Background: Family planning is an important part of reproductive health which assists couples and individuals to make decisions regarding the timing, spacing, as well as the number of desired children. For individuals living with HIV, this can be challenging, as assess to reproductive health services may be hampered by a range of factors, thus causing an unmet need for family planning. Aim: To investigate the factors associated with unmet needs for family planning among people living with HIV/AIDS in the South-South Region of Nigeria. Study Design: Facility-based cross-sectional survey. Place and Duration of Study: The study was carried out at the HIV clinics of Federal Medical Centre (FMC), Yenagoa and Otuasega Cottage Hospital (OCH), Ogbia in Bayelsa state. Methodology: Six hundred (600) participants were recruited using a simple random sampling technique. An interviewer-administered questionnaire was used to collect data. Data obtained from the study were analyzed and presented as frequencies and percentages. Chi-square and Binary logistic regression were used to test for association between variables. Statistical significance was set at p=0.05. Result: The response rate was 100%. The unmet family planning needs were identified in 43.5% of the study population. Duration of status awareness (X2=9.983, P=0.002), ART duration (X2=10.410, P=0.001), number of sexual partners (X2=36.665, P=0.001) were significantly associated with unmet planning family need. Likewise, age group (X2=22.988, P<0.001), gender (X2=9.327, P=0.002), and religion (X2=17.243, P=0.001) were also significantly associated with unmet family planning needs. Binary logistic regression showed that respondents who were 40 years or more had 2.15 odds of unmet family planning needs compared to those less than 40 years. Also, respondents who had one sexual partner had 2.98 odds of unmet family planning needs when compared to respondents who had multiple sexual partners. Conclusion: There is a high prevalence of unmet family planning needs among people living with HIV/AIDS in the South-South region of Nigeria.
Background: HIV/AIDS remains a public health challenge with an estimated 37.9 million persons living with HIV/AIDS (PLWHA) globally. Risky sexual behaviours/practices among PLWHA increase the likelihood of co-infection and further spread of infection. Understanding the pattern of these behaviours will aid in the modelling of campaigns to control further spread of infection. Aim: To examine sexual behaviour and risky practices among adults living with HIV in Bayelsa State, Nigeria. Methodology: Six hundred (600) participants were recruited for this cross-sectional study from the HIV/AIDS clinics at Federal Medical Centre (FMC), Yenagoa, and Otuasega Cottage Hospital, Ogbia in Bayelsa State, after obtaining informed consent. An interviewer-administered questionnaire was used to collect data comprising socio-demographic characteristics and the sexual activities/behaviour of the respondents in this study. The data obtained from the study were analyzed and presented as frequencies and percentages. Results: Most of the respondents reported sexual intercourse 532(88.7%) 3 months to study. Sexual intercourse with casual partners 20(3.8%), multiple sexual partners 72(12%), and sex workers 2(0.4%) were observed among the respondents. Regular use of condoms during sex was reported by 63(11.8%), while 200(37.6%) sometimes, 96(18.0%) rarely, and 173(32.5%) never. A recent treatment of sexually transmitted infections (STIs) was reported by 115(19.2%). Alcohol use before sex was reported by 218(36.3%). Overall, 253(42.2%) of the respondents engaged in at least one form of risky sexual behaviour. Conclusion: There is a preponderance of risky sexual behaviour/practices among PLWHA in Bayelsa State that may account for coinfection with STI as well as increase HIV/AIDS transmission.
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