Family planning services in a tertiary hospital in a semi-urban area of south-western Nigeria: Uptake and determinants of contraceptive use.

An audit of 954 family planning clinic attendees, who received counselling from 2006 to 2010, was conducted at the only federal government owned tertiary hospital in Ondo state, Nigeria. Of these, 637 (66.8%) accepted a family planning method: 47.6% chose injectables, 23.2% intrauterine device, 19.5% oral contraceptive pills, 4.4% barrier methods, 3.3% implants and 2% tubal ligation. Clients who had some primary education [OR: 2.79; (95% CI: 1.14-6.84; p < 0.05] had statistically significant higher odds of accepting any contraceptive method while those with elevated blood pressure at first visit [OR: 0.23; 95% CI: 0.12-0.45; p < 0.001] and those with previous episode(s) of induced abortion OR: 0.57; 95% CI: 0.43-0.76; p < 0.001] had statistically significant lower odds of using any method. Concerted efforts at increasing uptake is advocated to bridge the gap between client counselling and uptake.

Disclosure to sexual partner and condom use among HIV positive clients attending ART clinic at a tertiary health facility in South West Nigeria.

INTRODUCTION: Condom use and disclosure of HIV status increase the safety of sexual activity. Its extent will determine the need for appropriate interventions. The objective of this study was to identify determinants of condom use and disclosure to sexual partners among individuals receiving Antiretroviral Therapy at a tertiary health facility in South West Nigeria. METHODS: A cross-sectional study of 578 clients enrolled in the ART program of Federal Medical Centre Owo, Ondo State Nigeria, was conducted. RESULTS: The mean age of respondents was 38.6+9.6 years, more than half (66.6%) were females and 7% were currently married. Three-quarter were sexually active out of which 324(75.9%) used condom consistently and correctly and 323(75.6%) disclosed their status to their sexual partner. Use of condom was by 81% of those with tertiary education (p=0.002), and 84.5% of singles utilized condom (p<0.001). Determinant of condom use were, male (OR: 2; CI: 1.1- 3.3; p=0.013), secondary and tertiary education (OR: 3.69; CI: 1.48 - 9.19; p=0.005) and (OR: 4.79; CI: 1.84 - 12.44; p=0.001) respectively. Determinant of disclosure was being married (OR: 11.8; CI- 5.5-25.7; p<0.001). No significant association exist between disclosure and condom use. CONCLUSION: Most of the people living with HIV accessing ART were sexually active. A good proportion of them used condom consistently and correctly. Disclosure did not have significant effect on condom use. More health education intervention to increase disclosure rate and safe sexual behaviour among HIV positive clients is needed.