Fertility desire and associated factors among people living with HIV in Ethiopia: a systematic review and meta-analysis

Mosisa, Getu; Tsegaye, Reta; Mulisa, Diriba; Etefa, Werku; Abadiga, Muktar; Fekadu, Ginenus; Oluma, Adugna; Turi, Ebisa

doi:10.1186/s13690-020-00504-0

Cited by 13 publications

(16 citation statements)

References 36 publications

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“…Also, no association was found between either awareness or knowledge of MTCT with the fertility desire even though majority of the respondents were aware of MTCT but with poor knowledge. This finding was consistent with study in Ethiopia [ 39 ]. Only a very small proportion of the respondents without fertility desires stated that they did not want to infect their baby as a reason.…”

Section: Discussionsupporting

confidence: 94%

Knowledge on mother-to-child transmission of HIV, and sexuality and fertility desires among people living with HIV in North-Central, Nigeria

Amaike¹,

Afolaranmi²,

Amaike³

et al. 2021

Pan Afr Med J

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Introduction mother-to-child transmission (MTCT) is the transmission of HIV from a mother to the child during pregnancy, labour and breastfeeding. People living with HIV (PLHIV) are sexually active and also HIV can be transmitted while trying to achieve pregnancy involving unprotected hetero-sexual intercourse. Fertility desire among PLHIV is increasing due to improved quality of life and survival following commencement of anti-retroviral treatment and available reproductive health services. The objective of the study was to determine the association between knowledge on MTCT of HIV and sexuality and fertility desire. Methods this study was descriptive cross-sectional applying systematic sampling technique among PLHIV using semi-structured interviewer administered questionnaires. Data was analysed using SPSS version 23.0. Chi square test was used for statistical analysis. At 95% confidence interval a P-value of <0.05 was considered to be statistically significant. Results a total of 168 PLHIV were studied, 63.3% females and 36.7% males. Majority (81.5%) of the respondents were sexually active and 64.1% had fertility desire. On awareness of MTCT 62.5% had heard of MTCT but only 28.2% had good knowledge. No association was found between knowledge of MTCT and sexuality and fertility desire respectively. Conclusion PLHIV had high awareness but poor knowledge on MTCT of HIV, hence the need for healthcare workers to provide sexual and reproductive health counselling including information on MTCT to both male and female PLHIV during routine clinic visits.

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Section: Discussionsupporting

confidence: 94%

Knowledge on mother-to-child transmission of HIV, and sexuality and fertility desires among people living with HIV in North-Central, Nigeria

Amaike¹,

Afolaranmi²,

Amaike³

et al. 2021

Pan Afr Med J

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“…Given that sub-Saharan Africans are not the highest shareholder by cases and death during the early phase [ 4 ], the direct effect of COVID-19 and the indirect effect of its mitigation, disrupted the health care services [ 5 ]. The serious preventive measures (movement restriction, physical distancing, lockdowns, hand washing and sanitizing) were practiced [ 6 ]. However, the counter effect of some mitigation brought significant change in health care settings especially by task shifting and task sharing.…”

Section: Introductionmentioning

confidence: 99%

“…As of June 10, 2021, from 287 candidate vaccines, 102 are in the clinical phase, 185 are in the pre-clinical phase [ 8 ]. From these, WHO has listed the Pfizer/BioNTech, Astrazeneca-SK Bio, Serum Institute of India, Janssen and Moderna vaccines for emergency use [ 6 , 7 ]. Believing Health Care Workers (HCWs) are explicitly exposed to increased risk of infection through direct contact with patients, they should be prioritized for vaccination [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Attitude of health professionals towards COVID-19 vaccination and associated factors among health professionals, Western Ethiopia: A cross-sectional survey

