Contraceptive Use Among Women Living with HIV and AIDS Receiving Care at Secondary and Tertiary Health Care Facilities in Ibadan, Nigeria
American Journal of Clinical and Experimental Medicine
Volume 5, Issue 6, November 2017, Pages: 218-223
Received: Oct. 30, 2017;
Accepted: Nov. 14, 2017;
Published: Dec. 18, 2017
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Adenuga Faidat Adesola, Department of Obstetrics and Gynaecology, University of Ibadan, Ibadan, Nigeria
Bakarey Adeleye Solomon, Institute for Advanced Medical Research and Training, University of Ibadan, Ibadan, Nigeria
Titiloye Musibau Ayoade, Department of Health Promotion and Education, University of Ibadan, Ibadan, Nigeria
Oladepo Oladimeji, Department of Health Promotion and Education, University of Ibadan, Ibadan, Nigeria
Ngene Samuel Osobuchi, Department of Epidemiology and Medical Statistics, University of Ibadan, Ibadan, Nigeria
Contraceptive use is a form of family planning and it is one practice among the most important health decisions that many people make and this does not exclude women living with HIV/AIDS. Lack of adequate information on available contraceptive methods and restriction of choices are the major constraints for contraceptive users to obtain a method that suits their need. Consequently, this study was designed to assess contraceptive use among women living with HIV and AIDS receiving care at secondary and tertiary health care facilities in Ibadan, Nigeria. A cross-sectional study using systematic sampling technique was conducted to select 350 consenting women among HIV positive women receiving care in two health facilities in Ibadan, Nigeria. A pre-tested interviewer administered questionnaire was used to obtain information on respondent’s socio-demographic characteristics, contraceptive usage and level of satisfaction of modern contraceptive method. Data were analyzed using SPSS version 22. Chi-square statistic was used to test associations between categorical variables at a level of statistical significance of 5%. The mean age of respondents was 37.0±8.5 years and about 87.0% were currently married. The current prevalence of contraceptive was 67.7%. Condom was the most currently preferred contraceptive method (54.0%), followed by injectable (12.2%) and oral pills (11.0%). About 83.1% was satisfied with their current method of contraception. The most cited reason by those who were not satisfied with their current contraceptive method irregular menses (30.0%). The factors that were significantly associated with contraceptive use were maternal age, marital status, type of marriage, level of education and parity decision (P < 0.05). High level of contraceptive uptake and satisfaction was observed in this study. However, irregular menses was a common complaint of those who were not satisfied with their current method. Family planning programme should be incorporated as a component part of care for women living with HIV and AIDS.
Adenuga Faidat Adesola,
Bakarey Adeleye Solomon,
Titiloye Musibau Ayoade,
Ngene Samuel Osobuchi,
Contraceptive Use Among Women Living with HIV and AIDS Receiving Care at Secondary and Tertiary Health Care Facilities in Ibadan, Nigeria, American Journal of Clinical and Experimental Medicine.
Vol. 5, No. 6,
2017, pp. 218-223.
United States Agency for International Development Long-Acting and permanent methods of Contraception: Meeting Clients’ needs. 2006, Retrived on September 2015 from http://pdf.usaid.gov/pdf_docs/Pnadi070.pdf: Washington, DC.
R. Smith, L. Ashford, J. Gribble and D. Clifton D. Family planning saves lives. 2009.
Joint United Nations Programme on HIV/AIDS. United Nations Political Declaration on Ending AIDS sets world on the Fast-Track to end the epidemic by 2030. 2016, Retrieved on 27th October, 2017 from http://www.unaids.org/en/resources/presscentre/pressreleaseandstatementarchive/2016/june/20160608_PS_HLM_PoliticalDeclaration.
Ethiopia Demographic Health Survey, Health Survey: Addis Ababa. Ethiopia and Calverton, Maryland, USA: central statistics agency and ORC macro, 2011.
T. Delvaux and C. Nöstlinger, Reproductive choice for women and men living with HIV: contraception, abortion and fertility. Reproductive health matters, 2007. 15(29): p. 46-66.
Federal Ministry of Health, Guidelines for Prevention of Mother-to-Child Transmission of HIV in Ethiopia. Addis Ababa: Federal HIV/AIDS Prevention and Control Office 3–8., 2011.
Joint United Nations Programme on HIV/AIDS UNAIDS report on the global AIDS epidemic. 2013, Retrieved on 27th October, 2017 from http://www.unaids.org/en/resources/presscentre/pressreleaseandstatementarchive/2016/june/20160608_PS_HLM_PoliticalDeclaration.
