Fertility desire and associated factors among clients on highly active antiretroviral treatment at finoteselam hospital Northwest Ethiopia: a cross sectional study

Abstract

BackgroundThe accessibility of antiretroviral treatment changed the lives of persons living with HIV from hopelessness to hopefulness. Thus, many of them decided to have children. In Ethiopia, where there is high prevalence of HIV, level of fertility desire among persons living with HIV could have significant part in safe motherhood and child health. The aim of this study was to assess the level of fertility desire and identify factors associated with it among clients on highly active antiretroviral treatment at Finoteselam Hospital, Northwest Ethiopia.MethodsA cross-sectional study design supplemented by in-depth interview was conducted on 422 clients on Highly Active Antiretroviral Treatment from July 1 to August 12, 2013. Structured questionnaire was used to collect the data. Data were entered in to EPi Info version 3.5.1 and exported to SPSS software version 16 for further analysis. Descriptive and summary statistics were computed. Proportions were calculated to estimate fertility desire level. Binary logistic regression model was fitted to identify factors associated with fertility desire.ResultsA total of 422 clients were included in the study of which 217 (51.4 %) were males. The median age was 33 (IQR = 12) years. A total of 141(33.4 %) of clients had desire for having children. Male clients desire children than their female counterparts [AOR = 3.19, 95 % CI: (1.56, 6.51)]. Clients who had no child had more desire for having children than those who had three or more children [AOR = 6.78, 95 % CI: (2.38, 19.27)] and those who had ≤2 years duration on ART had more desire than those with >2 years duration on ART [AOR = 3.64, 95 % CI: (1.74, 7.64)]. Clients who had discussion with ART service provider about sexuality, Fertility desire and family planning had more child desire [AOR = 3.12, 95 % CI: (1.54, 6.32)].ConclusionsOne third of clients have desire to have a child/children in the future. Male clients and clients who have less than or equal to 2 years ART follow up, with no child and having discussion with ART service provider were associated with increased fertility desire. Guidelines formulated and counseling protocols developed shall consider this desire to achieve their reproductive goals in the healthiest and safest possible manner.

Factors associated with childbearing intention of women on Antiretroviral Therapy in Northwest Ethiopia: A cross sectional study

“…This is similar to the studies conducted in South Florida (39%), Northeast Brazil (40%), Malawi (33.3%), Tanzania (37.1%)(21), Southwest Ethiopia (40.3%) (22)(23)(24)(25)(26). But, higher than the ndings in Atlanta (29.4%), West Gojjam Ethiopia (33.4%) (27,28). The difference might be due to sample size differences, difference in target population, the study in Atlanta took the samples only less than one third of the sample sizes of this study.…”

Water handling and low cost treatment practice of peoples living with human immunodeficiency virus (HIV) in Arba Minch Town, Southern Ethiopia, 2016

“…This is similar to prior findings among South African women (Kaida et al, 2011) and in the aforementioned meta-analysis (Berhan and Berhan, 2013). Some studies, however, have found being on ART to be correlated with increased childbearing intention (Abbawa et al, 2015; Asfaw and Gashe, 2014; Cooper et al, 2009). …”

“…Some prior research has found a history of giving birth to be associated with decreased prospective childbearing intention among HIV-infected women (Abbawa et al, 2015; Asfaw and Gashe, 2014; Kawale et al 2014; Melaku et al, 2014). A study of HIV-infected Ghanaian women, however, found childbearing intention to be positively associated with a history of childbearing (Gyimah et al, 2015).…”

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

“…Assuming the prevalence of fertility desire (54.6%) from a study conducted in Addis Ababa Ethiopia [18], considering 95% confidence interval (CI),5% marginal error and considering 5% none response rate. The calculated sample size was 400 Sample size for factors associated with fertility desire was calculated using double proportion formula by Epi info version 7 with the following assumption: the significant variables associated with fertility desire were number current living child, age of client, fertility discussion with ART provider and duration on ART [19],95% confidence interval, power 80, ratio 1:1, and 5% none response rate.…”