Fertility Needs Assessment among People Living With HIV/AIDS in Four Regional Hospitals, Addis Ababa
No Thumbnail Available
Date
2010
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Back ground: Despite the increased emphasis on ART and other health care services for HIV
infected individual, issues of fertility and child bearing have received relatively little attention. In
particular, little is known about actual fertility desire and determinants of fertility desires among
HIV- infected women and men who are receiving ART. The desire of infected persons to have
children in the future has significant implication for the transmission of HIV to sexual partners or
newborns.
Objective: To assess fertility needs of people living with HIV/AIDS who were on ART in four
Regional Hospitals of Addis Ababa.
Methods: The study was conducted in Addis Ababa from August 2009 to June 2010. It was a
cross-sectional study supplemented by qualitative in-depth interview on a sample size of 444.
Quota sampling technique was used to select the study participants. Data were entered and
cleaned using EPI info version 3.4.3 and analyzed using SPSS version 15.0 for windows.
Result: Nearly half of the study subjects (46.2%), female 101(49.3%) and men104 (50.7%)
desired to have children. Multivariate analyses indicate that those respondents who were
married/ in relation and single were significant associated with desire for children (adjusted OR:
2.60, 95% CI: 1.47- 4.59) and (adjusted OR: 2.93, 95% CI: 1.47-5.85), respectively and those
who had one child or none were also more likely to desire children than those who had two or
more children (adjusted OR: 18.31, 95% CI: 10.17-32.96)
Conclusion: A substantial proportion of HIV-infected women and men receiving ART in the
study would like to have children in the future. The fact that many HIV- infected adults desire to
have children has important implication for the prevention of vertical and heterosexual
transmission of HIV and the need of incorporating fertility- related counseling as well as advice
regarding safe conception and child birth and services like PMTCT as appropriate, in to HIV
treatment services
Description
Keywords
HIV/AIDS