This study explored
perceptions towards and utilization of
contraception among
HIV-positive,
reproduction-age
women in Kericho,
Kenya, an area with high
HIV and low
contraceptive prevalence rates. Qualitative
methods were used in three
focus group discussions and 15 in-depth interviews to gather data from 46
HIV-positive
women ages 18 to 45, purposively selected by age strata.
Analysis was performed using ATLAS-ti (ATLAS-ti Center,
Berlin). Most participants reported
familiarity with modern
contraceptives. Participants generally perceived that
men opposed
contraception. Some
women indicated that their
HIV status dictated
contraceptive decisions, particularly with regard to abstinence.
Women reported
method discontinuation because of side effects, having met desired
parity, and menstrual changes. Findings suggested that
perceptions about side effects,
opinions of the
male partner, and
HIV disease progression play important
roles in
contraceptive decisions.
Counseling can dispel incorrect information and optimize
contraceptive practice in this setting (Afr J Reprod
Health 2010; 14[4] 103-114)