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Birth control choices among women living with Hiv and aids in Trans nzoia district attending the comprehensive care centre, Kitale district hospital, Kenya

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dc.contributor.author WERE, Alice A.
dc.date.accessioned 2021-05-10T07:29:10Z
dc.date.available 2021-05-10T07:29:10Z
dc.date.issued 2014
dc.identifier.uri https://repository.maseno.ac.ke/handle/123456789/3753
dc.description.abstract An estimated 585,000 women die as a result of pregnancy and child birth globally. Maternal mortality rate in Kenya stands at 6.611,000 women. It is likely that there would be a drastic fall in maternal mortality if women were introduced to family planning (FP). The situation is further exacerbated by a high prevalence of HIV and AIDS. Pregnancy worsens the situation in HIV positive women due to dual factor of immune suppression. Trans Nzoia District has a relatively high HIV prevalence of 5.4% compared to other Districts within Rift Valley province. Use of FP among such women, especially those not intending to have children, would slow down HIV progression to AIDS. Nevertheless choices of birth control methods among women living with HIV and AIDS and are attending Comprehensive Care Centre at Kitale District Hospital are not known. This study aimed at investigating birth control choices among women living with HIV and AIDS and attending Comprehensive Care Centre in Kitale District Hospital-Kenya. The study adopted a cross sectional descriptive design using a facility based quantitative and qualitative approaches to data collection. Quantitative data was collected using semi structured questionnaires from a sample of 400 randomly sampled from a total population 10607 women living with HIV and AIDS and were attending comprehensive Care Centre at Kitale District Hospital. Qualitative data was collected from purposively sampled respondents using key informant interviews. Quantitative data was analyzed using descriptive and inferential statistics and presented as frequencies and proportions. Chi-square test was used to compare the findings for the different birth control choices mentioned by the women. Logistic regression analysis was used to establish the association between socio-economic; socio-cultural as well as policy and service factors and choices for birth control. Qualitative data was summarized and categorized into themes. Partners 141(52.8%) played a role in the choice of contraceptives compared to 126 (47.1%). Education level of the woman is likely to an influence on the uptake of contraceptives (Pills P-value <0.0001, OR=8.5, 95% CI 7.713 - 10.204, IUCD p< 0.0001, OR=8.95, CI 7.762- 10.151). Education level of the husband also has an effect on the partner's uptake of contraceptives, and an educated partner is more likely to convince the partner to use contraceptives (P-value < 0.004, OR=5.112, CI=0.345 - 0.749). Level of education of respondents and their partners emerged as the most important socio-economic factor, use and uptake of FP services. en_US
dc.language.iso en_US en_US
dc.publisher Maseno University en_US
dc.title Birth control choices among women living with Hiv and aids in Trans nzoia district attending the comprehensive care centre, Kitale district hospital, Kenya en_US
dc.type Thesis en_US


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