Contraceptive use and factors influencing the unmet need of Indonesian women living with HIV: a cross-sectional survey Dyah Juliastuti (a,b,*), Judith Dean (a), Lisa Fitzgerald (a)
a) School of Public Health, Faculty of Medicine, The University of Queensland, Herston, QLD, Australia
b) Nursing Program, School of Health Ichsan Medical Centre Bintaro, Banten, Indonesia
*dyahjuliastuti2[at]gmail.com
Abstract
Most women living with HIV (WLHIV) in Indonesia was in reproductive age, yet little is known about their contraceptive practices and determinants. This study examined patterns of contraceptive use pre-and post-HIV diagnosis and the factors influencing contraceptive use and need of women living with HIV (WLHIV) in Banten Province, Indonesia. A cross-sectional paper-based survey of 209 reproductive-age WLHIV was conducted in Banten Province, Indonesia. The research instrument was adopted from the Indonesian Demographic and Health Survey 2012. Data was analysed by univariate statistics and multivariate logistic regression. Post-HIV-diagnosis, more respondents used a condom (53.1% vs. 2.9%) and were sterilized (11.0% vs. 1.0%) than pre-diagnosis. A third (33.9%, 56) reported unmet contraceptive need which was associated with disclosure of HIV-status to familiar circle (aOR15.39- 95%CI: 3.06-77.42), unmarried status (aOR5.10- 95%CI: 1.74-14.97), having a casual partner (aOR3.98- 95%CI: 0.98-16.18), and partner^s involvement in contraceptive decision-making (aOR3.05- 95%CI:1.33-6.98). This study highlights the urgency to empower WLHIV pursuing their contraceptive needs, encourage men in contraceptive use, and establish adequate contraceptive services for every woman.
Keywords: contraceptive use, Indonesia, unmet need, survey, WLHIV
