UPTAKE OF FAMILY PLANNING SERVICE AND ASSOCIATED FACTORS AMONG REPRODUCTIVE AGE WOMEN ON ART ATTENDING IN PUBLIC HOSPITALS OF HARAR TOWN AND DIRE DAWA CITY ADMINISTRATION, EASTERN ETHIOPIA.

Abstract

Background: Family planning is the ability of individuals and couples to anticipate and attain their desired number of children and plan the spacing and timing of their births through the use of contraceptive methods. In addition, the use of family planning is important for, the prevention of abortion and transmission of HIV/AIDS from mother-to-child. Family Planning with ART services offers an opportunity to support the basic human right of people living with HIV to achieve their reproductive intentions. Objective: The objective of this study was to assess the uptake of family planning service and associated factors among reproductive age women on ART attendants in public Hospitals of Harar Town and Dire Dawa City administration, Eastern Ethiopia from January, 20 to February, 20/2017. Methods: Institutional based cross-sectional study design was conducted to assess the uptake of Family Planning service. The sample size for this study was 634 ART attendants. Participants were selected by systematic random sampling method. Data was collected using pre-tested faceto-face interviewer administered questionnaire through fifteen data collectors who were Midwives. The collected data were entered into the Epi-Data (3.1) and then exported and analyzed using STATA (14). The results of the study were described and presented by using frequencies, percentages, summary measures, tables and graphs. Bivariate and multivariate logistic regression models were used to identify factors associated with the uptake of family planning service. Statistical significance was declared at p-value less than 0.05. Results: The prevalence of uptake of family planning was found to be 58.88% (95% CI: 54.96%, 62.69%). Mothers who were single [(AOR=0.16, 95% CI: (0.05, 0.45)], divorced [AOR=0.06, 95% CI: (0.03, 0.12)], and widowed [AOR=0.03, 95% CI: (0.011, 0.087)] were less likely to use FP compared to those who were married. And mothers who had one Child [(AOR=351, 95% CI: (1.44, 8.54)], and two children [AOR=3.83, 95% CI: (1.48, 9.88)], were found to be more likely to use family planning service compared to those who had no child. Conclusion and recommendation: Prevalence of FP among ART attendants were not enough (58.88%), therefore, health education with demonstration sessions should be provided to women, and efforts should also be done to increase the uptake of FP by ART attendants