Libyan International Medical University Journal

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 5  |  Issue : 1  |  Page : 8--14

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


Samuel Anu Olowookere1, Akindele Amos Ajayi2, Ajibola Idowu3, Adeola Olajumoke Ajayi4, Babatunde A Afolabi1 
1 Department of Community Health, Obafemi Awolowo University, Ile-Ife, Nigeria
2 Department of Family Medicine, LAUTECH Teaching Hospital, Osogbo, Nigeria
3 Department of Community Medicine, Bowen University, Iwo, Nigeria
4 Department of Psychiatry, LAUTECH Teaching Hospital, Osogbo, Nigeria

Correspondence Address:
Samuel Anu Olowookere
Department of Community Health, Obafemi Awolowo University, Ile-Ife
Nigeria

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.


How to cite this article:
Olowookere SA, Ajayi AA, Idowu A, Ajayi AO, Afolabi BA. Contraceptive use of HIV-positive women attending an HIV treatment center in Osogbo, Nigeria.Libyan Int Med Univ J 2020;5:8-14


How to cite this URL:
Olowookere SA, Ajayi AA, Idowu A, Ajayi AO, Afolabi BA. Contraceptive use of HIV-positive women attending an HIV treatment center in Osogbo, Nigeria. Libyan Int Med Univ J [serial online] 2020 [cited 2021 Jun 21 ];5:8-14
Available from: http://journal.limu.edu.ly/article.asp?issn=2519-139X;year=2020;volume=5;issue=1;spage=8;epage=14;aulast=Olowookere;type=0