According to the World Health Organization (WHO), there were approximately 36.9 million people worldwide living with HIV/AIDS at the end of 2014. Since the beginning of the epidemic, almost 71 million people have been infected with the HIV virus and about 34 million people have died of HIV. It is better to give more emphasis on health education and counseling service about consistent condom use for PLWHA who are on ART during follow-up especially for those who came from rural areas. Place of residence and condom use initiation during sexual contact were significantly associated with consistent condom use. Consistent condom utilization among HIV clients on ART was low (55.8%). Respondents in rural residence (AOR=0.326, 95% CI: 0.109, 0.973) and sexual partner initiated condom use (AOR=0.031, 95% CI: 0.005, 0.186) were found to be the independent predictors of consistent condom use. Consistent condom use was reported by 130 (55.8%) sexually active study subjects. About 216 (60.3%) of the participants were female and 325 (90.8%) were Orthodox followers. Among study participants, 138 (38.5%) were in the age category of 35-44 years. A total of 358 ART clients participated in the study with response rate of 90%. Descriptive statistics was computed and binary and multiple logistic regressions were also conducted to examine the effect of selected independent variables on consistent condom use. Data were collected by using pretested structured questionnaires and analyzed using SPSS version 22. Study participants were selected by simple random sampling technique. Koladiba Health Center is the first health center in Ethiopia that is found in Debbie district, which is located in north Gondar Zone. A total of 358 patients on ART in Koladiba Health Center had participated in this research. An institutional based cross-sectional study was conducted, from April 15 to June 10, 2016.
To assess magnitude of consistent condom use and associated factors among HIV-positive clients on Antiretroviral Therapy in North West Ethiopian health center, 2016 GC. Inconsistent use of condom by People Living with Human Immune Deficiency Virus or Acquired Immune Deficiency Syndrome on Antiretroviral Therapy will lead to further worsening the Human Immune Deficiency Virus infection epidemic and reinfection with new drug resistant viral strains. Condoms offer protection against unwanted pregnancy and some sexually transmitted infections including Human Immune Deficiency Virus, when used correctly and consistently.
Many would argue that consistent condom use is not most effective method for HIV prevention. The burden of Human Immune Deficiency Virus or Acquired Immune Deficiency Syndrome is high in sub-Saharan countries including Ethiopia which have over two-thirds of the global HIV burden.