全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

Dual Contraception Use and Associated Factors among HIV Positive Women Follow-Up at Treatment Center Unit of Yaounde Central Hospital, Cameroon

DOI: 10.4236/oalib.1106225, PP. 1-12

Subject Areas: Geriatrics

Keywords: Dual Contraception, HIV Positive Women, Yaounde

Full-Text   Cite this paper   Add to My Lib

Abstract

Background: A less risky sexual behaviour for sexual and reproductive health among HIV positive women is essential for their well-being and that of their sexual partners and children. The aim of this study was to assess the frequency of dual contraception method use and factors associated among HIV positive women follow-up at the treatment center unit (TCU) at Yaounde Central Hospital (YCH). Methods: It was a transversal study done for 6 months at YCH. A sample of 294 HIV positive women among 322 who came for consultation and received their treatment during our study period was included. Data collection was by face-to-face questionnaire administration. Data were analysed using Epi-infos 7.1.3.3 software. Multiple logistic regression was done to find an association between the outcome and predictor variables with statistically significant level of p < 0.05 and CI of 95%. Results: Prevalence of DCM use was 33.3%. Multivariate logistic regression showed that DCM utilization was associated with age > 35 [(AOR = 0.29, 95% CI (0.14 - 0.60], sexual frequency (AOR = 0.25, 95% CI (0.10 - 0.60)], parity and gravidity of less than 3, (AOR = 0.29, 95% CI (0.14 - 0.58) and (AOR = 0.28, 95% CI (0.12 - 0.65)] respectively and no past history of abortion [(AOR = 0.24, 95% CI (0.10 - 0.56)]. All were protective factors. Conclusion: DCM use prevalence among HIV positive women was low. Age > 35 years, one or more than one sexual intercourse per week, parity and gravidity of less than 3 and no past history of abortion were associated with DCM use.

Cite this paper

Tsafack, M. , Essiben, F. , Momo, R. J. , Moyo, G. P. K. , Mpoah, Y. M. and Mbu, R. E. (2020). Dual Contraception Use and Associated Factors among HIV Positive Women Follow-Up at Treatment Center Unit of Yaounde Central Hospital, Cameroon . Open Access Library Journal, 7, e6225. doi: http://dx.doi.org/10.4236/oalib.1106225.

