Determinants of Contraceptive Utilization Among HIV Positive Women Receiving Anti Retroviral Therapy (Art) In North-West Region, Nigeria

Résumé fourni par la source

Abstract Contraception helps to prevent unplanned pregnancies among human immune virus positive women. The Utilization of contraceptive among HIV positive women is low in Nigeria, a country with high rates of HIV infected children from maternal to child transmission. This study assessed the determinants of choice and utilization of contraceptives among HIV Positive women receiving Anti-Retroviral Therapy (ART) at General Hospital Daura, Katsina State. Using a cross-sectional study design with quantitative method of data collection, random and purposive sampling techniques were employed to select respondents of the study respectively. An adapted structured questionnaire was used to collect data from 186 women who had been on ART for at least 3 months prior to the study. The study revealed a contraceptive prevalence rate of 37.6% among current users and 54.3% among those who ever used. Pills was the commonest method used (55.7%) and Child spacing (76.1%) was the main reason for the use of contraceptive. Marital status, parity and access to preferred method were found to be significant determinants of contraceptive use. Odds of using contraceptives were twenty-nine times higher among married women compared to unmarried women (adjusted OR 29.07, 95% CI: 3.54 –239.03, p=0.002). Primiparous respondents were seven times more likely to use contraceptives when compared to the nulliparous respondents (adjusted OR 7.42, 95% CI: 2.68 – 20.58, p= 0.002). Additionally, odds of contraceptive use were 76% lower among women who didn’t have access to their preferred method compared to those who did (adjusted OR 0.24, 95% CI: 0.07 –0.83, p=0.02). The study revealed that the utilisation of contraception was low and child spacing was the main determinants of contraceptive uptake. Therefore, there is a need to strengthen the integration of family planning service with HIV care and support services.

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