Zainab Oyindamola, ADEGBITE2024-06-102024-06-102023-12Kate TurabianMPHhttps://repository.lcu.edu.ng/handle/123456789/463Contraception 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:279enContraceptivesexually active WomenHuman Immunodeficiency VirusThesis