Unmet Need for Contraception among Clients of FP/HIV Integrated Services in Nigeria: The Role of Partner Opposition.

Chinelo C. Okigbo, Donna R. McCarraher, Mario Chen, Usman Gwarzo, Gwyneth Vance, Otto Chabikuli

Abstract

While women are aware of family planning (FP) methods in Nigeria, the unmet need for modern contraception remains high. We assessed the association between male partner opposition to FP and unmet need for modern contraception among women seeking anti-retroviral therapy (ART), HIV counseling and testing (HCT) and prevention-of-mother-to-child-transmission of HIV (PMTCT) services in Cross-River State, Nigeria. This secondary analysis used data from a facility-based FP/HIV integration study. Logistic regression was used to model the association of interest. Unmet need for modern contraception was high among all clients – ART (49%), HCT (75%), and PMTCT (32%). Perceived partner opposition to FP was widespread (≥70%); however, multivariate analysis showed no significant association with unmet need for modern contraception. Significant covariates were woman’s age, marital status, parity, and previous use of modern contraception. Efforts to improve modern contraceptive use among women at risk of HIV infection in Nigeria should contemplate involving their male partners. Afr J Reprod Health 2014; 18[2]: 134-143).

 

Keywords: Partner opposition, contraceptive use, HIV/FP service integration, Nigeria

 

Résumé

Malgré la bonne connaissance des méthodes de la planification familiale (PF) au Nigeria, le besoin non satisfait de la contraception moderne reste élevé. Nous avons évalué l'association entre l’opposition du partenaire masculin à la PF et le besoin non satisfait de la contraception moderne chez les femmes qui recherchent un traitement anti- rétroviral ( TAR), le conseil et le dépistage du VIH CDV) et des services de  la prévention de la transmission du VIH de la mère à l’enfant  (PTME) dans l’état de Cross River, Nigeria. Cette analyse secondaire a utilisé des données provenant d'une étude d'intégration PF / VIH basée sur un établissement. La régression logistique a été utilisée pour modéliser l'association d'intérêt. Le besoin non satisfait de la contraception moderne était élevé parmi tous les clients - TAR (49 %), CDV (75 %)  et la PTME (32 %). La perception de l'opposition du partenaire à la PF était généralisée (≥ 70 %) ; cependant, l'analyse multivariée n’a montré aucune association significative avec le besoin non satisfait de la contraception moderne.  Les  covariables significatives étaient l'âge de la femme, l'état civil, la parité et l'utilisation antérieure de la contraception moderne. Les initiatives destinées à améliorer l'utilisation de la contraception moderne chez les femmes à risque d'infection du VIH au Nigeria devraient envisager à mobiliser leurs partenaires masculins. Afr J Reprod Health 2014; 18[2]: 134-143).

 

Mots-clés: L’opposition de la part du partenaire, utilisation des contraceptifs, intégration des services du VIH / FP, Nigeria

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