<p>Fertility Desire And Associated Factors Among HIV Positive Women Attending ART Clinics In Amhara Region Referral Hospitals In Northwest Ethiopia, 2017</p>

Abstract Background: Antiretroviral therapy scales up globally and in Ethiopia, as a result, AIDS-related mortality has reduced, but the number of new HIV infections increasing. Antiretroviral therapy in Ethiopia gives a chance of living longer for reproductive-age women. Prevention of pregnancy among HIV positive women is the second WHO prongs of HIV transmission with respecting women’s reproductive rights. Antiretroviral therapy uses improve the health of HIV positive women using and women's fertility desire increasing. Therefore this study aimed to assess the fertility desire and associated factors among ART user reproductive-age women. Methods: A facility-based cross-sectional study design conducted from November 2-30/2018. The calculated sample size was 400 and study participants were selected by using systematic random sampling. A pre-tested structured questionnaire was used to collect data. A binary logistic regression model was employed and adjusted odds ratio with a 95% confidence interval used to consider statistically significant Results: A total of 397 clients were participated in the study, giving a response rate of 99.3%. The proportion of fertility desire in this study was 55.2 %(95% CI, 50.4%- 60.2%). A duration of marriage < 4 year [AOR=6.9(95 CI: 1.65, 28.81)], and 5–9 years duration of marriage [AOR= 13.8 (95% CI: 2.39, 80.39)] higher as compared to 15 years and above, family influence 3.4 times more likely to have fertility desire than have no family influence [AOR= 3.4 (95% CI: 1.06, 11.25)], partner desire 4.3 times more likely have had fertility desires as compared to with counterpart [AOR= 4.3 (95% CI: 1.93,9.41)], and discussion with health care provider 66 % less likely to have fertility desire as compared with counterpart [AOR = 0.34 (95% CI: 0.39, 3.31)]. Conclusion: In this study, we have identified a high proportion of fertility desire among ART user reproductive-age women. The duration of marital status, partner influence, family influence, and discussion of health care were associated with fertility desire. Family-oriented counseling, partner involvement on reproductive health services should be encouraged to support the rights of all women to safely achieve their fertility. Keywords: Fertility desire, reproductive age, women on ART.

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Fertility desire and associated factors among HIV-positive women attending ART clinics in Afar region, Northeast Ethiopia

HIV & AIDS Review ◽

10.5114/hivar.2021.111395 ◽

2021 ◽

Vol 20 (4) ◽

pp. 281-286

Author(s):

Etsay Woldu Anbesu ◽

Aydahis Ali Mohammed

Keyword(s):

Associated Factors ◽

Hiv Positive ◽

Fertility Desire ◽

Northeast Ethiopia ◽

Hiv Positive Women ◽

Afar Region

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Fertility desire and associated factors among HIV positive women attending ART clinics, Afar region, northeast Ethiopia

10.21203/rs.3.rs-261035/v1 ◽

2021 ◽

Author(s):

Etsay Woldu ◽

Aydahis Ali

Keyword(s):

Immune Deficiency ◽

Associated Factors ◽

Young Age ◽

Hiv Positive ◽

Human Immune Deficiency Virus ◽

Significant Implication ◽

Fertility Desire ◽

Hiv Positive Women ◽

Afar Region ◽

Human Immune

Abstract BackgroundThe desire of human immune deficiency virus infected person to have children in the future has significant implication for the transmission of human immune deficiency virus to sexual partner and new born. However, fertility desire has given little attention and the uptake of PMTCT services is limited. Therefore, this study aimed to assess fertility desire and associated factors among HIV positive women attending ART clinics, Afar region, northeast EthiopiaMethodologyInstitution-based cross-sectional study was conducted on 402 HIV positive women attending ART clinic in selected Hospitals in Afar region. A systematic random sampling technique was employed to identify and enroll women. Logistic regression analysis was employed to identify the factors associated with fertility desire. Statistical association was measured and p-value < 0.05 was considered statistically significant.ResultIn this study a total of 391 HIV positive were participated with a response rate of 97.3%.The prevalence of fertility desire was 63.9 % (95 % CI, 59.1 %, 68.8 %). Young age between 15–24 (AOR = 11.98, 95% CI (4.04, 35.5) and 25–34 years (AOR = 2.93, 95% CI (1.46, 5.86), women who were not had live children (AOR = 5.1, 95% CI (1.31, 20.2) and women that had 1 or 2 live children (AOR = 2.7, 95% CI (1.39, 5.27), disclose sero status to their partner (AOR = 5.89, 95% CI (2.33, 14.9) were associated with increased odds of fertility desire. However, women who use contraceptive were associated with decreased odd of fertility desire (AOR = 0.11, 95%, CI (0.05, 0.22).ConclusionThis study showed that six in ten HIV positive women attending ART clinic were had fertility desire. Young age, not having live child, and having 1 or 2 live number of children, disclosing sero status to partner, and contraceptive use were predictors of fertility desire. Therefore, efforts should be made to increase fertility desire among young HIV positive women attending ART clinic. Moreover, awareness creation on the importance of disclosing sero status to partner is mandatory as it helps to increase fertility desire.

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