Table of Contents
ISRN Public Health
Volume 2014, Article ID 593067, 7 pages
Research Article

Reproductive Intentions of HIV-Positive Women on ARV Treatment in Abia State, Southeast Nigeria

1Department of Community Medicine, Niger Delta University, Wilberforce Island, Amassoma, Bayelsa State, Nigeria
2College of Medicine, University Teaching Hospital, Abia State University, Uturu, Aba, Abia State, Nigeria
3Department of Obstetrics and Gynaecology, Federal Medical Center, Umuahia, Abia State, Nigeria

Received 19 December 2013; Accepted 9 January 2014; Published 20 February 2014

Academic Editors: J. Konde-Lule and A. R. Mawson

Copyright © 2014 Ijeoma Nduka et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. In the African culture, the primary reason for marriage is procreation. Every female strives to perform this role irrespective of her health status so as to fulfill part of the conditions for maintaining the marriage. The question is, to what extent are HIV-positive women aware of the risks of fulfilling this role? The study aimed to determine the reproductive intentions of HIV-positive women in Abia State. Materials and Methods. This was a longitudinal cross-sectional descriptive study conducted among married HIV-positive women attending the Heart to Heart treatment centre in Abia State University Teaching Hospital from February to October 2013. Systematic sampling was used to select 250 married women between the ages of 15–49 years who are on antiretroviral therapy. Interviewer administered questionnaire and focus group discussion were used to obtain relevant information from the participants. Data were analysed qualitatively and quantitatively. SPSS version 17 software was also used in the analyses. Results. The mean number of living children of the respondents was 2.3 ± 4.7. A good proportion of the respondents, 158 (63.7%) the desired to have more children. The younger the age group of the respondents (OR = 7.33), the lower their parity (OR = 3.69) and more regular they attended ARV clinic (OR = 47.76) the more they desired to have more children. The main reason for desiring more children was the quest to have male children. In the words of one respondent, “without a male child, the marriage is not secure. The woman can be chased out at any time.” Conclusion. The fact that a large proportion of HIV-positive women, irrespective of the mean number of living children and their gender, still desired to have more children shows poor knowledge of the risk they are exposed to by having large number of children. Family counseling/education on the benefits of using family planning devices especially condom is necessary for HIV-positive women and their male partners.