Fertility Intention and Family Planning Utilization among People Living With HIV/AIDS in Felege Hiwot Hospital Bahir Dar
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Date
2008-07
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Addis Ababa University
Abstract
Background: HIV positive individuals may or may not have intention to have children.
They could also have different degrees of utilization and demand for family planning. The
extent of the intention and how it varies by individual, social, health and demographic
characteristics is not well understood. The desire of HIV infected persons to have children
in the future has significant implication for the transmission of HIV to sexual partners or
newborns.
Objective: The aim of the study is to assess fertility intention and family planning Utilization
of people living with HIV/AIDS who are at ART follow up care in Bahir Dar.
Method: The study was undertaken from March 11 to 26, 2008, using quantitative crosssectional
study supplemented by qualitative in-depth interview on a sample of 366
PLWHA on follow up care. The study subjects were selected using quota sampling
technique. The pre-tested questionnaire was used to collect the data and analysed using
EPI info window 2000 and SPSS 11.0 statistical packages.
Result: Nearly one fifth of respondents (21.6%), male 42 (53.2%) and female 37 (46.8%)
had an intention of child. In general PLWHAs who were intended to have children are
those on ART follow up care more than a year (AOR:4.33 ,95% CI: 1.35-13.90) and not
having any children (AOR: 13.9 ,95% CI: 3.6-54.27) than those who did not desire
children. Fifty five (33.7%) male and 46 (22.7%), overall 101(27.6%) were using family
planning during the study period. The respondents who were using family planning were
marriage/living together (AOR 3.67, 95%CI: 1.48-9.08), divorce/ widow (AOR: 0.30, 95%CI:
0.10_0.90) and who can read and write (AOR: 3.76 95%CI:1.26-11.22) showed significant
association with current family planning use. Thirty nine (51.3%) married women/live
together had unmet need.
Conclusion: A high proportion of HIV positive individuals who received medical care
expressed a wish for parenthood and wants to use family planning. The extent of fertility
intention and family planning needs of these people has implication for vertical,
heterosexual transmission and the need for counselling.
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Keywords
HIV/AIDS