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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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