Sage Journals: Discover world-class research

Abstract

As mother-to-child transmission of HIV is difficult to predict and also hard to prevent in practice, pregnancy among women living with HIV/AIDS (WHA) needs to be taken with considerable aforethought. The prevention of unwanted pregnancy among WHA is therefore a public health issue. The aim of our study was to determine the unmet need for contraception among HIV-positive women and the associated factors. Ours was a cross-sectional study involving 425 non-pregnant WHA attending an adult HIV clinic in Nigeria. Interviewer-administered, structured questionnaires designed for the study were used to obtain data. The contraceptive uptake was 47% while the unmet need for contraception was 20%. There were significant associations between unmet need for contraception and age group (P < 0.001), religion (P < 0.001), ethnic group (P < 0.001), knowledge about contraceptives (P = 0.02), educational status (P = 0.01) and partners’ retroviral status (P = 0.008) The unmet need for contraception was high. Advocacy programs should perhaps be focused on older women, Christians and those with little or no education.

Keywords

Unmet need for contraception unplanned pregnancy HIV/AIDS

Get full access to this article

View all access options for this article.

References

UNAIDS. 2010 UNAIDS Report on global AIDS epidemic, Geneva: UNAIDS, 2011.

UNAIDS. 2015 progress report on global plan towards elimination of new HIV infections in children by 2016 and keeping their mothers alive. Geneva: Joint United Nations Programme on HIV/AIDS, 2015. Available at: http://www.unaids.org/en/resources/documents/2015/JC2774_2015ProgressReport_GlobalPlan (accessed 28 November 2017).

Ezechi

Gbajabiamila

Gab-Okafor

et al.

Contraceptive behavior, practices and associated factors among Nigerian women living with Human Immunodeficiency Virus infection. J HIV Hum Reprod 2013; 1: 30–35.

UNAIDS. Report on the Global AIDS Epidemic 2010. Geneva: UNAIDS, 2010. Available at: www.unaids.org/globalreport/Global_report.htm (accessed 27 November 2017).

Banhart

. PEPFAR: is 90-90-90 magical thinking? Lancet 2016; 387: 943–944.

Nakagawa

Miners

Smith

et al.

Projected lifetime healthcare costs associated with HIV infection. PLos One 2015; 10: e0125018–e0125018.

UNICEF. Children & AIDS: 2015 statistical update. Washington, DC: UNICEF, 2015. Available at: http://data.unicef.org/resources/children-aids-205-statistical-update-2/.Nov (accessed on 27 November 2017).

Daire OK. Contraception use among HIV positive women on antiretroviral therapy in Blantyre, Malawi [Dissertation]. Zomba: University of Malawi, 2011.

World Health Organization. Prevention of Mother-to-Child Transmission of HIV; HIV Technical Briefs For Use, Geneva: World Health Organization, 2007.

10.

Reynolds

. The value of contraception to prevent perinatal HIV transmission. Sex Transm Dis 2006; 33: 350–356.

11.

Hladik

Stover

Harper

et al.

The contribution of family planning towards the prevention of vertical HIV transmission in Uganda. PLoS One 2009; 4: 7691–7691.

12.

National Population Commission - NPC/Nigeria and ICF International. Nigeria Demographic and Health Survey 2013, Abuja: NPC/Nigeria and ICF International, 2014.

13.

Govindasamy P and Boadi E. A decade of unmet need for contraception in Ghana: Pragmatic and Policy Formulations. Accra: National Population Council, 2000.

14.

Robey B, Ross R and Bhushan I. Meeting unmet need: New strategies. Population Reports Series. No. 43. Baltimore, MD: Johns Hopkins School of Public Health, Population Information Program, 2006.

15.

Laryea

Amoako

Spangenberg

et al.

Contraceptive use and unmet need for family planning among HIV positive women on antiretroviral therapy in Kumasi, Ghana. BMC Women’s Health 2014; 14: 126–126.

16.

Beyeza-Kashesya

Kaharuza

Mirembe

et al.

The dilemma of safe sex and having children: challenges facing HIV sero-discordant couples in Uganda. Afr Health Sci 2009; 9: 2–12.

17.

Yotebieng

Norris

Chalachala

et al.

Fertility desires, unmet need for family planning, and unwanted pregnancies among HIV-infected women in care in Kinshasa, DR Congo. Pan Afr Med J 2015; 20: 235–235.

18.

Andia

Kaida

Maier

et al.

Highly active antiretroviral therapy and increased use of contraceptives among HIV-positive women during expanding access to antiretroviral therapy in Mbarara, Uganda. Am J Public Health 2009; 99: 340–347.

19.

Wanyenze

Matovu

Kamya

et al.

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 Women’s Health 2015; 15: 5–5.

20.

Jhangri

Heys

Alibhai

et al.

Unmet need for effective family planning in HIV-infected individuals: results from a survey in rural Uganda. J Fam Plann Reprod Health Care 2012; 38: 23–29.

21.

Okigbo

McCarraher

Chen

et al.

Unmet need for contraception among clients of FP/HIV Integrated services in Nigeria: The role of partner opposition. Afr J Reprod Health 2014; 18: 134–143.

22.

Adair

. Unmet need for contraception among HIV-positive women in Lesotho and implications for mother-to-child transmission. J Biosocial Sci 2009; 41: 269–278.

23.

Khalil

Alzahrani

Sidiqqui

. Unmet need and demand for family planning among married women of Abha, Aseer Region in Saudi Arabia. Middle East Fertil Soc J 2018; 23: 31–36.

24.

Prusty

. Use of contraceptives and unmet need for family planning among tribal women in India and selected hilly states. J Health Popul Nutr 2014; 32: 342–355.

Unmet need for contraception among HIV-positive women in Ile-Ife,Nigeria

Abstract

Keywords

Get full access to this article

References