학술논문
Transportation cost as a barrier to contraceptive use among women initiating treatment for HIV in Tanzania.
Document Type
Article
Source
Subject
*TRANSPORTATION
*CONFIDENCE intervals
*CONTRACEPTION
*CONTRACEPTIVE drugs
*CONTRACEPTIVES
*HEALTH services accessibility
*HIV-positive persons
*MEDICAL care use
*WOMEN
*CROSS-sectional method
*FOOD security
*DESCRIPTIVE statistics
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Language
ISSN
0954-0121
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. [ABSTRACT FROM AUTHOR]