World Health Organisation, Improving Access to Quality care in Family Planning: Medical eligibility criteria for contraceptive use. 2004: Geneva, Switzerland.
R. Reynolds, B Janowitz, R. Wilcher, W. Cates. Contraception to prevent HIV-positive births: current contribution and potential cost savings in PEPFAR countries. Sexually transmitted infections, 2008. 84(Suppl 2): p. ii49-ii53.
J. O. Akinyemi, O. A. Awolude, I. F. Adewole, P. J. Kanki, Akinyemi, J. O., et al., Condom use among antiretroviral therapy patients in Ibadan, Nigeria. The Journal of Infection in Developing Countries, 2010. 4(08): p. 495-502.
E. Odusina, D. Ugal, and O. Olaposi. Socioeconomic status, contraceptive knowledge and use among rural women in Ikeji Arakeji, Osun State, Nigeria. Afro Asian Journal of Social Sciences, 2012. 3(3. 2): p. 1-10.
A. V. Umoh and M. G. Abah. Contraception awareness and practice among antenatal attendees in Uyo, Nigeria. Pan African Medical Journal, 2011. 10.
F. C. Igbodekwe, O. Oladimeji, J. E. Oladimeji, I. A. Adeoye, O. M. Akpa, L. Lawson. Utilisation of modern contraceptive among women of childbearing age in resource constraint setting: evidence from 2008 National Demographic and Health Survey in Nigeria. Journal of Health Science, 2014. 4(3): p. 72-78.
A. Akinyemi, S. Adedini, S. Hounton, A. Akinlo, O. Adedeji, O. Adonri, et al. Contraceptive use and distribution of high-risk births in Nigeria: a sub-national analysis. Global health action, 2015. 8(1): p. 29745.
J. E. Eko, K. O. Osonwa, N. C. Osuchukwu, D. A. Offiong. Prevalence of Contraceptive use among women of reproductive age in Calabar Metropolis, Southern Nigeria. International Journal of Humanities and Social Science Invention (IJHSSI), 2013. 2(6).
B. Oye-Adeniran, I. Adewole, K. Odeyemi, E. Ekanem, A. Umoh. Contraceptive prevalence among young women in Nigeria. Journal of Obstetrics and Gynaecology, 2005. 25(2): p. 182-185.
J. Cleland and M. M. Ali. Sexual abstinence, contraception, and condom use by young African women: a secondary analysis of survey data. The Lancet, 2006. 368(9549): p. 1788-1793.
P. Maharaj and Cleland J. Condoms become the norm in the sexual culture of college students in Durban, South Africa. Reproductive health matters, 2006. 14(28): p. 104-112.
A. Etokidem, W. Ndifon, J. Etowa, E. Asuquo. Family planning practices of rural community dwellers in cross River State, Nigeria. Nigerian Journal of Clinical Practice, 2017. 20(6): p. 707-715.
A. M. Abasiattai, E. Etukumana, N. M. Utuk, A. Umoiyoho. Awareness and Practice of Contraception Among Antenatal Attendees in a Tertiary Hospital in South-South Nigeria. TAF Preventive Medicine Bulletin, 2011. 10(1): p. 29-34.
S. Chae and V. Woog, Barriers to Women’s Contraceptive Use in Benin. 2016, Guttmacher Institute: Retrieved 26th October, 2017 from https://www.guttmacher.org/report/barriers-womens-contraceptive-use-benin.
M. M. Khan, M. E. Hossain, and M. N. Hoq. Determinants of contraception use among female adolescents in Bangladesh. Asian social science, 2012. 8(12): p. 181.
E. Nketiah-Amponsah, E. Arthur, and A. Abuosi, Correlates of contraceptive use among Ghanaian women of reproductive age (15-49 years). African journal of reproductive health, 2012. 16(3): p. 154-169.
S. H. Nyarko. Prevalence and correlates of contraceptive use among female adolescents in Ghana. BMC women's health, 2015. 15(1): p. 60.
B. L. Solanke. Factors influencing contraceptive use and non-use among women of advanced reproductive age in Nigeria. Journal of Health, Population and Nutrition, 2017. 36(1): p. 1.
D. O. Laryea, F. Ankobeah, E. S. Morhe, Y. A. Amoako, K. Spangenberg. Characteristics and contributory factors for injectable contraceptive usage among women in Kumasi, Ghana. Contraception and Reproductive Medicine, 2016. 1(1): p. 8.
L. Chavane, M. Dgedge, P. Bailey, O. Loquiha, M. Aerts, M. Temmerman. Assessing women's satisfaction with family planning services in Mozambique. J Fam Plann Reprod Health Care, 2017. 43(3): p. 222-228.