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Browsing Department of Public Health by Subject "Contraceptive"
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Item Contraceptive Use Among Sexually Active Women Living with HIV in Ibadan, Oyo State, Nigeria(Lead City University, 2023-12) Zainab Oyindamola, ADEGBITEContraception is a strategy to meet the family planning goals of Women Living with Human Immunodeficiency Virus (WLHIV) as well as to reduce the transmission of HIV. However, there is a dearth of research examining contraceptive use among sexually active WLHIV specifically in Ibadan, Oyo State. This study aimed to examine contraceptive use and identify factors influencing its use among sexually active WLHIV in Oyo State, Nigeria. A facility-based cross- sectional study was conducted, involving a sample size of 443 sexually active WLHIV selected through random sampling. The inclusion criteria were WLHIV aged between 18-49 years who reported being sexually active and capable of reproduction. Data collection was performed using an adapted questionnaire, and the Statistical Package for Social Sciences (SPSS) Windows version 25 was used for data analysis. Statistical significance was set at p < 0.05. The mean age of WLHIV who used contraceptives was 36.62±6.70. Among the participants, 73.1% reported using contraceptives, while 26.9% had unmet contraceptive needs. The study revealed significant associations between the use of contraceptives and employment status (odd ratio [OR] = 2.150; 95% CI 1.279-3.612, p = 0.004), accessibility to contraceptive methods (OR = 21.483; 95% CI 7.279-63.402, p = 0.00), payment for service (OR = 14.343; 95% CI 2.705-76.051, p = 0.003), and previous reactions towards contraceptive use (OR = 14.343; 95% CI 2.705-76.051, p = 0.003). Although contraceptive use among sexually active WLHIV was high, the study highlighted the need for increased adoption of dual contraceptive methods to mitigate the risk of unintended pregnancy and HIV re-infection among this population. It emphasized the importance of continuous sensitization and counseling services provided by healthcare providers to promote contraceptive use among WLHIV. Keywords: Contraceptive, sexually active Women, Human Immunodeficiency Virus Word Count:279Item Knowledge, Attitude and Practices of Contraceptives Use among Women Living with HIV in Ibadan(Lead City University, 2023-12) Afiniki BULUS- EJOGAContraception services can help meet the family planning goals of women living with HIV as well as prevent mother-to-child transmission (MTCT). This study aimed to assess the knowledge attitude and practice of contraceptive use among women of reproductive age[15- 49yrs] living with HIV in Ibadan Nigeria. A facility-based cross-sectional study was used with the sample size of 469 sexually active WLHIV. The inclusion criteria were WLHIV aged between 18-49, who asserted being fecund and sexually active. An adopted questionnaire was used to collect data and the data was analyzed using Statistical Package for Social Sciences (SPSS) windows version 22 and statistical significance was set at p <0.05.Among women living with (n=469), 96.6%(453) have a good knowledge of contraceptive and 3.4%(16) have poor knowledge of contraceptive methods, 257(55%) have positive attitude while 212(45%) have negative attitude towards the use of contraceptive.70.4% used contraceptive with 29.6% unmet needs and 28.6 % of the participants are making use of more than 1 methods of contraceptive. The results revealed significant association between payment for services (p=0.019, OR=8.616 95% CI (1.429,51.982), Partner not providing food (p=0.002,OR= 0.2169 95% CI 0.083,0.0564), distance to health facility (p=0.016 OR=3.576 95% CI (1.270,10.069) and previous reaction to contraceptive (p=0.000 OR=69.945 95% CI(9.65,506.73).Based on the findings it was asserted that contraceptive use among WLHIV was found high with moderate positive attitude to contraceptive use and the knowledge about contraceptive use is equally high, however there is need for the healthcare givers to undertake continuous sensitization and counselling services on contraceptive use for WLHIV. There is need to strengthen integration of family planning into activities of Antiretroviral therapy (ART) clinics in order to live a healthy sexual life and increase their productivity. Keywords: Contraceptive, Women, Human Immunodeficiency Virus Word Count:280