PDF herunterladen
CC BY-NC-ND 4.0 · Libyan International Medical University Journal 2020; 05(01): 8-14
DOI: 10.4103/LIUJ.LIUJ_21_19
Original Article

Contraceptive use of HIV-positive women attending an HIV treatment center in Osogbo, Nigeria

Samuel Olowookere
Department of Community Health, Obafemi Awolowo University, Ile-Ife
,
Akindele Ajayi
1   Department of Family Medicine, LAUTECH Teaching Hospital, Osogbo
,
Ajibola Idowu
2   Department of Community Medicine, Bowen University, Iwo, Nigeria
,
Adeola Ajayi
3   Department of Psychiatry, LAUTECH Teaching Hospital, Osogbo
,
Babatunde Afolabi
1   Department of Family Medicine, LAUTECH Teaching Hospital, Osogbo
› Institutsangaben
› Weitere Informationen
Auch verfügbar auf
   Lizenzen und Reprints

Abstract

Background: Access to combination antiretroviral therapy (ART) enables HIV-positive women to live longer in good health. Some of these women are sexually active having unintended pregnancies and unsafe abortions because of not using contraceptives. Objective: This study assessed pattern of contraceptive use by HIV-positive women of reproductive age group attending an HIV treatment center at Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Nigeria. Materials and Methods: A descriptive cross-sectional study of 400 HIV-positive women that completed an interviewer-administered semi-structured questionnaire on awareness and use of contraceptives. Data collected were analyzed with SPSS version 17. Results: Majority, 217 (54.3%), had been pregnant since enrollment with 120 (55.3%) having an induced abortion. Majority, 378 (94.5%), were aware of contraception with health workers as the source of awareness being 204 (54%). Although 313 (82.8%) desire to use a contraceptive, 281 (74.3%) currently used a contraceptive with male condom, 130 (34.4%), being the most common type used. Selected factors significantly associated with contraceptive use included age 35 years and above (odds ratio [OR] =2.58, 95% confidence interval [CI] = 1.18–5.63, P = 0.018), higher education (OR = 4.48, 95% CI = 2.80–7.16, P = 0.0001), being unmarried (OR = 4.34, 95% CI = 2.74–6.88, P = 0.0001), skilled worker (OR = 4.64, 95% CI = 2.76–7.81, P = 0.0001), higher income (OR = 2.15, 95% CI = 1.20–3.82, P = 0.01), and increasing duration on highly active ART 6–12 months (OR = 8.88, 95% CI = 4.50–17.50, P = 0.0001) and >12 months (OR = 4.37, 95% CI = 2.27–8.43, P = 0.0001). Conclusions: Some sexually active HIV-positive women were not using contraceptives. It is necessary to increase contraceptive awareness and use among this vulnerable population.

Key-words:

Abortion - awareness - contraception - unintended pregnancy - women living with HIV

Financial support and sponsorship

Nil.




