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Year : 2016  |  Volume : 33  |  Issue : 3  |  Page : 284-287

Pattern of contraceptive uptake among clients in an HIV clinic

Clinical Sciences Division, Nigerian Institute of Medical Research, Lagos, Nigeria

Correspondence Address:
E C Herbertson
Clinical Sciences Division, Nigerian Institute of Medical Research, 6, Edmund Crescent, PMB 2013, Yaba, Lagos
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0189-5117.199804

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Introduction: Contraception use is low in sub-Saharan Africa where women have a high burden of HIV. Most of these women are in their childbearing age and require access to safe and effective contraception. The objectives of this study were to determine the use and pattern of contraceptive uptake among HIV-infected clients registered for antiretroviral therapy (ART) services at an HIV outpatient clinic in South-West Nigeria; factors influencing contraceptive uptake among HIV-infected clients; and the contraceptive failure and/or discontinuation rates among the cohort of clients. Methods: A database review was conducted on a cohort of clients registered at the family planning (FP) clinic from 2009 to 2013. Data management and descriptive statistics were with IBM SPSS software version 20. Results: The number of FP clients in the 5 years is 537, constituting 7.7% of the ART population. Most were female, 531 (98.9%); with an average age of 32.3 years. Majority of them were married, i.e., 524 (97.6%) with 322 (60.0%) in serodiscordant marriages. Two hundred and fifty-six clients (45.8%) chose and used injectable contraceptives. One hundred and thirteen (21.0%) clients chose condom only. Dual method of hormonal contraception and consistent condom was accepted and used by 73 (13.6%) clients. Two hundred and seventy-four (51.0%) discontinued their chosen contraceptive method. Reasons for discontinuation include desired conception in 54 (16.6%), menstrual irregularities in 45 (13.8%), and spouse disapproval in 11 clients (2%). Clients referred out for intrauterine contraceptive device and implant were 47 (14.5%). Twenty-one (3.9%) clients reported pregnant within the first 2 months of use. Conclusion: Contraceptive use is low (7.7%) with 51% discontinuation rate. Several reasons were given for discontinuation. Contraceptive failure rate was 3.9%. There is a need to find reasons for failed contraception and provide interventions to improve contraceptive success.

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