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Infectious Diseases in Obstetrics and Gynecology
Volume 2012, Article ID 340782, 9 pages
Clinical Study

Contraceptive Use and Associated Factors among Women Enrolling into HIV Care in Southwestern Uganda

1Department of Internal Medicine, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda
2Department of Internal Medicine, Mbarara Regional Referral Hospital, P.O. Box 1410, Mbarara, Uganda
3Department of Medicine, University of California, San Francisco, P.O. Box 0886, CA 94143, USA
4Department of Obstetrics, Gynecology, and Reproductive Services, University of California, San Francisco, CA 94143, USA
5Division of Infectious Diseases and Center for Global Health, Massachusetts General Hospital, Boston, MA 02114, USA
6Division of Infectious Disease, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
7Department of Epidemiology and Biostatistics, University of California, San Francisco, CA 94107, USA

Received 5 July 2012; Accepted 28 August 2012

Academic Editor: Consuelo Beck Sague

Copyright © 2012 Winnie Muyindike et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Preventing unintended pregnancies among women living with HIV is an important component of prevention of mother-to-child HIV transmission (PMTCT), yet few data exist on contraceptive use among women entering HIV care. Methods. This was a retrospective study of electronic medical records from the initial HIV clinic visits of 826 sexually active, nonpregnant, 18–49-year old women in southwestern Uganda in 2009. We examined whether contraceptive use was associated with HIV status disclosure to one’s spouse. Results. The proportion reporting use of contraception was 27.8%. The most common method used was injectable hormones (51.7%), followed by condoms (29.6%), and oral contraceptives (8.7%). In multivariable analysis, the odds of contraceptive use were significantly higher among women reporting secondary education, higher income, three or more children, and younger age. There were no significant independent associations between contraceptive use and HIV status disclosure to spouse. Discussion. Contraceptive use among HIV-positive females enrolling into HIV care in southwestern Uganda was low. Our results suggest that increased emphasis should be given to increase the contraception uptake for all women especially those with lower education and income. HIV clinics may be prime sites for contraception education and service delivery integration.