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Transportation cost as a barrier to contraceptive use among women initiating treatment for HIV in Tanzania.
- Source :
-
AIDS care [AIDS Care] 2021 Feb; Vol. 33 (2), pp. 206-213. Date of Electronic Publication: 2020 May 06. - Publication Year :
- 2021
-
Abstract
- Transportation cost is a barrier to HIV treatment, yet no studies have examined its association with contraceptive use among women living with HIV. We analyzed cross-sectional data from women attending three public healthcare facilities in Shinyanga, Tanzania where they initiated antiretroviral therapy for HIV infection in the previous 90 days; all facilities offered free contraception. Women self-reported current contraceptive use and the round-trip cost of transportation to the facility. Among 421 women aged 18-49, 86 (20.4%) were using any modern contraceptive method, of which half were using modern methods other than condoms. Women who paid more than 2,000 Tanzanian shillings for transportation had a significantly lower prevalence of any modern method use than women who paid nothing (9.1% vs. 21.3%; adjusted difference: -12.9; 95% confidence interval: -21.3, -4.4). A similar difference was observed for non-condom modern method use. We conclude that high transportation cost may impede contraceptive use even among women accessing HIV treatment.
- Subjects :
- Adolescent
Adult
Antiretroviral Therapy, Highly Active
Condoms statistics & numerical data
Contraception
Cross-Sectional Studies
Female
Food Insecurity
Health Services Needs and Demand
Humans
Middle Aged
Tanzania
Young Adult
Anti-Retroviral Agents therapeutic use
Contraception Behavior statistics & numerical data
Contraceptive Agents, Female administration & dosage
HIV Infections drug therapy
Health Services Accessibility statistics & numerical data
Transportation economics
Subjects
Details
- Language :
- English
- ISSN :
- 1360-0451
- Volume :
- 33
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- AIDS care
- Publication Type :
- Academic Journal
- Accession number :
- 32372660
- Full Text :
- https://doi.org/10.1080/09540121.2020.1758613