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Availability of antiretroviral therapy and prevention of mother to child transmission of HIV programmes have increased childbearing decisions in people living with HIV. However, pregnancy decisions of married women living with HIV have not been adequately reported in Malawi. In order to provide information to inform the development of antiretroviral and family planning services targeted to the unique needs of women living with HIV, this study explored pregnancy decisions of women living with HIV in rural southern Malawi. Twenty in-depth interviews on married women living with HIV selected purposively were conducted in two antiretroviral clinics of patrilineal Chikhwawa and matrilineal Chiradzulu districts in 2010. With their pregnancy and child rearing experiences, the women who got pregnant after a positive HIV diagnosis decided to never get pregnant again. Their lived experiences of motherhood when living with HIV play a major role in their pregnancy decisions despite free access to antiretroviral therapy, which has improved the quality of their life’s and survival. Societies in Malawi must accept this behavioural change by married women living with HIV and their needs for family planning. Health care workers must be knowledgeable and sensitive about it and assist women living with HIV who are willing to adapt their pregnant decisions based on living experiences.
Objective: To document our experience on the use of
Jadelle/Implanon contraceptives that was recently introduced into Ahmadu Bello
University Teaching Hospital (ABUTH), Zaria, Nigeria. It is pertinent to
generate data on the experiences in the use of this contraceptive in a cross
sectional study within Zaria, Northern Nigeria. Method: Data on consecutive
clients that accepted Jadelle/ Implanon from June 2009 to November 2013 at
ABUTH were extracted from their cards and analyzed using SPSS version 17. Out
of a total of 11,502 clients that were for contraception during the period
under review, 798 accepted Jadelle/Implanon accounting for 7% of the total
clients. All the clients were married. About 67.8% were Muslims while 27.2%
were Christians and 5% belong to other sect. 4140 (36%) had tertiary education.
Most of the client has been on one form of modern contraception; only 16% were
first time users who accepted implant after counselling. 37% of
the？clients are full time housewives. The discontinuation rate was found
to be 26% for Jadelle and 19%？for Implanon. No pregnancy was recorded
during this period. Conclusion: Jadelle/Implanon account for 7% of contractive
uptake and a high discontinuation rate was found among the users.