Birth controls (contraceptive) methods and human immunodeficiency virus/sexually transmitted infections risk perception among Namibian university students

Toyin O. Jenyo, Tony I. Ojiezeh


Background: The question of why are so many of these young girls getting pregnant, is routinely asked, and sometimes contemptuously answered. Accurate information on effectiveness, failures and side effects of different methods of contraception use, have direct relation with the level of their usage among teaming youths.

Methods: Data was collected using self-completed questionnaires for quantitative cross-sectional survey among students in classes selected through simple random sampling in each stratum (University Campus). Relationship between independent variables (method of contraception, misconceptions about the role of contraceptives in preventing HIV/STIs and Risk of infections) and dependent variable (multiple sexual partners) was measured using multivariate model of logistic regression analysis.

Results: The most common contraceptive methods used by students or their partners were condom (71%), withdrawal (20.6%), and birth control pills (7.2%), only 2% used other methods as birth control method, in spite of that, 6.3% got pregnant or impregnated someone. There was a high incidence of multiple sexual partners among the respondents, only 23.3% of the respondents believed they were at risk of HIV/STIs infections, while 40.0% believed they were not at risk, 36.7% were not definite of their risk status and only 79.9% of the participants have tested for HIV infection to determine their status.

Conclusions: The most important factor influencing the choice of contraceptive method among young people is its efficacy in prevention of pregnancy. Unprotected sex may not only lead to unplanned pregnancy but HIV/STIs infections and the risk of infection is increased with multiple sexual partners. Thus, the real need for early education on sex and sexuality and also suggest that Government at all level should step-up campaign on contraceptive use and associated risk of non-compliance.


Birth control, HIV/STIs risk, Multiple partners, Perception

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WHO. Women and health: today's evidence tomorrow's agenda. London, WHO. 2009.

Bharadwaj P, Akintomide H, Brima N, Copas A, D’Souza R. Determinants of long-acting reversible contraceptive (LARC) use by adolescent girls and young women. The European Journal of Contraception and Reproductive Health Care. 2012;17:298-306.

Hall KS. The Health Belief Model Can Guide Modern Contraceptive Behavior Research and Practice’ Journal of Midwifery and Women’s Health. 2012;57(1):74-81.

Haignere CS, Gold R, McDanel HJ. Adolescent Abstinence and Condom Use: Are We Sure We Are Really Teaching What is Safe?’ Health Educ Behav. 1999;26:43.

CDC. Update: Barrier protection against HIV infection and other sexually transmitted diseases. MMWR. 1993;42:589-91, 97.

de Vincenzi IA. Longitudinal study of human immunodeficiency virus transmission by heterosexual partners’ New England Journal of Medicine. 1994;331:341-6.

Grady WR, Tanfer K. Condom Breakage and Slippage among Men in the United States’ Family Planning Perspectives. 1994;26(3):107-12.

Trussell J, Hatcher RA, Cates W, Stewart FH, Kost K. Contraceptive failure in the US; An update. Stud Fam Plann. 1990;21:51.

Steiner M, Piedrahita C, Joanis C, Glover L, Spruyt A. Condom Breakage and Slippage Rates Among Study Participants in Eight Countries. International Family Planning Perspectives. 1994;20(2):55-8.

Trenton NJ. How well do condoms work against STDs? Debate over whether warning labels should be changed’. 2009. Available from Accessed on 06/09/2012.

CDC. 2011. Male Latex Condoms and Sexually Transmitted Diseases: Fact Sheet for Public Health Personnel. Available from Accessed on 08/09/2012.

CDC. 2002. Male Latex Condoms and Sexually Transmitted Diseases: Fact Sheet for Public Health Personnel. Available from Accessed on 06/09/2012.

Holmes KK, Levine R, Weaver M. Effectiveness of condoms in preventing sexually transmitted infections. Bulletin of the World Health Organization. 2004;82:454-61.

Heffron R, Donnell D, Rees H, Celum C, Were E, Mugo N, et al. Hormonal contraceptive use and risk of HIV-1 transmission: a prospective cohort analysis’ International AIDS Society IAS. Available from Accessed on 12/03/2012.

Wand H, Ramjee G. The effects of injectable hormonal contraceptives on HIV seroconversion and on sexually transmitted infections. AIDS. 2012;26(3):375-80.

Kiddugavu M, Makumbi F, Wawer MJ, Serwadda D, Sewankambo NK, Wabwire-Mangen F, et al. Hormonal contraceptive use and HIV-1 infection in a population-based cohort in Rakai, Uganda’ AIDS (London, England). 2013;17(2):233-40.

Myer L, Denny L, Wright TC, Kuhn L. Prospective study of hormonal contraception and women's risk of HIV infection in South Africa’ International Journal of Epidemiology. 2007;36(1):166-6.

Morrison CS, Skoler-Karpoff S, Kwok C, Chen PL, Wijgert J, Gehret-Plagianos M, et al. Hormonal contraception and the risk of HIV acquisition among women in South Africa’. AIDS. 2012;26(4):497-504.

Ahmed S, Lutalo T, Wawer M, Serwadda D, Sewankambo NK. HIV incidence and sexually transmitted disease prevalence associated with condom use: a population study in Rakai, Uganda. AIDS. 2012;15(16):2171-9.

Kapiga SH, Lugalla JL. Sexual behaviour patterns and condom use in Tanzania:results from the 1996 Demographic and Health Survey. Aids Care. 2012;14(4):455-69.

Yeatman S, Urassa M, Isingo R, Zaba B. Sexual Behaviour of Ever Users of Contraception and Its Implications in a High Prevalence HIV Population in Northwest Tanzania. Population Association of America 2005 Annual Meeting Program. 2005:10.

Wawer MJ, Gray RH. Challenges in assessing associations between hormonal contraceptive use and the risks of HIV-1 acquisition and transmission. Future Microbiol. 2012;7(3):315-8.

MOHSS. United Nation General Assembly Special Session (UNGASS): Country report. Available from Accessed on 26/07/2012.

MOHSS and Macro International Inc. 2008. Namibia Demographic and Health survey 2006-07; pp. 50. Available from: Accessed on 06/07/2011.

Aday LA, Cornelius LJ. Designing and Conducting Health Surveys: a Comprehensive Guide 3rd Ed USA: John Wiley. 2006. pp. 160

Lawoyin OO, Kanthula RM. Factors that Influence Attitudes and Sexual Behaviour among Constituency Youth Workers in Oshana Region, Namibia, African Journal of Reproductive Health. 2010;14(1):55-69.

Sang LT, Sally B, Helen HM. Sexual and Reproductive Health Behaviors of California Community College Students’ Journal of American College Health. 2011;59(8):744-50.

Oye-Adeniran BA, Adewole IF, Odeyemi KA, Ekanem EE, Umoh AV. Contraceptive prevalence among young women in Nigeria. Journal of Obstetrics and Gynaecology. 2011;25(2):182-5.

MacPhail C, Pettifor AE, Pascoe S, Rees HV. Contraception use and pregnancy among 15-24 year old South African women: a nationally representative cross-sectional survey. BMC Medicine. 2007;7:31.