Predictors of Utilization of Family Planning Services among HIV Positive Women in Two South Eastern States of Nigeria

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DOI: 10.21522/TIJPH.2013.07.01.Art014

Authors : Oniyire Adetiloye, Bright Orji, Emmanuel Ugwa, Oluwatobi Adebayo, Olowu Banjo, Salami Kabiru


The study objective was to determine the predictors for the use of family planning methods among women living with HIV in two South Eastern States in Nigeria in order to make quality improvement recommendations. This was a descriptive cross sectional study among HIV positive clients attending the HIV clinic in Ebonyi and Enugu State Nigeria. The sample size was 442 clients comprising 142 from Ebonyi and 300 from Enugu. Informed consent was obtained. Data collection was done using interviewer-administered and pretested questionnaires. Quantitative variables were summarized using frequencies, percentages, means and standard deviation. The Chisquare test was used to evaluate association between categorical variables as appropriate and P-value ≤0.05 was considered statistically significant. Logistic regression analysis was used to assess the relative effect of determinants, adjusting for other predictor variables. Majority (42.3%) of the respondents were aged 30-39years. There were significantly more female (78.4%) respondents compared to males (21.6%). Respondents lived in the urban (47.2%) and sub-urban (48.2%) settings. Most (72.1%) of the respondents, had a tertiary level education and were mostly traders, single and of Christian faith. Less than half (40%) of the respondents had 3-4 babies and had their last babies 5 or more years prior to the study. Occupation and education are strong predictors of contraceptive use among HIV positive clients. Further study will be necessary to determine the behavioral interventions and communication strategy that will further enhance uptake of family planning methods especially among this group in Nigeria.

Keywords: Predictors, Family Planning Use, HIV Positive, South-East Nigeria


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