Fertility desire and family-planning demand among HIV-positive women and men undergoing antiretroviral treatment in Addis Ababa, Ethiopia

Abstract Background: Many HIV-positive women continue to want to have children in spite of knowledge of their HIV status and the risk it imposes. This study aimed to assess the level of fertility desire and associated factors human immune-deficiency-positive women at Felege Hiwot referral Hospital.Methods: An institution based cross-sectional study was conducted among randomly 308 HIV positive reproductive age women at Felege Hiwot referral Hospital from June 01st -30th, 2018. Data were collected using structured interviewer-administered questionnaire. Data were analyzed using SPSS version20.Descriptive, bivariate and multivariate logistic regression statistics were carried out. Statistical significance was declared at P -value <0.05.Results: Out of 308 of participants, 45.5% reported a desire to have children in the near future. Being sexually activity (aOR=2.62, 95%CI; 1.58- 6.73), family planning use (aOR=7.62, 95%CI; 3.23-17.98), consistent condom use (aOR=2.6, 95%CI; 1.37- 4.94), and absence of children (aOR=4.43, 95%CI; 1.85- 10.64) were predictors of fertility desire.Conclusion: A considerable proportion HIV-positive women in the study area reported to have children in the future. Integration of family planning and ART services, attention to sexually active HIV positive women and supporting HIV positive women with unmet need of family planning could have significant impact.

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Fertility desire and utilization of family planning methods among HIV-positive women attending a tertiary hospital in a suburban setting in Northern Nigeria

Tropical Journal of Obstetrics and Gynaecology ◽

10.4103/tjog.tjog_8_17 ◽

2017 ◽

Vol 34 (1) ◽

pp. 54 ◽

Cited By ~ 6

Author(s):

AO Ashimi ◽

TG Amole ◽

MY Abubakar ◽

EA Ugwa

Keyword(s):

Family Planning ◽

Tertiary Hospital ◽

Hiv Positive ◽

Northern Nigeria ◽

Fertility Desire ◽

Hiv Positive Women ◽

Planning Methods ◽

Family Planning Methods

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S09.1: Ultrastructural features of preterm placenta from HIV‐positive women on antiretroviral treatment

American Journal of Reproductive Immunology ◽

10.1111/aji.44_13417 ◽

2021 ◽

Vol 85 (S1) ◽

pp. 36-37

Keyword(s):

Antiretroviral Treatment ◽

Hiv Positive ◽

Hiv Positive Women

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Factors influencing utilization of postpartum CD4 count testing by HIV-positive women not yet eligible for antiretroviral treatment

AIDS Care ◽

10.1080/09540121.2010.507754 ◽

2011 ◽

Vol 23 (3) ◽

pp. 322-329 ◽

Cited By ~ 2

Author(s):

Kate P. Gilles ◽

Chifundo Zimba ◽

Innocent Mofolo ◽

Emily Bobrow ◽

Gloria Hamela ◽

...

Keyword(s):

Antiretroviral Treatment ◽

Cd4 Count ◽

Hiv Positive ◽

Factors Influencing ◽

Hiv Positive Women

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Unintended Repeat Pregnancies Among HIV Positive Women in Rio De Janeiro, Brazil

The Open AIDS Journal ◽

10.2174/1874613601812010174 ◽

2018 ◽

Vol 12 (1) ◽

pp. 174-180

Author(s):

Bernardo B. Wittlin ◽

Alice W. Carvalho ◽

Giulia P. Lima ◽

Rune Andersson ◽

Susanne Johansson ◽

...

Keyword(s):

