Determinants of contraceptive choices among hiv positive women of reproductive age attending comprehensive care centre at kitale county referral hospital, kenya.

ABSTRACT

Family planning is an important aspect of primary health care. In order to improve the efficacy of available contraceptive methods, it is of importance to identify factors influencing women’s choice of contraception. In Kenya, like many other sub-Saharan countries, prevention of unintended pregnancies among HIV positive women as a strategy for PMTCT has been neglected. This has resulted in a large population of HIV positive women who have a substantial degree of unmet need for family planning, estimated at 60% in the 2007 Kenya Aids Indicator Survey. This study focused on exploring the various determinants of contraceptive choices among HIV positive women of reproductive age seeking services at comprehensive care centre, Kitale County Referral hospital, Trans Nzoia County. The specific objectives for this study were to determine the knowledge levels, to determine the types of modern contraception used and to assess the factors that influence contraceptive choices among HIV positive women of reproductive age attending comprehensive care centre at Kitale County Referral Hospital. This was a cross-sectional descriptive study of 357 randomly selected HIV positive women where both quantitative and qualitative information was collected. The research instruments used were a questionnaire, key informant interview guide and a focus group discussion guide. The data was analyzed using Statistical Package for Social Sciences (SPSS V.20). Statistical techniques including Chi square, and logistic regression were used in the analysis. P