Evaluation of knowledge and perception of contraception among HIV positive male in Saye, Zaria.

Oyegoke AF1, 2*, Abubakar A2
1Research & Public Health Studies, Salama Infirmary (Hospital and Maternity), Zaria, Kaduna State, Nigeria.
2Department of Community Medicine, College of Medicine and Allied Sciences, Ahmadu Bello University, Zaria, Kaduna State, Nigeria.
*Correspondence: Dr. Oyegoke, Ayandunmola Folake; +234 808 367 0811; ayandunmolaonilude@gmail.com

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Abstract

Background: An important part in the comprehensive care of Human Immunodeficiency Virus (HIV) is contraception. Approximately 3.5 million people are living with HIV infection in Nigeria majority of whom are in their reproductive years. HIV is mainly transmitted through heterosexual contact and men account for 58% of adult Acquired Immunodeficiency Syndrome (AIDS) related deaths. Contraception save lives making all pregnancies wanted, it enhances attainment of development goals and also controls the time at which pregnancy occur and reduces the fertility rate of a country. In Nigeria, the contraceptive prevalence rate indicates wide zonal variations ranging from 2.7% in the North West to 28.5% in the South West. This means that HIV positive patients who are healthy may engage in high-risk sexual behaviour and are at risk of transmitting HIV to sero-negative partners or re-infecting themselves with new strains of the virus. Research carried out to evaluate the perception of HIV positive men on contraception is few.
Objective: To determine the knowledge and perception of contraception among HIV positive male patients.
Materials and Methods: This was a cross-sectional descriptive study with collection of data through questionnaire and analysis was done using STATA v13.0.
Results: The mean age of respondents was 45.6 ± 11.7 years, majority (85.1%) of the respondents have heard about contraception and of this 90.4% and 10.5% knew condom and vasectomy respectively were type of contraception. Most (72%) had good perception and only 16.4% perceived that there is no need for HIV positive men to use contraception. There was significant association between marital status and knowledge of contraception (p < 0.001), also there was significant association between level of education and perception (p = 0.005).
Conclusion: There was high knowledge of contraception among HIV positive men, and poor acceptance of male and tubal ligation.

Keywords: ART, Condom, Leprosy, NTBLTC, Vasectomy, Tuberculosis, Tubal ligation.

Cite this article: Oyegoke AF, Abubakar A. Evaluation of knowledge and perception of contraception among HIV positive male in Saye­, Zaria. Yen Med J. 2020;2(2):20–29.

REFERENCES

  1. Polisi A, Gebrehanna E, Tesfaye G, Asefa F. Modern contraceptive utilization among female ART attendees in health facilities of Gimbie town, West Ethiopia. Reprod Health. 2014;11(1):30.
  2. Joint United Nations Programme on HIV/AIDS. GLOBAL AIDS UPDATE 2016. Geneva, Switzerland: UNAIDS; 2016:1–16.
  3. Awofala AA, Ogundele OE. HIV epidemiology in Nigeria. Saudi J Biol Sci. 2018;25(4):697–703.
  4. Shehu AU, Joshua IA, Umar Z. Knowledge of contraception and contraceptive choices among human immunodeficiency virus-positive women attending antiretroviral clinics in Zaria, Nigeria. Sub-Saharan African J Med. 2016;3(2):84-90.
  5. Myer L, Morroni C, El-Sadr WM. Reproductive decisions in HIV-infected individuals. Lancet. 2005;366(9487):698–700.
  6. Melaku YA, Zeleke EG. Contraceptive utilization and associated factors among HIV positive women on chronic follow up care in tigray region, northern ethiopia: A cross sectional study. PLoS One. 2014;9(4):e94682. https://doi.org/10.1371/journal.pone.0094682. Accessed Nov 6, 2017.
  7. Herndon N. Men influence contraceptive use. Netw Res Triangle Park N C. 1998;18(3):13.
  8. Mayondi GK, Wirth K, Morroni C, Moyo S, Ajibola G, Diseko M, et al. Unintended pregnancy, contraceptive use, and childbearing desires among HIV-infected and HIV-uninfected women in Botswana: across-sectional study. BMC Public Health. 2016;16(1):44-51.
  9. Adelekan A, Omoregie P, Edoni E. Male Involvement in Family Planning: Challenges and Way Forward. Int J Popul Res. 2014 (Article ID 416457):1-9.
  10. Mbizvo MT, Adamchak DJ. Family planning knowledge, attitudes, and practices of men in Zimbabwe. Stud Fam Plann. 1991;22(1):31–38.
  11. Orji EO, Ojofeitimi EO, Olanrewaju BA. The role of men in family planning decision-making in rural and urban Nigeria. Eur J Contracept Reprod Health Care. 2007;12(1):70–75.
  12. Oyediran KA, Ishola GP, Feyisetan BJ. Factors affecting ever-married men’s contraceptive knowledge and use in Nigeria. J Biosoc Sci. 2002;34(4):497–510.
  13. Oni GA, McCarthy J. Family Planning Knowledge, Attitudes and Practices of Males in Ilorin, Nigeria. Int Fam Plan Perspect. 1991;17(2):50–54.
  14. Wanyenze RK, Tumwesigye NM, Kindyomunda R. Uptake of family planning methods and unplanned pregnancies among HIV-infected individuals: a cross-sectional survey among clients at HIV clinics in Uganda. J Int AIDS Soc. 2011;14:35-43.
  15. Salaudeen AG, Ojotule A, Durowade KA, Musa OI, Yusuf AS, Saka MJ. Condom use among HIV sero-concordant couples attending a secondary health facility in North-Central Nigeria. Niger J Basic Clin Sci. 2013;10:51-56.
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