Low use of contraceptives worry researchers

By MICHAEL ORIEDO

Findings by scientists at the Africa Population and Health Research Centre (APHRC) show that low use of family planning among HIV discordant couples in the country has led to an increase in unwanted pregnancies and abortion.

"The rate of unwanted pregnancies and abortion among the couples is on the increase since many shun family planning products," says Dr Chima Izugbara of APHRC.

The research explored family planning needs, condom use, practices and beliefs among HIV discordant couples.

It found that the couples had high desire to have children and therefore avoid using condoms.

Birth control

"The desire for children is high among couples. Many of those we interviewed expressed individually and jointly of currently trying to get a baby," says Izugbara, the lead researcher.

But some end up aborting due to pressure from relatives and friends.

"Many couples are aware of abstinence, birth control pills, intrauterine device (IUD), sterilization, withdrawal, and male condom," says Izugbara.

Interestingly, the study says in discordant relationships, many men often expose their partners to HIV.

"If the man is positive, he will insist on not using a condom or advise their partners to use other methods for instance take ARVs immediately after sex," says Izugbara.

HIV status

The research further finds that in unions where men are positive, family planning related discussions are rare.

"This is because of the nature of our patriarchal society. A man would not want to talk about his HIV status with his partner feeling he may ‘belittle’ himself," says Izugbara.

According to the study, beliefs and myths also hinder HIV discordant couples from using family planning products.

"Some couples regard having children as a major way of conquering HIV while other believe family planning methods cause side-effects like weight increase or secondary infertility to women," Izugbara.

Such mothers expose themses to oportunistic infections.