Title : Determinants of family planning uptake among HIV positive women attending general hospitals in Kaduna metropolis
Abstract:
Globally the pandemic of Human Immune - deficiency virus HIV and AID has continued to constitute serious health and socio-economic challenges for more than two decades reversing many of the health and developmental gains as reflected by indices such as life expectancy at birth and infant mortality rate. The decline in the incidence of HIV infection is the effect of multiple interventions implemented to prevent HIV transmission among heterosexual and especially from mother-to-child HIV transmission. Most of these infections could have been prevented by antiretroviral therapy (ART) during pregnancy and more by contraceptive use among HIV-infected women, which is the fourth component of preventing mother-to-child transmission (PMTCT). In Nigeria like many other sub-Saharan countries, prevention of unintended pregnancies among HIV positive women as a strategy for PMTCT has been neglected. This has resulted in a large population of HIV positive women who have a substantial degree of unmet need for family planning. The study explored determinants of family planning uptake among HIV positive women attending General hospital in Northwest Nigeria.
A cross- sectional descriptive study was conducted. A total of 194 HIV positive women attending general hospitals in Kaduna metropolis North-western Nigeriawere selected using a multi _stage sampling technique. Data were collected using interviewer administered, closed ended, structured questionnaire and results were analysed electronically.
Results showed the mean age of the respondents was 35.51 ± 7.97 years. Almost all, knew male condoms and implant were the commonly used methods. More than a third were currently on contraception. Respondent’s age, marital status and level of education had significant association with uptake of contraceptive use. Multivariate analysis showed age, marital status, occupation, parity and religion were predictors of contraceptive use. In addition, awareness of HIV status and knowledge of contraception, were predictors of contraceptive use. The finding from this study called for Policy makers should design counselling programs to increase utilization of contraceptives among HIV-positive women.
Keywords: Determinants, family Planning, Uptake, HIV positive, women.
