Background. Preventing unintended pregnancies among HIV positive women has a vital role to prevent mother to child transmission. Besides, increasing access to contraceptives has a number of economical importance and reducing the costs for mitigating the unintended pregnancy consequences. Therefore, this study is aimed at assessing the contraceptive use and method of preference among HIV positive women in Ethiopia. Methods. A systematic review and meta-analysis reporting guideline was applied. Articles searched from the Scopus, Pubmed/MEDLINE, EMBASE, AJOL, Hinari, and Google scholar were included in this review. The Stata 11 software was used to compute the analysis. Heterogeneity of the studies was detected using the Cochran test and ² test statistics. Egger’s test was used to check the evidence of publication bias within the studies. Subgroup analysis and sensitivity analysis was computed with the evidence of heterogeneity. Results. Ten thousand one hundred twenty one (10121) women living with HIV/AIDS were recruited in this study. The national estimated prevalence of contraceptive use among HIV positive women in Ethiopia was 57.78% (95% CI: 48.53-67.03). Injectables and male condom were the most preferred contraceptives accounted for 36.00% (95% CI: 6.64-45.35) and 32.74% (95% CI: 21.08-44.40), respectively. Discussion with husband/partner (AOR: 4.70, 95% CI: 2.18-10.12), disclosure of HIV status to spouse/partner (AOR: 2.18, 95% CI: 1.55-3.06), ever counseled for modern contraceptives (AOR: 2.79, 95% CI: 2.01-3.88), attending secondary and above education (AOR: 3.12, 95% CI: 2.15-4.51), and having more than one live child (AOR: 2.61, 95% CI: 1.86-3.66) were increasing the likelihood of contraceptive use whereas not currently married women (AOR: 0.23, 95% CI: 0.16-0.34) was decreases the odds of contraceptive use. Conclusion. In Ethiopia, more than half of the women living with HIV/AIDS were using contraceptives. Discussion with husband/partner, disclosure of HIV status to spouse/partner, ever counseled for modern contraceptives, attending secondary and above education, and having more than one live child were increasing the uptake of contraceptives among HIV positive women. Partner discussion, having adequate information towards contraceptive use, and having desired number of child could increase the utilization; as a result, obstetric complication with HIV positive women due to unintended pregnancy is significantly decreasing.

中文翻译：

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埃塞俄比亚 HIV 阳性女性的避孕使用和方法偏好：系统评价和荟萃分析

背景。预防 HIV 阳性妇女意外怀孕对于预防母婴传播具有至关重要的作用。此外，增加获得避孕药具的机会具有许多经济意义，并降低了减轻意外怀孕后果的成本。因此，本研究旨在评估埃塞俄比亚 HIV 阳性女性的避孕使用和偏好方法。方法。应用了系统评价和荟萃分析报告指南。从 Scopus、Pubmed/MEDLINE、EMBASE、AJOL、Hinari 和 Google 学者搜索的文章被纳入本次审查。Stata 11 软件用于计算分析。使用 Cochran检验和^{2检测研究的异质性}测试统计。Egger 检验用于检查研究中发表偏倚的证据。使用异质性证据计算亚组分析和敏感性分析。结果. 本研究招募了一万名感染 HIV/AIDS 的女性 (10121)。埃塞俄比亚 HIV 阳性妇女的全国避孕药具使用率估计为 57.78%（95% CI：48.53-67.03）。注射剂和男用避孕套是最优选的避孕药具，分别占 36.00%（95% CI：6.64-45.35）和 32.74%（95% CI：21.08-44.40）。与丈夫/伴侣讨论 (AOR: 4.70, 95% CI: 2.18-10.12)，向配偶/伴侣披露 HIV 感染状况 (AOR: 2.18, 95% CI: 1.55-3.06)，曾经咨询过现代避孕药具 (AOR: 2.79) , 95% CI: 2.01-3.88), 接受中等及以上教育 (AOR: 3.12, 95% CI: 2.15-4.51), 并且有一个以上活孩子 (AOR: 2.61, 95% CI: 1.86-3.66)增加目前未婚女性使用避孕药具的可能性（AOR：0.23，95% CI：0.16-0。结论。在埃塞俄比亚，一半以上感染艾滋病毒/艾滋病的妇女使用避孕药具。与丈夫/伴侣讨论、向配偶/伴侣披露 HIV 感染状况、接受过现代避孕药具咨询、接受中等及以上教育以及拥有一个以上的活孩子，这些都增加了 HIV 阳性女性对避孕药具的使用。与合作伙伴讨论，掌握有关避孕药具使用的充分信息，并拥有所需的孩子数量，可以提高使用率；因此，艾滋病毒阳性妇女因意外怀孕而导致的产科并发症显着减少。