Emerging determinants of contraceptive practices among HIV-positive women on antiretroviral therapy in Nigeria
Journal Title: Hong Kong Journal of Obstetrics and Gynaecology - Year 2018, Vol 1, Issue 1
Abstract
Objectives: To determine the prevalence of contraceptive use, preferences and determinants amongst HIV-positive women on anti-retroviral therapy. Methods: In this observational, analytical, cross-sectional study, participants were selected by systematic random sampling in Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria. They completed pretested standardized questionnaires. Univariate logistic regression was used to analyze the data. Statistical significance was accepted when P- value is <0.05. Results: A total of 301 women were successfully interviewed. Of the 301 participants, 165 (54.8%) used contraception. The mean age of the participants was 38.9 ± 4.7 years. Seventy seven (25.6%) had four or more living children. The majority of the respondents were aware (279; 92.7%) of contraceptives but only 63 of the 279 (22.6%) women had good knowledge of contraception and contraceptive methods. Condom (alone or combined with any other) 96/165 (58.2%) and injectable contraceptives 29/165(17.6%) were the most common methods used by the respondents. There was statistically significant association between the use of various contraceptive methods (condoms, injectables, pills, coitus interuptus and abstinence) before and after the diagnosis of HIV (p<0.05,for all). Thirty two (10.6%) women reported having been pregnant since commencement of ART but 19 out of 32 (59.4%) had unplanned pregnancies. Conclusion: Approximately half proportion of HIV positive women were utilizing contraception at time of survey indicating an unmet need of 50% for effective contraception amongst HIV-positive women in Nigeria. Age and marital status are identified as significant determinants of contraceptive use among HIV positive women.
Authors and Affiliations
Chito Pachella Ilika, George Uchenna Eleje, Chinekwu Sochukwu Anyaoku, Emmanuel Ikechukwu Okaforcha, Ifeoma Clara Ajuba
Keywords
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