7th IAS Conference on HIV Pathogenesis, Treatment and Prevention (IAS 2013)

Abstract

MOPE122 - Poster Exhibition


Uptake and factors influencing uptake of contraceptive implants in the immediate postpartum period among HIV-infected and non HIV-infected women in Mbagathi and Naivasha district Hospitals in Kenya

M. Shabiby, J. Kinuthia

University of Nairobi, Obstetrics and Gynaecology, Nairobi, Kenya

Background: In Kenya, uptake of family planning is low and the rate of unplanned pregnancies is high among both HIV infected and non HIV infected women. This leads to a high rate of unsafe abortions and high maternal morbidity and mortality as well as high paediatric HIV infections due to mother to child HIV transmission.
Despite proven safety and efficacy of early postpartum contraceptive implant use, its use in Kenya is uncommon. Contraceptive implants are offered at 6 weeks postnatal clinic visits and thereafter.
Methods: A cross sectional study was done in two Kenyan district hospitals. A pretested interviewer administered questionnaire was administered to 185 mothers (91 HIV +,94 HIV-) in the post natal ward within 72 hours after delivery and before discharge home. General FP counselling was then given followed by method specific implant counselling. Those who consented were inserted implant before discharge home while those who declined were asked to follow routine care.
Results: Overall, uptake of immediate postpartum implants was high (50.2%) and it was significantly associated with HIV status with more HIV negative mothers accepting implant (57.5%) compared to HIV positive mothers (42.9%) p=0.047.
The uptake of implant in HIV negative mothers was associated with previous knowledge about implants and age at first pregnancy. In both HIV infected and non HIV infected group, uptake was not associated with socio-demographic factors including age, level of education, marital status and religion.
Conclusion: The uptake of implant was generally high among both HIV infected and non-HIV infected mothers. There are more factors influencing uptake of the method among HIV negative mothers compared to HIV positive mothers whose choice appeared to be influenced by their knowledge of implant as a method of contraception.
This study has shown that early postpartum period can be used to improve access to FP and reduce unmet needs of FP and assist in achieving millennium development goals especially MDG 4,5 and 6.

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