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DOES KNOWLEDGE ABOUT ANTIRETROVIRAL THERAPY AND MOTHER-TO-CHILD TRANSMISSION AFFECT THE RELATIONSHIPS BETWEEN HIV STATUS AND FERTILITY PREFERENCES AND CONTRACEPTIVE USE? NEW EVIDENCE FROM NIGERIA AND ZAMBIA

Published online by Cambridge University Press:  16 December 2013

AKINRINOLA BANKOLE ,
ANN E. BIDDLECOM ,
KUMBUTSO DZEKEDZEKE ,
JOSHUA O. AKINYEMI ,
OLUTOSIN AWOLUDE  and
ISAAC F. ADEWOLE
AKINRINOLA BANKOLE*
Affiliation:
Guttmacher Institute, New York, USA
ANN E. BIDDLECOM
Affiliation:
Population Division, United Nations, New York, USA
KUMBUTSO DZEKEDZEKE
Affiliation:
Independent Consultant, Lusaka, Zambia
JOSHUA O. AKINYEMI
Affiliation:
University of Ibadan, Ibadan, Nigeria
OLUTOSIN AWOLUDE
Affiliation:
University of Ibadan, Ibadan, Nigeria
ISAAC F. ADEWOLE
Affiliation:
University of Ibadan, Ibadan, Nigeria
*
1Corresponding author. Email: [email protected]
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Summary

The increasing availability of antiretroviral therapy (ART) and drug regimens to prevent mother-to-child transmission (PMTCT) has probably changed the context of childbearing for people living with HIV. Using data from 2009–2010 community-based surveys in Nigeria and Zambia, this study explores whether women's knowledge about ART and PMTCT influences the relationship between HIV status and fertility preferences and contraceptive behaviour. The findings show that women living with HIV are more likely to want more children in Nigeria and to want to limit childbearing in Zambia compared with HIV-negative women. While there is no significant difference in contraceptive use by women's HIV status in the two countries, women who did not know their HIV status are less likely to use contraceptives relative to women who are HIV-negative. Knowledge about ART reduces the childbearing desires of HIV-positive women in Nigeria and knowledge about PMTCT increases desire for more children among HIV-positive women in Zambia, as well as contraceptive use among women who do not know their HIV status. The findings indicate that knowledge about HIV prevention and treatment services changes how living with HIV affects childbearing desires and, at least in Zambia, pregnancy prevention, and highlight the importance of access to accurate knowledge about ART and PMTCT services to assist women and men to make informed childbearing decisions. Knowledge about ART and PMTCT should be promoted not only through HIV treatment and maternal and newborn care facilities but also through family planning centres and the mass media.

Type
Articles
Information
Journal of Biosocial Science , Volume 46 , Issue 5 , September 2014 , pp. 580 - 599
Copyright
Copyright © Cambridge University Press 2013 

