Demographic Factors affecting Dual Contraception Preference among Seropositive Women in Discordant Relationships in Nyatike Sub-County, Kenya

Abstract

Dual contraception is an effective strategy of achieving zero HIV transmission and unwanted pregnancy among discordant couples. Despite the double benefit, dual contraception use is still limited among seropositive women particularly in Nyatike Sub County, Kenya. Further, no research had been done on dual contraception preference or use among discordant couples in Nyatike Sub County. To fill this gap, this study aimed to establish the relationship between socio-demographic factors including age, parity, level of education, monthly income and dual contraception preference among seropositive women in discordant marital relationships in Nyatike Sub- County of Migori County, Kenya. This was a facility-based cross-sectional study in fourteen health facilities in Nyatike Sub- County. It involved 188 randomly sampled seropositive women in discordant marital relationships, 14 seronegative men randomly sampled and 14 healthcare providers. Descriptive statistics and chi-square test were used to analyze quantitative data while qualitative data were analyzed using content analysis. The study revealed that Parity (p=.001), level of education (p=.003) and monthly income (p=.026) were statistically significantly associated with dual contraception preference while age (p=.051) was not. The study recommends sensitization of seropositive women on the benefits of dual contraception to increase uptake of dual contraception.