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 Chi‑square 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
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