Dual Contraceptive Method Utilization and Its Associated Factors among women of Reproductive Age at ART Clinics in Lideta Sub-City, Addis Ababa, Ethiopia: A cross-sectional study
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Background
Dual protection is an important preventive approach that prevents both unwanted pregnancy and sexually transmitted infections. It allows Human Immunodeficiency Virus-positive women to avoid unintended pregnancy to reduce vertical HIV transmission, as well as morbidity and mortality among mothers and children. Data regarding dual contraceptive utilization are limited. This study aimed to assess the utilization of dual contraceptive methods and associated factors among reproductive-age women at the ART clinic in Lideta Sub-City, Addis Ababa, Ethiopia, in 2025.
Methods
A health center-based cross-sectional study design was employed to collect data from 398 study participants selected through a systematic random sampling technique in eight health centers of Lideta Sub-City from March 7 to April 7, 2025. Binary logistic regression was performed to identify factors associated with dual contraceptive utilization. Adjusted odds ratios with 95% confidence intervals and p-values < 0.05 were used to determine the association between the dual contraceptive utilization and the independent variables.
Results
The overall magnitude of dual contraceptive method utilization was 43.2% (95% CI: 38.3%, 48%). Receiving counseling by healthcare providers (AOR=6.25, 95% CI: (1.99, 19.58)), having no desire to have a child (AOR=6.4, 95% CI: (3.24, 12.63)), disclosing HIV status (AOR=4.68, 95% CI: (2.60, 8.43)), and having an open discussion with their partners (AOR=4.3, 95% CI: (1.51, 12.26)) were the factors significantly associated with dual contraceptive utilization.
Conclusions
Dual contraceptive utilization is low compared to the targets set by the World Health Organization and the Ministry of Health. Counseling by a health care provider, disclosure of HIV status, desire to have a child, and open partner discussion were the factors associated with dual contraceptive utilization. Hence, educating and empowering HIV-positive individuals regarding their reproductive health choices.