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References

Akinyemi, J. O., Awolude, O. A., Adewole, I. F. & Kanki, P. J. (2010) Condom use among antiretroviral therapy patients in Ibadan, Nigeria. Journal of Infection in Developing Countries 4(8), 495–502.Google Scholar
Andia, I., Kaida, A., Maier, M., Guzman, D., Emenyonu, N., Pepper, L.et al. (2009) Highly active antiretroviral therapy and increased use of contraceptives among HIV-positive women during expanding access to antiretroviral therapy in Mbarara, Uganda. American Journal of Public Health 99, 340–347.Google Scholar
Bankole, A., Biddlecom, A. & Dzekedzeke, K. (2011) Women's and men's fertility preferences and contraceptive behaviors by HIV status in 10 sub-Saharan African countries. AIDS Education and Prevention 23(4), 313–328.Google Scholar
Biddlecom, A. E., Hessburg, L., Susheela, S., Bankole, A. & Darabi, L. (2007) Protecting the Next Generation in Sub-Saharan Africa: Learning from Adolescents to Prevent HIV and Unintended Pregnancy. Guttmacher Institute, New York.Google Scholar
Bonnenfant, Y. T., Hindin, M. J. & Gillespie, D. (2012) HIV diagnosis and fertility intentions among couple VCT clients in Ethiopia. AIDS Care 24(9), 1078–1086.Google Scholar
Central Statistical Office (CSO), Ministry of Health (MOH), Tropical Diseases Research Centre (TDRC), University of Zambia & Macro International Inc. (2009) Zambia Demographic and Health Survey 2007. CSO and Macro International Inc., Calverton, MD, USA.Google Scholar
Cooper, D., Harries, J., Myer, L., Orner, P. & Bracken, H. (2007) “Life is still going on”: reproductive intentions among HIV-positive women and men in South Africa. Social Science & Medicine 65, 274–283.CrossRefGoogle ScholarPubMed
Elul, B., Delvaux, T., Munyana, E., Lahuerta, M., Horowitz, D., Ndagije, F.et al. (2009) Pregnancy desires, and contraceptive knowledge and use among prevention of mother-to-child transmission clients in Rwanda. AIDS 23 (Supplement 1), S19–26.Google Scholar
Hayford, S. R., Agadjanian, V. & Luciana, L. (2012) Now or never: perceived HIV status and fertility intentions in rural Mozambique. Studies in Family Planning 43(3), 191–199.CrossRefGoogle ScholarPubMed
Homsy, J., Bunnell, R., Moore, D., King, R., Malamba, S., Nakityo, R.et al. (2009) Reproductive intentions and outcomes among women on antiretroviral therapy in rural Uganda: a prospective cohort study. PLoS ONE 4(1), e4149.Google Scholar
Johnson, K. B., Akwara, P., Rutstein, S. O. & Bernstein, S. (2009) Fertility preferences and the need for contraception among women living with HIV: the basis for a joint action agenda. AIDS 23 (Supplement 1), S7–17.Google Scholar
Kaida, A., Laher, F., Strathdee, S., Money, D., Janssen, P., Hogg, R. & Gray, G. (2010) Contraceptive use and method preference among women in Soweto, South Africa: the influence of expanding access to HIV care and treatment services. PLoS ONE 5(11), e13868.Google Scholar
Maharaj, P., Neema, S., Cleland, J., Busza, J. & Shah, I. (2012) Condom use within marriage: an assessment of changes in South Africa and Uganda. AIDS Care 24(4), 444–450.Google Scholar
Maier, M., Andia, I., Emenyonu, N., Guzman, D., Kaida, A., Pepper, L.et al. (2009) Antiretroviral therapy is associated with increased fertility desire, but not pregnancy or live birth, among HIV+ women in an early HIV treatment program in rural Uganda. AIDS Behaviour 13, S28–37.Google Scholar
Makumbi, F. E., Nakigozi, G., Reynolds, S. J., Ndyanabo, A., Lutalo, T.et al. (2011) Associations between HIV antiretroviral therapy and the prevalence and incidence of pregnancy in Rakai, Uganda. AIDS Research and Treatment doi:10.1155/2011/519492.Google Scholar
Mishra, V., Praween, A., Soumya, A., Yuan, G. & Wang, S. (2009) Changes in HIV-Related Knowledge and Behaviors in Sub-Saharan Africa. DHS Comparative Reports No. 24. ICF Macro, Calverton, MD, USA.Google Scholar
Myer, L., Carter, R. J., Katyal, M., Toro, P., El-Sadr, W. M.et al. (2010) Impact of antiretroviral therapy on incidence of pregnancy among HIV-infected women in sub-Saharan Africa: a cohort study. PLoS Med 7(2), e1000229.Google Scholar
Myer, L., Morroni, C. & Rebe, K. (2007) Prevalence and determinants of fertility intentions of HIV-infected women and men receiving antiretroviral therapy in South Africa. AIDS Patient Care STDs 21(4), 278–285.Google Scholar
National Population Commission (NPC) [Nigeria] & ICF Macro (2009) Nigeria Demographic and Health Survey 2008. National Population Commission and ICF Macro, Abuja, Nigeria.Google Scholar
Nattabi, B., Li, J., Thompson, S. C., Orach, C. G. & Earnest, J. (2009) A systematic review of factors influencing fertility desires and intentions among people living with HIV/AIDS: implications for policy and service delivery. AIDS Behavior 13(5), 949–968.Google Scholar
Rutenberg, N., Biddlecom, A. E. & Kaona, F. A. D. (2000) Reproductive decision-making in the context of HIV and AIDS: a qualitative study in Ndola, Zambia. International Family Planning Perspectives 26(3), 124–130.Google Scholar
Stata Corporation (2007) Stata Statistical Software: Release 8.0. Stata Corporation, College Station, Texas.Google Scholar
Taulo, F., Berry, M., Tsui, A., Makanani, B., Kafula, G., Li, Q.et al. (2009) Fertility intentions of HIV-1 infected and uninfected women in Malawi: a longitudinal study. AIDS Behavior 13, S20–27.Google Scholar
Trinitapoli, J. & Yeatman, S. (2011) Uncertainty and fertility in a generalized AIDS epidemic. American Sociological Review 76(6), 935–954.Google Scholar
UNAIDS (2013) Global Report: UNAIDS Report on the Global AIDS Epidemic 2013. UNAIDS, Geneva.Google Scholar
United Nations (2002) HIV/AIDS and Fertility in Sub-Saharan Africa: A Review of the Research Literature. Department of Economic and Social Affairs, Population Division, ESA/P/WP.174. United Nations, New York.Google Scholar
Yeatman, S. (2009) HIV infection and fertility preferences in rural Malawi. Studies in Family Planning 40(4), 261–276.Google Scholar