Determinants of Fertility Desire among HIV Positive Women of Reproductive Ages on Antiretroviral Therapy in Selected Rehabilitation Centers in Addis Ababa, Ethiopia
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Date
2022-06-05
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Addis Ababa University
Abstract
Background: The magnitude of unprotected sex to satisfy the desire for fertility among women living with HIV/AIDS (PLHIV) has raised concerns due to the availability of antiretroviral therapy (ART) in most HIV-affected countries. This could, however, have risk of passing on HIV to sexual partners and children. The aim of this study, therefore, is to determine prevalence and factors associated with fertility desire of reproductive-age women who are HIV positive in Addis Ababa, Ethiopia.
Objectives: To assess the prevalence of fertility desire among HIV positive women and factors associated with it among women who are on ART in selected rehabilitation centers in Addis Ababa, Ethiopia.
Methods: A cross sectional study was conducted on HIV positive women on ART at selected rehabilitation centers in Addis Ababa, from February 1-28, 2022.The total sample size considered was 418. Systematic random sampling technique was used after the total sample size was proportionately allocated to each rehabilitation center. Data were collected by interviewing, reviewing registration logbook, and FP chart (card). The collected data was entered and analyzed using SPSS-25 software. Descriptive statistics and binary logistic regression analyses was done. For variables with P value <0.25 on bivariate analysis, multivariable logistic regression analysis was performed in order to see association between independents and dependent variable (desire to fertility) using Odds Ratio (OR) as measure of association.
Result: The overall the prevalence of fertility desire was 45.6%. Multivariable regression analyses revealed that being 25-34 years of age (AOR=5.49, p=0.003, 95% CI 1.77– 16.98), having secondary and above education (AOR=0.07, P=0.038, 95% CI 0.06-0.86) and being user of contraceptive (AOR=0.18, P=0.004, 95% CI 0.04-0.53) were statistically associated with fertility desire.
Conclusion and recommendation: With the increasing desire of fertility among HIV positive women, attentions need to be given on counseling as how to prevent transmission of HIV to partner and the offspring.
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Fertility desire, PLHIV, reproductive age, risky sexual behavior, Ethiopia.