Magnitude and Factors Affecting Fertiliy Desire among Women Living With HIV in Addis Ababa City Adminstration Ethiopia
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Date
2010-06
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Addis Abeba Universty
Abstract
Back ground: Effective linkages between the sexual, reproductive health and the HIV
interventions are essential to ensuring the reproductive rights of women living with HIV. The
sexual and reproductive decisions faced by women with HIV involve their desire for
pregnancy, their contraceptive practices, their choices about an unintended pregnancy, and
their prenatal and postnatal options to reduce perinatal HIV transmission.
Objective:-The aim of the study was to assess the magnitude and factors affecting child
desire of women living with HIV in the food distribution sites of four sub cities of Addis
Ababa.
Methods: - A quantitative cross sectional survey on 414 HIV-positive women at four sub
cities of Addis Ababa was conducted from February to April 2010. Data on sociodemographic
characteristics and fertility needs were collected using structured and pre-tested
interviewer administered questionnaire. This was supplemented by qualitative study (FGD).
Descriptive analysis followed by binary and multivariate logistic regression was made to
assess predictors of their desire to have future children.
Result: - Subjects had median age of 31 years and had been diagnosis with HIV for mean of
55 months. 39.9% of women in the food program have future child desire. Among those
desiring children 90.6% of them were not having children currently. Majority women living
with HIV and their partners have similar desire to have children in the future. As many as
63% of HIV positive women who desire children have a partner who does. Generally, women
living with HIV who desire children are younger, not educated, have no children, having
partner who have child desire and CD4 count >200cell/mm3. Moreover lack of health
professional’s discussion about reproductive health increases future child desire of women.
Respondents in the age group 40 years and above had less likely to desire future children
(AOR: 0.06, 95% CI: [0.01-0.58] than the other age group. Having primary and secondary
education were less likely to desire children (AOR: 0.14, 95%CI: [0.04-0.52] & AOR: 0.16,
95% CI: [0.05-0.47] respectively. Respondents having one or more children were less likely
to desire children. Respondents with partners not having future child desire were less likely to
have children in the future (AOR: 0.27,95% CI:[0.01-0.78] and those whose CD4 count is
>200cell/mm3 and not discussed about reproductive health with the health professionals were
more likely to have future child(AOR:4.48,95% CI:1.27-15.77 and AOR:6.2,95%
CI:2.08,18.5)respectively.
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Conclusion: Younger age, not educated, not having currently alive children, partner’s future
child desire, having current CD4 count of >200cell/mm3 and lack of discussion about
sexuality with their counselors are factors associated with child desire of women living with
HIV.
Recommendations: Women living with HIV and who desire children have numerous service
needs in addition to future closely linked to medical care. The issues of mother with HIV
need to be emphasizes at all levels including policy, programmatic and service level.
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Magnitude and Factors Affecting Fertiliy Desire among Women