo. Design Cross-sectional study. Setting The study was conducted in five HIV care centres in the Centrale and Kara regions in Togo. Participants We included 461 HIV-positive women aged between 15 and 49 years and who were sexually active. Main outcome measure The outcome variable was HIV-infected women who were using modern contraceptive methods. Results A total of 461 HIV-infected women were interviewed, with an average age of 34.3 (+/- 7.1). Among them, 332 (73.1%) women reported using contraceptive methods, mostly condom alone (74.7%) or in combination with hormonal contraceptive (16.9%). In multivariate analysis, education level (primary: adjusted OR (aOR)=1.99, 95% CI (1.05 to 3.76); secondary level and higher: aOR=3.95, 95% CI (2.03 to 7.67)), WHO clinical stage (stage II: aOR=0.7, 95% CI (0.37 to 1.33)), follow-up in private care facilities (aOR=2.54, 95% CI (1.22 to 5.29)) and having a child (aOR=2.51, 95% CI (1.41 to 4.5)) were associated with higher contraceptive use, while marital status (living in union: aOR=0.45, 95% CI (0.28 to 0.74)) and WHO stages III and IV (aOR=0.47, 95% CI (0.24 to 0.94)) were associated with lower contraceptive use. Conclusion About three-quarters of sexually active HIV-infected women in Togo were using contraceptive methods, and private health facilities favoured this contraceptive use. It is important to strengthen the implementation of interventions to increase the incentives for HIV-infected women to use contraception in Togo.
Fichier principal
Vignette du fichier
e019006.full.pdf (244.71 Ko) Télécharger le fichier
Origin : Files produced by the author(s)
Loading...

Dates and versions

hal-02146899 , version 1 (11-12-2019)

Licence

Attribution - NonCommercial - CC BY 4.0

Identifiers

Cite

Issifou Yaya, Akouda Akessiwe Patassi, Dadja Essoya Landoh, Essodjelouna Manani Bignandi, Kanfitine Kolani, et al.. Modern contraceptive use among HIV-infected women attending HIV care centres in Togo: a cross-sectional study. BMJ Open, 2018, 8 (4), ⟨10.1136/bmjopen-2017-019006⟩. ⟨hal-02146899⟩
60 View
53 Download

Altmetric

Share

Gmail Facebook Twitter LinkedIn More