The utilization of contraceptives among HIV positive women aged 18–45 years attending the ART clinic at Buwama Health Center III, Mpigi district. A cross-sectional study.
DOI:
https://doi.org/10.51168/sjhrafrica.v6i9.1941Keywords:
Factors influencing the utilization of contraceptives, HIV-positive women aged 18-45 years, ART clinic at Buwama Health Center IIIAbstract
Background
In Uganda, the contraceptive use rate (CPR) among HIV-positive women of reproductive age is estimated at 39%. The purpose of the study was to assess the factors influencing the utilization of contraceptives among HIV-positive women aged 18-45 years attending the ART clinic at Buwama Health Center III, Mpigi District.
Methods
A descriptive cross-sectional study design employing quantitative methods of data collection was conducted in Buwama Health Center III. In a duration of 5 days, 52 HIV-positive women aged 18-45 years were selected using a simple random sampling method. A structured questionnaire was used to collect data, and it involved closed-ended questions. The data collected was analyzed manually, and findings were entered into a Microsoft Excel 2013, which was then presented in the form of tables, pie-charts, and graphs.
Results
18(35%) were 34-41 years, 20(39%) were married, 16(31%), had attained a secondary level of education. In line with individual-related factors: the majority 65% feared health complications, over half 58% made independent decisions on contraceptive use, almost half 46% reported that stress or anxiety hindered usage, and 33% could not afford contraceptive costs. On health facility-related factors, 71% reported frequent stock-outs, the majority 61% noted long distances to the facility, 60% were concerned about lack of privacy, and 46% felt healthcare providers were judgmental.
Conclusion
While knowledge of modern contraceptives among HIV-positive women was high, individual fears, emotional stress, financial constraints, and health facility-related barriers like long distances and frequent stock-outs significantly hindered their consistent utilization.
Recommendation
It is recommended that health facilities strengthen contraceptive service delivery by addressing individual concerns, ensuring consistent availability, improving provider attitudes, and integrating services with HIV care to enhance utilization among HIV-positive women.
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