et al. 2022

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Introduction Even though people of the world were eagerly waiting for the hope of vaccine development, vaccine hesitancy is becoming the top concern in both developed and developing countries. However, there is no adequate evidence regarding the attitude and perception of health professionals towards the COVID 19 vaccine in resource-limited settings like Ethiopia. The aim of this study was to assess health professionals’ attitudes and perceptions towards COVID 19 vaccine in Western Ethiopia. Methods An institution-based cross-sectional study was conducted among health care workers found in Nekemte town from April 14–21, 2021. A total of 439 health professionals present on duty during the study period was included in the study. The data were collected by using self-administered questionnaire. Epidata version 3.2 was used for data entry, and STATA version 14 was used for data analysis. The binary logistic regression model was employed to determine factors associated with the attitude towards COVID-19 vaccination. Adjusted Odds Ratio (AOR) with 95% confidence intervals was computed and statistical significance was declared at a 5% level (p-value < 0.05). Result A total of 431 health professionals participated in the study yielding a response rate of 98.1%. The results indicated that 51.28% (95%CI: 45.12%, 57.34%) of health professionals had a favorable attitude towards COVID-19 vaccination. Having good knowledge about the COVID-19 vaccine (AOR = 0.38, 95%CI: 0.22, 0.64, P-value <0.001) was negatively associated with unfavorable attitude towards COVID-19 vaccine, whereas age less than 30 years (AOR = 2.14, 95%CI:1.25,3.67, P-value <0.001), working in a private clinic (AOR = 7.77, 95% CI: 2.19, 27.58, P-value <0.001) and health center (AOR = 2.45, 95%CI: 1.01, 5.92, P-value = 0.045) were positively associated with unfavorable attitude towards COVID-19 vaccine. Conclusion and recommendation In general, the attitude and perception of health care professionals toward the COVID-19 vaccine in the study area were unsatisfactory. Knowledge about the COVID-19 vaccine, age of health care workers, and place of work are the factors which affects attitude towards COVID-19 vaccine. Thus, we recommend the media outlets and concerned bodies to work to develop trust among the public by disseminating accurate and consistent information about the vaccine.

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“…Even though the intention to contraceptive methods increased 15 folds in some regions in Ethiopia in the last 20 years, the level of utilization and intention to use remains below par. Attitude, religion, and husband involvement grabbed hefty responsibilities for decrements [ 12 , 17 – 20 ]. There is a policy under implementation that states, increasing the use of contraceptives from 42% in 2015 to 55% in 2020 [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of intention to use contraceptive methods with spatial distributions and associated factors among women in Ethiopia: evidence from EDHS 2016

Gilano

Hailegebreal

2021

Arch Public Health

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Background Modern contraceptive methods have immense influences on the health of mothers and their children. Using contraceptive methods is seen to control family size and unnecessary pregnancies. Considering different factors like resources and various cultural aspects, assessing the intention to use contraception might bring areas with these problems into the light for intervention. Methods We analyzed the cross-sectional survey data from EDHS 2016, which comprised 5651 reproductive-age women. Spatial autocorrelation was checked with global Moran’s statistics, at ±1 for dispersion and clustering. Aselin Local moran’s statistics also indicated types of clusters. Hot spot(Getis-Ord Gi) statistics further used to measure autocorrelation over different spatial locations. The significance level was checked by calculating Z-score and hot and cold spots indicated the variation in intention to use contraceptives per catchments. Interpolation was also applied to see the number of intents to use contraceptive areas other than the sampled using ordinary Kriging spatial interpolation. We used Kulldorff’s SatScan for specific local clustering and the Bernoulli model test was applied to check significance. Individual and community-level factors were examined using multilevel logistic regression. Due to the clustering nature of data where p-value< 0.05 signaled associations. The disproportional nature of data was adjusted using sampling weights. Result From the total sample of women, the intention to use contraceptive methods was 2366.08(44.11%) and was highly clustered in North and Western Ethiopia. The mean number of children was (4.5 ± 2.90); age at first cohabitation was (16.9 ± 3.99); the ideal number of children was (4.77 ± 2.00). Age and the ideal number of children were negatively associated with the use of contraception. Primary education, number of children, counseling at health facilities, and age at first cohabitation were negatively associated. Conclusion We observed various distributions among regions. Educational status and various socio-cultural including working with the religious organization might need serious considerations to increase the intention to use contraceptive methods. Besides the efforts done, policy decisions might need to consider this finding and uphill the intervention against the negatively associated socio-cultural and demographic variables in outplayed areas.

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Fertility desire and associated factors among people living with HIV in Ethiopia: a systematic review and meta-analysis

Cited by 13 publications

References 36 publications

Knowledge on mother-to-child transmission of HIV, and sexuality and fertility desires among people living with HIV in North-Central, Nigeria

Knowledge on mother-to-child transmission of HIV, and sexuality and fertility desires among people living with HIV in North-Central, Nigeria

Attitude of health professionals towards COVID-19 vaccination and associated factors among health professionals, Western Ethiopia: A cross-sectional survey

Assessment of intention to use contraceptive methods with spatial distributions and associated factors among women in Ethiopia: evidence from EDHS 2016

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