Viral Load ◽

Family Planning ◽

Antenatal Care ◽

Unintended Pregnancy ◽

Rio De Janeiro ◽

Hiv Positive ◽

Continuous Family ◽

Unintended Pregnancies ◽

Illegal Abortion ◽

Hiv Positive Women

Introduction: High rates of unintended pregnancies among HIV positive women have been reported by several studies. Among repeated pregnancies, these rates may be higher. Our aim was to describe the unintended pregnancy rate in repeat gestations of the same group of HIV-positive women. Methodology: From a prospective cohort of HIV-infected pregnant women followed-up from 1995 to 2013 in an Antenatal Clinic (ANC) in Rio de Janeiro, we selected women who had at least two consecutive pregnancies. Patient data were prospectively obtained from standardized questionnaires. The main dependent variable was if the pregnancy was intended or unintended. Some of the other variables were: age, the interval between pregnancies, household income, CD4 cells count at admission in the ANC and at delivery, viral load<1000 copies/ml at admission and close to delivery, and attempts to illegal abortion. Results: From a total of 287 women included, the number of unintended pregnancies increased from 138 (63.6%) at first pregnancy to 198 (81.8%) at second pregnancy (p < 0.01). At first pregnancy, we observed 8 women who had made an attempt to illegal abortion (7 with an unintended pregnancy and 1 with a wanted pregnancy, p = 0.06), while at second pregnancy, 34 of them had made an attempt (33 with unintended pregnancy and 1 with a wanted pregnancy, p < 0.01). Regarding viral load suppression close to delivery, there was no statistic difference between first and second pregnancies (72,7% vs. 70,5%, p = 0.36) as well as between intended and unintended pregnancies (in first pregnancy: 80% vs. 86%, p = 0.4; in second pregnancy: 72% vs. 83%, p = 0,1). Conclusion: High rates of unintended pregnancies and illegal abortion attempts, along with their increase from one pregnancy to the subsequent, reinforce the need for continuous family planning practices in HIV-infected patients. The majority of the women were able to reach undetectable viral load at the end of the pregnancy, including those with unintended pregnancies. Implications: HIV infected patients presenting in antenatal care for sequential unintended pregnancies. Despite the fact that abortion is illegal in this country, a substantial number of women, still attempt it before attending antenatal care. Family planning actions should be performed during the antenatal care.

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Fertility desire and associated factors among ART user reproductive-age women in public health facility in Gondar city administration Northwest Ethiopia

10.21203/rs.2.23008/v1 ◽

2020 ◽

Author(s):

Eyob Araya Gebrekidan ◽

Alehegn Bishaw Geremew ◽

Telake Azale Bisetegn

Keyword(s):

Health Care ◽

Antiretroviral Therapy ◽

Associated Factors ◽

Reproductive Age ◽

Family Influence ◽

Hiv Positive ◽

Fertility Desire ◽

Binary Logistic Regression Model ◽

Reproductive Age Women ◽

Hiv Positive Women

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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Prevalence and Determinants of Fertility Desire Among HIV-positive Women in Rwanda in the Context of Improved Life Expectancy: A Statistical Analysis of Cross-Sectional Data

10.21203/rs.3.rs-105991/v1 ◽

2020 ◽

Author(s):

François Niragire ◽

Celestin Ndikumana ◽

Marie Gaudence Nyirahabimana ◽

Dieudonne Uwizeye

Keyword(s):

Logistic Regression ◽

Scale Up ◽

Reproductive Age ◽

Hiv Positive ◽

Multivariable Logistic Regression Analysis ◽

People Living With Hiv ◽

Fertility Desire ◽

Cross Sectional ◽

Multivariable Logistic Regression ◽

Hiv Positive Women

Abstract Background: The knowledge of the key determinants of fertility desire among people living with HIV/AIDS is crucial for the design of efficient maternal and child health care programs. However, such determinants are not well understood in the context of a successful scale-up of antiretroviral therapy in Rwanda. The present study aim was to assess fertility desire among HIV- positive women and its determinants in Rwanda.Methods: Data were extracted from the 2015 Rwanda demographic health survey (RDHS) for 243 HIV-positive women of reproductive age. Univariate and multivariable based variable selection as well as multivariable logistic regression analysis were conducted. Results: The prevalence of desire to have another child in HIV-positive women was as high as 40.7%. Multivariable logistic regression analyses showed that the woman’s age, number of her living children, woman’s employment status, and having a co-wife are significant determinants of fertility desire among HIV- positive women in Rwanda. Women younger than 25 years, with no living child, who were unemployed or who had at least a co-wife were associated with greater odds of desire to have another child in the future than other HIV- positive women.. Conclusion: There is a need to devise integrated programs and services that are tailored to support HIV-positive women in planning their fertility, and controlling HIV transmission to their prospective children. Efficient policy and fertility interventions among WLHA in Rwanda should target young women, especially those living with partners and have fewer children than they prefer.

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