Factors affecting fertility decisions of married men and women living with HIV in South Wollo Zone, Northeast Ethiopia

Getachew, Menberu; Alemseged, Fessehaye; Abera, Mulumebet; Deribew, Amare

doi:10.4314/ejhd.v24i3.68388

Cited by 31 publications

(43 citation statements)

References 8 publications

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“…Our finding highlighted that the prevalence of fertility intention is 44% which is consistent with the previous studies in South Africa 44% & 45% respectively [22,23]; but higher than reports from northern part of the country (18.5%) [40], Uganda (24% and 28.6%) respectively [17,41], Canada (25.8%) [21] and lower than other study from Canada( 57%) [42]. The difference might be related to study site, time and study subject difference.…”

Section: Discussionsupporting

confidence: 92%

Fertility intentions among HIV positive women aged 18–49 years in Addis Ababa Ethiopia: a cross sectional study

Mekonnen

Gashe

2014

Reprod Health

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BackgroundGiven the degree of HIV epidemic among women and the current antiretroviral therapy (ART) scale up in Ethiopia; considering the issue of fertility is vital to ensure the delivery of integrated reproductive health along with prevention services provided to positive women. This study was aimed to assess fertility intentions of women living with HIV attending public health institutions (hospitals & health centers) in Addis Ababa, Ethiopia.MethodsInstitution based cross sectional survey was conducted, among 1855 HIV positive, women aged 18–49 years selected from different public health facilities in Addis Ababa; from June to October 2012. Information was gathered by using interviewer administered questionnaires. Data were double entered in EPI Info version 3.5.2 software, cleaned finally exported to IBM SPSS statistics version 20 for analysis. Logistic regression models were used to predict the association of study variables and adjusted for possible confounders.ResultOverall, 44% of women reported fertility intention. ART users had higher fertility intention (AOR; 1.26, 95%CI; 1.01 to 1.60) than ART naïve. In addition to this, having partner being on sexual relationship, young age, being single and having fewer or no children were found to be predictors of fertility intentions. The presence of ART, improvement of health condition and the influence of husband were the main reasons for childbearing intentions of women in the study area.ConclusionA considerable proportion of women reported fertility intention. There was an association between fertility intentions and ART use. It is important for health care providers and policy makers to strengthen the fertility need of HIV positive women along with HIV care so that women may decide freely and responsibly on their fertility issues.

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Section: Discussionsupporting

confidence: 92%

Fertility intentions among HIV positive women aged 18–49 years in Addis Ababa Ethiopia: a cross sectional study

Mekonnen

Gashe

2014

Reprod Health

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“…The observed association of decreased use of contraception with increased age is in line with previous findings of lower modern contraceptive use among older women on ART in Zambia [37] and HIV-infected women in Uganda. In this study, Muslim women were 80% less likely to use modern contraceptives than Christians.…”

Section: Discussionsupporting

confidence: 90%

Modern Contraceptive Utilization and Associated Factors among HIV Positive Women on Antiretroviral Therapy in Mizan-Tepi Teaching and Referral Hospital, South-West Ethiopia

Mitiku¹

2017

J Contracept Stud

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Background: Women living with human immunodeficiency virus encounter unintended pregnancy with related risk of mother to child transmission of HIV. Unintended pregnancy among these peoples is associated with inconsistence use of contraceptives. The aim of this study is to assess the prevalence of modern contraceptive utilization and associated factors in the Mizan-Tepi teaching and referral hospital.

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“…However, having no child was a strong predictor of fertility desire [20,28,31,33,34,37] (Figure 3). Although statistically significant associations were not seen in all studies, the majority of the study participants had a tendency for fertility desire as evidenced by the forest plot of all studies falling on the side of increased fertility desire.…”

Section: Resultsmentioning

confidence: 99%

Meta-analyses of fertility desires of people living with HIV

Berhan

2013

BMC Public Health

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BackgroundLiterature review has shown that some years back the fertility desires of people living with HIV was low but in the recent years, it was reported as increasing. However, little is known about the strength of association of fertility desire of HIV positive people with antiretroviral therapy (ART) experience, age, sex, education level, and number of children.MethodsIn these meta-analyses, twenty studies from different parts of the world were included. The odds ratios of fertility desires were determined using the random-effects model. Heterogeneity among the studies was assessed by computing values for Tau2, Chi-square (Q), I2 and P-value. Sensitivity analysis and funnel plot were done to assess the stability of pooled values to outliers and publication bias, respectively.ResultsThe pooled analysis demonstrated that fertility desires of study participants had no association with ART. Similarly, the overall odds ratio did not show statistically significant association of fertility desires with sex and educational attainment of study participants although forest plots of some studies fall on increased and some others on decreased sides of fertility desires. The two variables that demonstrated a strong association with fertility desires were age less than 30 years and being childless. The lowest heterogeneity was found in a meta-analysis comparing ART experienced and ART naïve HIV positive people. In all meta-analyses, the sensitivity analyses showed the stability of the pooled odds ratios; and the funnel plots did not show publication or disclosure bias.ConclusionAlthough the fertility desires among childless and younger age group was very strong, we realized that quite a significant segment of HIV-infected people have desire for fertility. Therefore, including fertility issue as integral part of HIV patient care may help several of them in their reproductive decision making (letting them know the risks and methods of prevention while anticipating pregnancy).

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Factors affecting fertility decisions of married men and women living with HIV in South Wollo Zone, Northeast Ethiopia

Cited by 31 publications

References 8 publications

Fertility intentions among HIV positive women aged 18–49 years in Addis Ababa Ethiopia: a cross sectional study

Fertility intentions among HIV positive women aged 18–49 years in Addis Ababa Ethiopia: a cross sectional study

Modern Contraceptive Utilization and Associated Factors among HIV Positive Women on Antiretroviral Therapy in Mizan-Tepi Teaching and Referral Hospital, South-West Ethiopia

Meta-analyses of fertility desires of people living with HIV

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