Which factors influence North Ethiopian adults' use of dual protection from unintended pregnancy and HIV/AIDS?

Abstract

Abstract
Background: In Ethiopia 16.2% of births are not wanted, 18.7% of births are mistimed, and >90% of adult cases of HIV are attributable to heterosexual activity. Dual protection is an important public health intervention in this context.
Objective: To assess the extent and predictors of dual protection among married or cohabiting people in Northern Ethiopia.
Methodology: A community-based stratified cross-sectional survey of 868 married or cohabiting women and men, and four focus group discussions, were conducted in Adwa town, northern Ethiopia, in 2006.
Results: 13.8% of respondents practiced effective dual protection. Predictors included male sex, being literate, being employed, approval of condom use within marriage, and discussion of dual protection. Focus group participants emphasized the negative community perceptions associated with condom use within marriage.
Conclusion: Use of dual protection was unusual in this North Ethiopian town. Condom use was uncommon among current hormonal contraceptive users, and condom use within marriage was highly stigmatized. [Ethiop.J.Health Dev. 2008;22(3):226-231]