Fertility Desire and Contraceptive Utilization among People Living with HIV/AIDS in follow up care in Hosanna ART Units
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Date
2010-07
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Addis Abeba Universty
Abstract
ackground: 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. So this study
contributes a lot for program planners.
Objective of the study: to determine the fertility desire and contraceptive utilization among
PLWHAs in ART follow up care in Hossana hospital and health center.
Methodology: A cross sectional institution based study design supplemented by qualitative indepth
interview was done between December to May 2010
The study was conducted in Hosanna Town (Hospital and health center), Hadiya zone, Southern
Ethiopia. The study population were all PLWHA who had at least one visit to the selected ARV
treatment units and age group 18- 49 for women and 18-59 for men and the sample size taken
were 321 and selected using quota sampling technique. Pre-tested questionnaire was used to
collect the data which was entered using EPI info window 2000 and analyzed by SPSS 11.0
statistical packages. The qualitative study sample depended on the level of saturation of
information and interview includes respondents, health care provider working in PMTCT, VCT,
ART and FP department. Purposive sampling was applied to select study subjects from each
institution. Tape record is used then transcribed to meaningful phrases, data were grouped in to
thematic area and words of the respondents were quoted accordingly.
Result: Thirty-six (37.9%) male and eighty one (35.8%) female respondents expressed the desire
for children, giving a total of 117 (36.45%) of all respondents. In general PLWHAs who
intended to have children were those PLWHAs having no children (Adjusted OR 60.89, 95% CI
8.02, 462.05). Those who intended to use family planning in the future were more likely to desire
children (Adjusted OR 4.35, 95% CI 1.61, 11.73) than their counter parts. But if partner decide
not to have children they were less likely to desire (lower desire) for children (Adjusted OR 0.02,
95%CI 0.001, 0.41). Thirty-six (37.9%)men and 66(29.2%) women, overall 102(31.8%) were
using family planning during the study period. Factors associated with family planning use were
being married (Adjusted OR 7.83, 95%CI 1.08, 56.79), having three or more children (Adjusted
OR 4.54, 95%CI 1.12, 18.48), and having knowledge on mother to child transmission (Adjusted
OR 4.29, 95%CI 1.98, 9.26) and plan to have children in the future (Adjusted OR 0.29, 95%CI
0.1, 0.82) were less likely to use family planning than their counter parts.
Conclusion and Recommendation
A high proportion of HIV positive individuals who received medical care expressed a desire for
children. The extent of fertility intention and family planning needs of these people has
implication for vertical, heterosexual transmission and need consideration. A better and evidence
based understanding of fertility intentions and demand for contraception is needed to promote
and protect the rights of women and men living with HIV/AIDs to make informed decisions
about reproduction and to have access to appropriate sexual reproductive health services.
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Keywords
Fertility Desire and Contraceptive