Reproductive Plans And Utilization of Contraceptives Among Women Living With HIV

Abstract

Background: Despite public health policies aimed at providing universal access to reproductive health care services, the reproductive health needs of women living with Human Immunodeficiency Virus (WLHIV) are not adequately met. This study assesses the reproductive plans and utilization of contraceptives among WLHIV.
 Methods: This was a cross sectional descriptive study, which adopted a mixed method approach. A total of 400 respondents were recruited from two tertiary health institutions in Nigeria using systematic sampling technique. A validated structured self-administered questionnaire developed by the researcher was used to collect quantitative data for the study. The questionnaire consists of close ended questions related to study objectives. Quantitative data collected were coded and analyzed using Statistical Package for Social Sciences (SPSS) windows version 22 and statistical significance was set at p <0.05. The qualitative aspect of the study utilized focus group discussion for data collection.
 Results: The mean and standard deviation (SD) age of enrolled respondents was 37.42

Factors associated with pregnancy uptake decisions among seropositive HIV people receiving antiretroviral therapy in sub‐Saharan Africa: A systematic review

“…I will not become pregnant as long as there are those injections and condoms” (Muthelo et al, 2020 ). This is corroborated in a study by Adeleye et al where the study findings revealed a significant association between knowledge level of contraceptive options and utilization of contraceptives and level of education and utilization of contraceptives among WLHIV (Adeleye et al, 2019 ).…”

“…Studies conducted by Okawa et al revealed that 87.4% of study participants who were adolescents living with HIV desired to have children and most of these adolescents who expressed the desire to have children opined that they felt that having children has an important meaning in their adulthood (Okawa et al, 2018 ). This was corroborated by the findings of Adeleye et al ( 2019 )), Wagner et al ( 2021 )), Toska et al ( 2020 )), Arikawa et al ( 2020 )), and Mekonnen and Enquselassie ( 2017 )); all showing that WLHIV had a good desire to have children and that will influence their decision to get pregnant.…”

“…The studies recruited participants from various backgrounds including eligible HIV‐infected women (Adeleye et al, 2019 ; Atukunda et al, 2019 ; Iliyasu et al, 2019 ; Remera et al, 2017 ), new mothers living with HIV (Cuinhane et al, 2018 ), HIV‐positive women between the ages of 15 and 44 years (Mekonnen & Enquselassie, 2017 ; Muthelo et al, 2020 ), adolescents aged 15–19 who were aware of their HIV status prior to the survey (Okawa et al, 2018 ; Toska et al, 2020 ), HIV clients in serodiscordant relationships (Nakiganda et al, 2018 ; Wagner et al, 2021 ), and also, women who were non‐pregnant, non‐menopausal, aged 18–49 and diagnosed as HIV seropositive (Arikawa et al, 2020 ). The sampling methods were systematic sampling (Adeleye et al, 2019 ; Iliyasu et al, 2019 ), non‐probability sampling technique of purposive sampling (Arikawa et al, 2020 ; Cuinhane et al, 2018 ; Mekonnen & Enquselassie, 2017 ; Muthelo et al, 2020 ), convenience sampling (Okawa et al, 2018 ), stratified sampling (Toska et al, 2020 ; Wagner et al, 2021 ), and survey (Nakiganda et al, 2018 ) while in others, eligible participants were women living with HIV (more than 18 years), admitted in a postnatal ward within 5 days postpartum regardless of pregnancy outcome (Atukunda et al, 2019 ). All the studies used primary data except two that used data collected by other institutions (Mekonnen & Enquselassie, 2017 ; Nakiganda et al, 2018 ).…”

“…One of the studies was qualitative research applying phenomenological and descriptive designs (Muthelo et al, 2020 ). The data analysis techniques employed open coding data analysis method including an inductive, descriptive coding technique (Muthelo et al, 2020 ), descriptive statistics (Adeleye et al, 2019 ; Atukunda et al, 2019 ; Wagner et al, 2021 ), chi‐square test of association (Adeleye et al, 2019 ; Okawa et al, 2018 ) and logistic regression models (binary and multiple) (Toska et al, 2020 ; Wagner et al, 2021 ) while another used qualitative approaches of thematic analysis (Cuinhane et al, 2018 ; Okawa et al, 2018 ).…”

“…Women's desire for children was evident in 83% of the included studies (Adeleye et al, 2019;Arikawa et al, 2020;Atukunda et al, 2019;Iliyasu et al, 2019;Mekonnen & Enquselassie, 2017;Muthelo et al, 2020;Okawa et al, 2018;Remera et al, 2017;Toska et al, 2020;Wagner et al, 2021). The desire for children influenced WLHIV to get and Enquselassie ( 2017)); all showing that WLHIV had a good desire to have children and that will influence their decision to get pregnant.…”