References

[1]  World Health Organisation. Contraception: Issues in Adolescent Health and Development [On Line]. http://whylibdoc.who.int/
[2]  Joint United Nations Programme on HIV/AIDS. UNAIDS Data 2017 [On Line]. http://www.unaids.org/
[3]  Joint United Nations Programme on HIV/AIDS. UNSAIDS Cameroon [On Line]. http://www.unaids.org/fr/
[4]  Ministry of Public Health of Cameroon. National Guidelines on Prevention and Management of HIV in Cameroon [On Line]. http://www.childrenandaids.org/
[5]  Mitchell, H.S. and Stephens, E. (2004) Contraceptive Choices for HIV Positive Women. Sexually Transmitted Infections, 80, 167-173. https://doi.org/10.1136/sti.2003.008441
[6]  Somera, Y.S. and Ross, A. (2013) Contraceptive Knowledge and Practices among HIV Positive Women Receiving ART at a District Hospital in Kwazulu-Natal. South African Family Practice, 55, 196-200. https://doi.org/10.1080/20786204.2013.10874333
[7]  Nansseu, J.R., Nchinda, C.E., Katte, J.-C., Nchagnout, F.M. and Nguetsa, G. (2015) Assessing the Knowledge, Attitudes and Practices of Family Planning among Women Living in the Mbouda Health District, Cameroon. BMC Reproductive Health, 12, 92. https://doi.org/10.1186/s12978-015-0085-9
[8]  Ajong, B.A., Njontang, N.P., Kenfack, B., Yakum, N.M. and Mbu, R.E. (2016) Knowledge of Women on Family Planning and Future Desire to Use Contraception: Cross Sectional Survey in Urban Cameroon. BMC Research Notes, 9, 345. https://doi.org/10.1186/s13104-016-2155-7
[9]  Ministry of Public Health of Cameroon. Operational Plan of Family Planning of Cameroon 2015-2020. http://ec2-S4-210-230-186.Compte-1.amazonaws.com/wp-content/uploads/2016/10/Cameroun-plan-dAction-National-PF-2015-2020.pdf
[10]  Nkwabong, E., Minda, V. and Fomulu, N.J. (2015) Knowledge, Attitude and Practices of Contraception by HIV Positive Women Followed in a Cameroon Region with High Illiteracy Rate: A Cross Sectional Study. Pan African Medical Journal, 20, 143. https://doi.org/10.11604/pamj.2015.20.143.5252
[11]  Integrating Family Planning into HIV Programs: Evidenced-Based Practices. https://www.fhi360.org/
[12]  Lucky, O., Azubuine, K. and Chuckwenenka, A. (2014) Double Method Use for Pregnancy and Disease Prevention among HIV Infected Woman in South East Nigeria. BMC Women’s Health, 14, 39. https://doi.org/10.1186/1472-6874-14-39
[13]  Ngomba, A.V., Djouma, N., Ekukule, S., Ebile, A. and Djeumeni, V. (2007) Unwanted Pregnancies and Barriers to Contraceptive Use among Women of Child Bearing Age in the City of Bafoussam, Cameroon. AMBS, 3, 11-16.
[14]  Kuete, M., Hong-Fang, Y., Kemayou, T., Soungo, E., Yang, F., Maxiulan, T., et al. (2016) Scale up of Use of Family Planning Services to Prevent Maternal Transmission of HIV among Discordant Couples: A Cross-Sectional Study within a Resource-Limited Setting. Patient Preference and Adherence, 10, 1967-1977. https://doi.org/10.2147/PPA.S105624
[15]  Adeokum, L., Martelle, J., Weison, E., Ebur, D., Jagha, T. and Oleceregum, J. (2002) Promoting Dual Protecting Planning Clinics in Ibadan, Nigeria. International Family Planning Perspectives and Digest, 28, 87-95. https://doi.org/10.2307/3088240
[16]  Wilson, T., Koenig, L.W.E., Fernandez, I. and Ethier, L. (2003) Dual Contraceptive Method Use for Women and Disease Prevention among HIV Infected and HIV Uninfected Women. The Importance of an Event Level Focus for Promoting Safer Sexual Behaviours. Sexually Transmitted Diseases, 30, 809-812. https://doi.org/10.1097/01.OLQ.0000086617.41012.14
[17]  Jacob, A. (2011) Rising Popularity of Injectables Contraceptives in Sub-Saharan Africa: UAPS. African Population Studies, 25, 587. https://doi.org/10.11564/25-2-247
[18]  Yangsi, T., Fouelifack, Y., Mbong, E. and Fomlu, N. (2017) Modern Contraceptive Choice among Patients Seen at the “Cameroon Association for Family Welfare” Clinic, Yaounde. Clinical Medicine Insights: Reproductive Health, 11, 1-6. https://doi.org/10.1177/1179558117713016
[19]  Hussen, M.A. and Fikre, E. (2014) Contraceptives Use and Method Preferences among HIV Positive Women in Addis Ababa, Ethiopia: A Cross Sectional Study. BMC Public Health, 14, 568. https://doi.org/10.1186/1471-2458-14-566
[20]  Nana, N.P., Yakum, M., Atem, B., Essi, M., Ebile, W., Mesumbe, E., et al. (2017) Determinants of Modern Contraceptive Practice in Yaounde-Cameroon: A Community Based Cross Sectional Study. BMC Research Notes, 10, 219. https://doi.org/10.1186/s13104-017-2543-7
[21]  Vouking, M., Evina, C. and Tadebfok, C. (2014) Male Involvement in Family Planning Decision Making in Sub-Saharaan Africa. Pan African Medical Journal, 19, 198. https://doi.org/10.11604/pamj.2014.19.349.5090
[22]  Meseret, W., Fekadi, V.T. and Tekleberhan, T. (2015) Dual Contraceptive Method Utilization and Associated Factors among HIV Positive Women Attending Antiretroviral Therapy Clinic in Gebret Shawo Hospital. Journal of Women’s Health Care, 4, 6.
[23]  Fabienne, M., Protopapesca, C., Abé, C., Boyer, S., Blanche, J., Ongolo-Zogo, P., et al. (2010) Desire for a Child among HIV-Infected Women Receiving Antiretroviral Therapy in Cameroon: Results from National Survey. AIDS Care, 22, 441-451. https://doi.org/10.1080/09540120903202913
[24]  Kuete, M., Hong-Fan, Y., Quian, H., Tchoua, A., Tita, P., Fan, Y., et al. (2016) Sexual Practices, Fertility Intentions and Awareness to Prevent Maternal to Child Transmission of HIV among Infected Pregnant Women at the Yaounde Central Hospital. Sexual Medicine, 4, 97-105. https://doi.org/10.1016/j.esxm.2016.01.004
[25]  Eliud, W. and Coast, E. (2010) Contraceptive Need and Use among Individuals with HIV/AIDS Living in the Slums of Narobi, Kenya. International Journal of Gynecology & Obstetrics, 130, 31-36. https://doi.org/10.1016/j.ijgo.2015.05.001
[26]  Tarkang, E.E. (2013) Condom Use and Number of Sexual Partners among Secondary School Female Students in an Urban City of Cameroon. Rwanda Journal of Health Sciences, 2, 30-33. https://doi.org/10.4314/rjhs.v2i2.6
[27]  Othman, K., Dan, K. and Osinde, M. (2010) Contraception among Persons Living with HIV Infection Attending HIV Care and Support Centre in Kabale, Uganda. Journal of Public Health, 2, 180-189.
[28]  Kristina, G., Helena, K. and Diribal, F. (2014) Contraception Following Abortion and Treatment of Incomplete Abortion. International Journal of Gynecology & Obstetrics, 126, 52-55. https://doi.org/10.1016/j.ijgo.2014.03.003
[29]  Beena, J., Gagnan, V., Sanjay, C., Ragini, K. and Shahina, B. (2016) Linking HIV and Family Planning Services to Improve Double Method of Contraception among Women Infected with HIV in Mumbai, India. Indian Journal of Medical Research, 143, 464-473. https://doi.org/10.4103/0971-5916.184286

Full-Text


comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133

WeChat 1538708413