Publikationsverlauf

Eingereicht: 25. September 2019

Angenommen: 18. Februar 2020

Artikel online veröffentlicht:
14. Juni 2022

© 2020. Libyan International Medical University. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Goliber T, Sanders R, Ross J. Analyzing family planning needs in Nigeria: Lesion for repositioning family planning in Sub-Saharan Africa. United States Agency for International Development/Health Policy Initiative Task Order 1. 2009.
  • 2 Alemayehu M, Belachew T, Tilahun T. Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in Mekelle town, Tigray region, North Ethiopia. BMC Pregnancy Childbirth 2012;12:6.
  • 3 Austin A. Unmet contraceptive need among married Nigerian women: An examination of trends and drivers. Contraception 2015;91:31-8.
  • 4 Okech TC, Wawire NW, Mburu TK. contraceptive use among women of reproductive age in Kenya's city slums. Int J Bus Soc Sci 2011;2:22-43.
  • 5 Olowookere SA, Ijadunola MY, Olowokere AE, Olodu MD, Opaleye OA, Shabi OM, et al. Awareness, use and choice of emergency contraceptive among women in Ile-Ife, Nigeria. Nigerian J Fam Pract 2018;9:18-24.
  • 6 Olugbenga-Bello AI, Abodunrin OL, Adeomi AA. Contraceptive practices among women in rural communities in South-Western Nigeria. Glob J Med Res 2011;11:1-8.
  • 7 Bongaarts J, Cleland J, Townsend JW, Bertrand JT, Gupta MD. Family planning programs for the 21st century. New York: Population Council; 2012. p. 21.
  • 8 Moreland S, Smith E, Sharma S. World population prospects and unmet need for family planning. Washington, DC: Futures Group; 2010. p. 62.
  • 9 Afolabi BA, Afolabi MO, Afolabi AA, Odewale MA, Olowookere SA. Role of family dynamics on adherence to highly active antiretroviral therapy among people living with HIV/AIDS at a tertiary hospital in Osogbo, South-West Nigeria. Afri Health Sci 2013;13:920-6.
  • 10 Abeje G, Motbaynor A. Demand for family planning among HIV positive women on ART: The case of South Gondar and North Wollo Zones Amhara region. BMC Res Notes 2016;9:43.
  • 11 Nieves CI, Kaida A, Seage GR 3rd, Kabakyenga J, Muyindike W, Boum Y, et al. The influence of partnership on contraceptive use among HIV-infected women accessing antiretroviral therapy in rural Uganda. Contracept 2015;92:152-9.
  • 12 UNAIDS. Fact Sheet Global AIDS Update. UNAIDS; 2019. Available from: https://www.unaids.org/en/resources/fact-sheet. [Last accessed on 2019 Sep 25].
  • 13 Olowookere SA, Abioye-Kuteyi EA, Bamiwuye SO. Fertility intentions of people living with HIV/AIDS at Osogbo, Southwest Nigeria. Eur J Contracept Reprod Health Care 2013;18:61-7.
  • 14 Wanyenze RK, Matovu JK, Kamya MR, Tumwesigye NM, Nannyonga M, Wagner GJ. Fertility desires and unmet need for family planning among HIV infected individuals in two HIV clinics with differing models of family planning service delivery. BMC Womens Health 2015;15:5.
  • 15 UNAIDS. Start Free Stay Free AIDS Free 2019 Report. Available from: https://www.unaids.org/sites/default/files/media_asset/20190722_UNAIDS_SFSFAF_2019_en.pdf. [Last accessed 2019 Sep 25].
  • 16 Gelagay AA, Koye DN, Yeshita HY. Demand for long acting contraceptive methods among married HIV positive women attending care at public health facilities at Bahir Dar City, Northwest Ethiopia. Reprod Health 2015;12:1-9.
  • 17 Kongnyuy EJ, Soskolne V, Adler B. Hormonal contraception, sexual behaviour and HIV prevalence among women in Cameroon. BMC Womens Health 2008;8:19.
  • 18 Mersha AG, Erku DA, Belachew SA, Ayele AA, Gebresillassie BM, Abegaz TM. Contraceptive use among HIV-positive and negative women: Implication to end unintended pregnancy. Contracept Reprod Med 2019;4:1-8.
  • 19 Laryea DO, Amoako YA, Spangenberg K, Frimpong E, Kyei-Ansong J. Contraceptive use and unmet need for family planning among HIV positive women on antiretroviral therapy in Kumasi, Ghana. BMC Womens Health 2014;14:126.
  • 20 Nkwabong E, Minda V, Fomulu JN. Knowledge, attitudes and practices of contraception by HIV positive women followed in a Cameroon region with high illiteracy rate: A cross sectional study. Pan Afr Med J 2015;20:143.
  • 21 Hailemariam A, Haddis F. Factors affecting unmet need for family planning in Southern Nations, nationalities and peoples region, Ethiopia. Ethiop J Health Sci 2011;21:77-89.
  • 22 Warren CE, Abuya T, Askew I; Integra Initiative. Family planning practices and pregnancy intentions among HIV-positive and HIV-negative postpartum women in Swaziland: A cross sectional survey. BMC Pregnancy Childbirth 2013;13:150.
  • 23 Kawanaugh MI, Jerman J, Frohwirth L. 'It is not something you talk about really': Information barrier encountered by women who travel long distances for abortion care. Contracept 2019;100:79-84.
  • 24 Meng CX, Gemzell-Danielsson K, Stephansson O, Kang JZ, Chen QF, Cheng LN. Emergency contraceptive use among 5677 women seeking abortion in Shanghai, China. Hum Reprod 2009;24:1612-8.
  • 25 NACA-Nigeria. Nigeria Prevalent Rate. Available from: https://naca.gov.ng/nigeria-prevalence-rate. [Last accessed on 2020 Jan 08].
  • 26 Kish L. Survey Sampling. N.Y.: John Wiley and Sons; 1965.
  • 27 Shehu AU, Joshua IA, Umar Z. Knowledge of contraception and contraceptive choices among human immunodeficiency virus-positive women attending antiretroviral clinics in Zaria, Nigeria. SubSaharan Afr J Med 2016;3:84-90.
  • 28 Vouking MZ, Evina CD, Tadenfok CN. Male involvement in family planning decision making in sub-Saharan Africa – What the evidence suggests. Pan Afr Med J 2014;19:349.
  • 29 Ijadunola MY, Abiona TC, Ijadunola KT, Afolabi OT, Esimai OA, OlaOlorun FM. Male involvement in family planning decision making in Ile-Ife, Osun State, Nigeria. Afr J Reprod Health 2010;14:43-50.
  • 30 Vouking MZ, Evina CD, Tadenfok CN. Male involvement in family planning decision making in sub-Saharan Africa – What the evidence suggests. Pan Afr Med J 2014;19:349.
  • 31 Targang EE, Bain LE. Factors that influence utilization of the female condom among senior secondary school female students in urban Cameroon. Am J Health Res 2014;2:125-33.
  • 32 Ananga MK, Kugbey N, Akporlu MJ, Asante KO. Knowledge, acceptance and utilization of the female condom among women of reproductive age in Ghana. Contracept Reprod Med 2017;2:1-9.
  • 33 Moore L, Beksinska M, Rumphs A, Festin M, Gollub EL. Knowledge, attitudes, practices and behaviors associated with female condoms in developing countries: A scoping review. Open Access J Contracept 2015;6:125-42.
  • 34 Singh S, Darroch JE. Adding it up: Costs and benefits of contraceptive services. Guttmacher Institute and UNFPA. 2012.
  • 35 Habte D, Namasasu J. Family planning use among women living with HIV/AIDS: Knowing HIV status helps – Results from a national survey. Reproductive Health 2015;12:1-11.