BACKGROUND Preventing unintended pregnancies among HIV positive women is one component of HIV prevention strategies. However, programs to prevent mother-to-child transmission (PMTCT) of HIV started in antenatal care. The objective of this study was to examine the status of family planning integration to HIV care from client and facility perspectives and identify factors associated with current family planning use. METHODS A facility-based cross-sectional study was conducted from December 2017 to April 2018. Data were coded and double entered into EPI Info version 3.5.4 and exported to STATA version 14 for analysis. Bi-variable and multivariable logistic regression analyses were conducted to assess the association of variables with the current family planning use. RESULTS A total of 518 HIV-positive women were included in the study. Among HIV-positive women, 35.3% had an unmet need for family planning, and 21.4% responded that their pregnancies were unwanted. About two-thirds (68.1%) of women were using a modern family planning method at the time of the study. Among women who were currently using family planning, 88.8% got the service from a family planning clinic in the same facility, and only 1.1% got the service from the HIV care unit. Women who were not knowledgeable on PMTCT (AOR 0.47, 95% CI = 0.24-0.90), divorced or separated women (AOR 0.19, 95% CI = 0.10-0.37) and women in the age group of 25-34 years (AOR 0.42, 95% CI = 0.20-0.88) and 35-49 years (AOR 0.41, 95% CI = 0.17-0.99) were less likely to use modern family planning methods compared with those women who were knowledgeable, married and women in the age group of 15-24 years. Besides, women with higher income (AOR 2.12, 95% CI = 1.26-3.57) were more likely to use modern family planning methods compared with women with lower incomes. CONCLUSION This study indicated that there is a high unmet need for family planning among HIV-positive women and low family planning services integration in the PMTCT/ART clinics. Efforts should be strengthened to tackle the factors which hinder the use of modern family planning and improve family planning service integration.

中文翻译：

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埃塞俄比亚阿姆哈拉州将计划生育纳入艾滋病毒护理的状况。

背景技术在HIV阳性妇女中预防意外怀孕是HIV预防策略的一个组成部分。但是，在产前保健中开始了防止艾滋病毒母婴传播的计划。这项研究的目的是从客户和机构的角度检查将计划生育纳入HIV护理的状况，并确定与当前计划生育使用相关的因素。方法从2017年12月至2018年4月进行了基于设施的横断面研究。对数据进行编码，并两次输入EPI Info 3.5.4版，然后导出到STATA 14版进行分析。进行了双变量和多变量逻辑回归分析，以评估变量与当前计划生育用途的关联。结果研究共纳入518名HIV阳性妇女。在艾滋病毒呈阳性的妇女中，有35.3％的人没有计划生育的需要，有21.4％的人回答说自己的怀孕是不必要的。在研究时，约三分之二（68.1％）的妇女正在使用现代计划生育方法。在目前使用计划生育的妇女中，有88.8％的人从同一设施的计划生育诊所获得服务，只有1.1％的人从艾滋病毒治疗单位获得服务。不了解PMTCT的女性（AOR 0.47，95％CI = 0.24-0.90），离婚或分居女性（AOR 0.19，95％CI = 0.10-0.37）和25-34岁年龄段的女性（AOR 0.42） ，相对于知识渊博，已婚和年龄段的女性，95％CI = 0.20-0.88）和35-49岁（AOR 0.41，95％CI = 0.17-0.99）不太可能使用现代计划生育方法15-24年。除了，与低收入女性相比，高收入女性（AOR 2.12，95％CI = 1.26-3.57）更可能使用现代计划生育方法。结论本研究表明，艾滋病毒抗体阳性妇女对计划生育的需求未得到满足，而PMTCT / ART诊所对计划生育服务的整合程度较低。应加大力度解决阻碍现代计划生育使用的因素，改善计划生育服务一体化。