Patterns of Hormonal Contraceptive Utilization Among Women with Retroviral Disease Receiving Antiretroviral Therapy at a Referral Hospital in Kenya
Keywords:
hormonal contraceptives, antiretroviral therapy, IUDs, COCs, implantsAbstract
Understanding the intricate interplay between hormonal contraceptive utilization and the unique healthcare needs of women with retroviral disease on antiretroviral therapy is of paramount importance in ensuring effective family planning strategies and optimal health outcomes. This research examined the patterns of hormonal contraceptive usage among this specific demographic within the setting of a referral hospital in Kenya, shedding light on the factors influencing choice, preferences, and the broader implications for reproductive health. A cross-sectional retrospective study design was employed for this study, conducted at the Comprehensive Care Centre of Nakuru County Referral and Teaching Hospital in Kenya. The Taro Yamane formula determined the sample size, yielding 226 participants. Data was collected using a structured questionnaire validated through a pilot study, employing random sampling. Data was protected, monitored, and analyzed using descriptive statistics and the Chi-squared test, with ethical considerations in place. The sociodemographic characteristics of participants were analyzed. Most were aged 35-39, married, self-employed, and had at least secondary education. Public hospitals were the primary source of contraceptives. Pregnancy prevention was the main reason for hormonal contraceptive use. Injectable contraceptives were preferred (37%), followed by implants (31.9%) and IUDs (15.7%). Notable association between employment status and use of specific contraceptives (P-value=0.007175) was found to be statistically significant. Further, there was a statistically significant association between ease of availability of implants (P-value=0.02), ease of use of injectables (P-value=0.05), and fewer side effects of IUDs (P-value=0.00) and their preference. We recommend emphasizing postpartum contraception services, ensuring contraceptive availability in public hospitals, promoting long-acting reversible contraceptives, and providing tailored counseling and education to empower women's informed choices.
Downloads
Published
How to Cite
Issue
Section
Copyright (c) 2023 Beldina Mbori Akinyi, Lydia Momanyi, Gitonga Jeff Murangiri, Musiva James Mutei
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in the East African Journal of Nursing (EAJN) are licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).
Under this license, users are free to:
-
Share — copy and redistribute the material in any medium or format.
-
Adapt — remix, transform, and build upon the material.
Under the following terms:
-
Attribution — Users must give appropriate credit to the original author(s), provide a link to the license, and indicate if changes were made. Attribution must not suggest endorsement by the author or publisher.
-
NonCommercial — Users may not use the material for commercial purposes. Commercial use includes, but is not limited to, reuse of the content for profit-making, commercial redistribution, or incorporation into for-profit works or services.
No additional restrictions — Users may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
To view the full license, visit: https://creativecommons.org/licenses/by-nc/4.0
Authors retain copyright of their work and grant the journal the right of first publication with the work simultaneously licensed under the CC BY-NC 4.0 license.
