Fertility Desire and Family Planning Need among People Living with HIV/AIDS in Selected Srt Units of Horro Guduru Wollega Zone, Ethiopia.
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Date
2012-06
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Addis Ababa University
Abstract
Introduction; Because of ART access and its good life effect, it is expected that PLWHA need and intention would change with the regard to reproductive health like to get married, desire to have children, and to have sexual partners among others. In Ethiopia, HIV positive individuals may or may not have desire to have children and want to use family planning. But the extent of these desires and how it varies by individual, social, health and demographic characteristics is not well understood
Objectives; To assess fertility desire and family planning need among PLWHA following ARV care unit in selected ART clinics of Horro Guduru Wollega Zone, Oromia National Regional State
Methods; A cross sectional institution based study that employs quantitative supplemented by qualitative in-depth interview was conducted from March 12 to April 28, 2012. Three hundred twenty one PLWHA (men and women) who were in reproductive age and had taken at least one visit at ART care from the selected ART care unit during the study period were interviewed for the purpose of the study. Three ART clinics were selected conveniently based on daily patient flow. The collected data was analyzed using SPSS version 16.0. Logistic regression was used to control confounding variables.
Results; Seventy three (57.9%) of the males and 76 (39%) of the females desired to have children, giving a total of 149(46.4%) of all study participants. PLWHA who desired children were younger ages [AOR: 3.3, (95%CI: 1.3-8.9)], married [AOR: 5.8, (95%CI: 2.7-12.8)], have no children [AOR: 75, (95%CI: 20.1-273.3)] and males [AOR; 1.9, (95%CI: 1.02-3.62)] than their counter parts. One hundred forty nine (46.4%) were using different types of family planning methods during the survey period. Injectables 72(50.3%) and condom 130(70.2%) were the most commonly used type of family planning method before and after HIV diagnosis respectively. Condom was the preferred method of family planning method among people living with
HIV/AIDS
Conclusions and recommendations; Considerable numbers (46.4%) of PLWHA want to have a child currently or in the near future. Who desired children tend to use family planning methods in the future. Thus, regardless of educational status, the childless as well as the youngest should be
regarded as groups to be particularly targeted by counseling, and to be provided with information about reproductive rights and options
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Keywords
Fertility ,family planning,HIV/AIDS