Connecting-Africa | Find publications

Advanced search

Find:


Title Transportation cost as a barrier to contraceptive use among women initiating treatment for HIV in Tanzania.
Full text https://escholarship.org/uc/item/72v061w0
Date 2021
Author(s) Hunter, Lauren A; Prata, Ndola; Eskenazi, Brenda; Njau, Prosper F; McCoy, Sandra I
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.
Subject(s) Humans; HIV Infections; Contraceptive Agents; Female; Anti-Retroviral Agents; Contraception; Antiretroviral Therapy; Highly Active; Cross-Sectional Studies; Condoms; Contraception Behavior; Transportation; Adolescent; Adult; Middle Aged; Health Services Needs and Demand; Health Services Accessibility; Tanzania; Female; Young Adult; Food Insecurity; HIV; PMTCT; food insecurity; transportation; Infectious Diseases; Contraception/Reproduction; Pediatric AIDS; Clinical Research; Sexually Transmitted Infections; Prevention; Pediatric; HIV/AIDS; Infection; Good Health and Well Being; Public Health and Health Services; Psychology; Public Health
Coverage 206 - 213
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Source AIDS care, vol 33, iss 2
Rights public
Identifier qt72v061w0
Repository Berkeley - University of California
Added to C-A: 2023-07-05;10:26:53