ArticleBMC women's health2014
Dual method use for protection of pregnancy and disease prevention among HIV-infected women in South East Nigeria.
Article in BMC women's health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Dual Contraceptive Use and Factor Associated with People Living with HIV/AIDS: A Systematic Review and Meta-Analysis.Infectious diseases in obstetrics and gynecology · 2021Pooled it
- Positive deviance for promoting dual-method contraceptive use among women in Uganda: a cluster randomised controlled trial.BMJ open · 2021Trial
- Dual contraception method use and determinant factors among HIV-positive women of reproductive age in Hawassa, Sidama, Ethiopia, an institutional-based cross-sectional study.Contraception and reproductive medicine · 2025Article
- Article
- Dual contraceptive use among women living with HIV on anti-retroviral therapy in Boset district, Ethiopia.Frontiers in global women's health · 2025Article
- Assessing nurses' knowledge and attitudes towards promoting female condom use in South African primary healthcare clinics.BMC health services research · 2024Article
- Condom Use among HIV-Positive Postnatal Women in Primary Health Care Facilities in Tshwane Sub-District 1, Gauteng Province, South Africa.International journal of environmental research and public health · 2023Article
- Article
- Women living with HIV and dual contraceptive use in Ethiopia: systematic review and meta-analysis.Contraception and reproductive medicine · 2022Review
- Article
- Dual contraceptive use and associated factors among women aged 15-49 years on antiretroviral therapy in Kayonza District, Rwanda: a cross-sectional study.The Pan African medical journal · 2022Article
- Dual Contraceptive Use and Associated Factors Among Reproductive Age Group on Antiretroviral Therapy in Borena District, Northeast Ethiopia: A Cross-Sectional Study.HIV/AIDS (Auckland, N.Z.) · 2021Article
- Dual contraception method utilization and associated factors among sexually active women on antiretroviral therapy in Gondar City, northwest, Ethiopia: a cross sectional study.BMC women's health · 2020Article
- Consistent condom use among highly effective contraceptive users in an HIV-endemic area in rural Kenya.PloS one · 2019Article
- Human Immunodeficiency Virus Serodiscordance and Dual Contraceptive Method Use Among Human Immunodeficiency Virus-infected Men and Women in Lilongwe, Malawi.Sexually transmitted diseases · 2018Article
- Modern contraceptive use among HIV-infected women attending HIV care centres in Togo: a cross-sectional study.BMJ open · 2018Article
- HIV status disclosure to male partners among rural Nigerian women along the prevention of mother-to-child transmission of HIV cascade: a mixed methods study.Reproductive health · 2018Article
- Utilization of dual contraception method among reproductive age women on antiretroviral therapy in selected public hospitals of Northern Ethiopia.Reproductive health · 2017Article
- Optimizing Prevention of HIV and Unplanned Pregnancy in Discordant African Couples.Journal of women's health (2002) · 2017Article
- Factors associated with uptake of dual contraception among HIV-infected women in Bungoma County, Kenya: a cross-sectional study.The Pan African medical journal · 2017Article
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3 authors.
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Abstract
backgroundsub-Saharan Africa continue to bear the greatest burden of HIV/AIDS epidemic due to its large population, high fertility rate and unmet contraceptive need, most especially with poor uptake of dual methods (use of condom and another effective family planning method) which protects against STIs/HIV and unplanned pregnancy. The aim of this study was to assess the awareness, pattern and practice of dual methods by HIV infected women, and factors influencing its use in southeast Nigeria.
methodsThis was a cross sectional descriptive study of 658 HIV positive women attending the PMTCT/postnatal/family planning clinics in three health facilities in southeast Nigeria. An interviewer administered semi-structured questionnaire was used to abstract needed information. The data were analyzed with Epi-info™ version 7.0 (Centers for Disease Control and Prevention, Atlanta, GA, USA), Odd ratio was determined and the test of statistical significance was with Fisher exact test at 95% CI.
resultsThe mean age of the participants was 29 ± 4.3 years. All the respondents were aware of their HIV status, 62.4% did not know their partners status; 23.1% were sero-concordant, while 14.5% were sero-discordant. Most (67.9%) of the respondents lack awareness on dual methods with only 179/658 (27.2%) practicing it. The commonest (141/179; 78.9%) dual method used was a combination of condom and injectable hormonal contraceptives. Lack of awareness (222/479; 46.3%) and non disclosure (133/479; 27.8%) were the main reasons for non use of dual method in the present study. STI's was higher amongst non users with odd ratio of 1.74 (1.26-2.41), p-value < 0.0004. Unplanned pregnancy was higher in non users with odd ratio of 3.89 (2.52-6.00), p-value < 0.0000 at 95% CI.
conclusionsThe awareness and uptake of dual methods amongst HIV infected women in southeast Nigeria is still low and thus associated with a higher risk of STIs and unplanned pregnancy. It is expected that increased awareness, uptake and consistent use will help prevention new infections of HIV/STIs and unplanned pregnancy.
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