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

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 womanfs 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

Malgre la bonne connaissance des methodes de la planification familiale (PF) au Nigeria, le besoin non satisfait de la contraception moderne reste eleve. Nous avons evalue l'association entre lfopposition du partenaire masculin a la PF et le besoin non satisfait de la contraception moderne chez les femmes qui recherchent un traitement anti- retroviral ( TAR), le conseil et le depistage du VIH CDV) et des services de la prevention de la transmission du VIH de la mere a lfenfant (PTME) dans lfetat de Cross River, Nigeria. Cette analyse secondaire a utilise des donnees provenant d'une etude d'integration PF / VIH basee sur un etablissement. La regression logistique a ete utilisee pour modeliser l'association d'interet. Le besoin non satisfait de la contraception moderne etait eleve parmi tous les clients - TAR (49 %), CDV (75 %) et la PTME (32 %). La perception de l'opposition du partenaire a la PF etait generalisee (. 70 %) ; cependant, l'analyse multivariee nfa montre aucune association significative avec le besoin non satisfait de la contraception moderne. Les covariables significatives etaient l'age de la femme, l'etat civil, la parite et l'utilisation anterieure de la contraception moderne. Les initiatives destinees a ameliorer l'utilisation de la contraception moderne chez les femmes a risque d'infection du VIH au Nigeria devraient envisager a mobiliser leurs partenaires masculins. Afr J Reprod Health 2014; 18[2]: 134-143).

Mots-cles: Lfopposition de la part du partenaire, utilisation des  contraceptifs, integration des services du VIH / FP, Nigeria