Contraceptive Use and Determinants Among Women Living with HIV in Ijebu Ode, Ogun State, Nigeria
DOI:
https://doi.org/10.63950/gshh.2025.1.2.14Keywords:
Contraceptive use, Women living with HIV, HIV status disclosure, Antiretroviral therapy, NigeriaAbstract
Introduction: Women living with HIV (WLHIV) face a heightened risk of unintended pregnancies, which can lead to mother-to-child transmission of HIV. Ensuring access to effective contraceptive methods is essential for protecting maternal and child health. This study assessed the prevalence of contraceptive use and associated factors among WLHIV in Ijebu Ode Local Government Area, Ogun State, Nigeria.
Methods: A descriptive cross-sectional study was conducted among 144 WLHIV aged 18–49 years, selected using simple random sampling from the PEPFAR clinic at the State Hospital, Ijebu Ode. Data were collected using a structured, interviewer-administered questionnaire covering demographics, contraceptive use, perceptions, and influencing factors. Descriptive statistics and chi-square tests were used to analyse the data.
Results: Contraceptive use prevalence among participants was 76.4%. The most used methods were condoms (83.3%) and injectables (41.8%). Contraceptive use was significantly associated with HIV status disclosure to a partner (p = 0.025), prior counselling on contraceptives (p = 0.001), tertiary education (p = 0.026), access to preferred methods (p = 0.001), and lack of desire for more children (p = 0.020). The belief that contraceptives interfere with antiretroviral therapy (ART) was negatively associated with use (p < 0.001).
Conclusion: Contraceptive uptake among WLHIV in this setting was high, particularly among women who had disclosed their HIV status, received counselling, or attained higher education. Interventions that promote disclosure, integrate family planning into HIV care, and address ART-contraceptive misconceptions are crucial for improving reproductive health outcomes.
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Copyright (c) 2025 Olu-Abiodun OO, Sodimu O, Ilusanmi O, Sagbo F (Author)
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