Hiv Status And Contraceptive Use Among Women Of Reproductive Age Group Attending A Secondary Health Facility In South-West Nigeria
Dr Omotade Adebimpe Ijarotimi
Obafemi Awolowo University, Ile-Ife
Dr Ibidolapo Taiwo Ijarotimi
Dr Akaninyene Eseme Ubom
Dr Muhammad Shakir Balogun
Prof Olufunmilayo Fawole
Keywords: Contraception, HIV, Nigeria, Women
Abstract
Background: Globally, in 2015, about 17.8 million women were living with HIV/AIDS (WLHA), of which about 80% were in their reproductive age and lived in sub-Saharan Africa. Women living with HIV/AIDS are advised to limit family size and have access to the use of safe and effective contraceptive methods. We investigated the association between HIV status and contraceptive use.
Methods: This study was a cross-sectional comparative study of 1,000 reproductive age women attending the antiretroviral (ART) and general outpatient clinics of State Specialist Hospital, Akure, South-West Nigeria. Data were collected using self-administered questionnaires. Odds ratio and chi-square were calculated, and multiple logistic regression was also done with the level of significance set at <0.005.
Results: HIV-positive women were significantly more likely to have used contraception compared to negative women (59.7% vs. 48.0%, p=<0.001; OR 1.61, 95 % CI:1.24-2.08). Condom use was also significantly more likely among HIV-positive women than HIV-negative women (70.4% vs. 39.1%, p=<0.001; OR 3.53, 95 % CI: 2.65-4.68). However, only 110, 33.3%, of HIV-positive women reported consistent condom use. The unmet need for contraception among HIV-positive women was higher than that among HIV-negative women (17.1% vs. 14.8%), but this difference was not statistically significant (p=0.700).
Conclusion: There is a need to promote consistent condom use among WLHA, and also improve their access to safe and effective contraception, to reduce the rate of unintended pregnancy, limit transmission of HIV from an infected to a non-infected partner, as well as the mother to child transmission of HIV among HIV-positive women.
Author Biography
Dr Omotade Adebimpe Ijarotimi , Obafemi Awolowo University, Ile-Ife
Department of Obstetrics, Gynaecology, and Perinatology
Senior Lecturer/Consultant Obstetrician and Gynaecologist