Fertility desire and associated factors among ART user reproductive-age women in public health facility in Gondar city administration Northwest Ethiopia

2020 ◽  
Author(s):  
Eyob Araya Gebrekidan ◽  
Alehegn Bishaw Geremew ◽  
Telake Azale Bisetegn
Keyword(s):  
Health Care ◽  
Antiretroviral Therapy ◽  
Associated Factors ◽  
Reproductive Age ◽  
Family Influence ◽  
Hiv Positive ◽  
Fertility Desire ◽  
Binary Logistic Regression Model ◽  
Reproductive Age Women ◽  
Hiv Positive Women

Abstract Background: Antiretroviral therapy scales up globally and in Ethiopia, as a result, AIDS-related mortality has reduced, but the number of new HIV infections increasing. Antiretroviral therapy in Ethiopia gives a chance of living longer for reproductive-age women. Prevention of pregnancy among HIV positive women is the second WHO prongs of HIV transmission with respecting women’s reproductive rights. Antiretroviral therapy uses improve the health of HIV positive women using and women's fertility desire increasing. Therefore this study aimed to assess the fertility desire and associated factors among ART user reproductive-age women. Methods: A facility-based cross-sectional study design conducted from November 2-30/2018. The calculated sample size was 400 and study participants were selected by using systematic random sampling. A pre-tested structured questionnaire was used to collect data. A binary logistic regression model was employed and adjusted odds ratio with a 95% confidence interval used to consider statistically significant Results: A total of 397 clients were participated in the study, giving a response rate of 99.3%. The proportion of fertility desire in this study was 55.2 %(95% CI, 50.4%- 60.2%). A duration of marriage < 4 year [AOR=6.9(95 CI: 1.65, 28.81)], and 5–9 years duration of marriage [AOR= 13.8 (95% CI: 2.39, 80.39)] higher as compared to 15 years and above, family influence 3.4 times more likely to have fertility desire than have no family influence [AOR= 3.4 (95% CI: 1.06, 11.25)], partner desire 4.3 times more likely have had fertility desires as compared to with counterpart [AOR= 4.3 (95% CI: 1.93,9.41)], and discussion with health care provider 66 % less likely to have fertility desire as compared with counterpart [AOR = 0.34 (95% CI: 0.39, 3.31)]. Conclusion: In this study, we have identified a high proportion of fertility desire among ART user reproductive-age women. The duration of marital status, partner influence, family influence, and discussion of health care were associated with fertility desire. Family-oriented counseling, partner involvement on reproductive health services should be encouraged to support the rights of all women to safely achieve their fertility. Keywords: Fertility desire, reproductive age, women on ART.

scholarly journals Prevalence and factors associated with fertility desire among HIV-positive women in Rwanda in the context of improved life expectancy

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
François Niragire ◽  
Celestin Ndikumana ◽  
Marie Gaudence Nyirahabimana ◽  
Dieudonne Uwizeye
Keyword(s):  
Health Care ◽  
Reproductive Age ◽  
Hiv Positive ◽  
Child Health Care ◽  
Fertility Desire ◽  
Women Of Reproductive Age ◽  
Factors Associated ◽  
Hiv Positive Women ◽  
Living With Hiv ◽  
And Child Health

Abstract Background The knowledge of the key factors associated with fertility desire among people living with HIV/AIDS is crucial for the efficient planning of maternal and child health care programs. Fertility desire has generally increased among women of reproductive age in Rwanda. However, its level and determinants among women living with HIV/AIDS (WLHA) are currently not well known in the context of Rwanda. The present study aimed to fill in this knowledge gap. Methods Data were extracted from the 2015 Rwanda demographic and health survey (RDHS) for 243 HIV-positive women of reproductive age. Univariate and multivariable logistic regression analyses were conducted in order to identify the most influential factors. Results The prevalence of desire to have another child in HIV-positive women was found to be as high as 40.7%. Multivariable logistic regression analyses showed that the woman’s age of 35–49 years (AOR = 0.051, 95% CI: 0.013–0.204), woman’s parity of 3 children or above (AOR = 0.177, 95% CI: 0.037–0.837), being employed (AOR = 0.298, 95% CI: 0.113–0.782) and currently using contraceptives (AOR = 0.146; 95% CI: 0.057–0.375) were significantly associated with low odds of fertility desire among HIV- positive women in Rwanda. Women younger than 25 years, with no living child, or who were unemployed or who were not using any contraceptive were significantly associated with greater odds of desire to have another child than did other HIV- positive women. A woman whose partner's desire for children is different  from hers was associated with about four times higher odds (AOR = 3.752; 95% CI: 1.203–11.702) of desire for more children than women who desire the same as their partners. Conclusion Fertility desire in WLHA is currently high in Rwanda. It is significantly influenced by demographic and socioeconomic factors. The Rwanda’s health care system should be prepared to intensify the required services for the prevention of the vertical transmission of HIV, the delivery of maternal and child health care services, and the support to WLHA in planning their fertility. Interventions should target low-parity young women, with a particular focus on meeting their contraceptive needs.

Prevalence and Determinants of Fertility Desire Among HIV-positive Women in Rwanda in the Context of Improved Life Expectancy: A Statistical Analysis of Cross-Sectional Data

2020 ◽  
Author(s):  
François Niragire ◽  
Celestin Ndikumana ◽  
Marie Gaudence Nyirahabimana ◽  
Dieudonne Uwizeye
Keyword(s):  
Logistic Regression ◽  
Scale Up ◽  
Reproductive Age ◽  
Hiv Positive ◽  
Multivariable Logistic Regression Analysis ◽  
People Living With Hiv ◽  
Fertility Desire ◽  
Cross Sectional ◽  
Multivariable Logistic Regression ◽  
Hiv Positive Women

Abstract Background: The knowledge of the key determinants of fertility desire among people living with HIV/AIDS is crucial for the design of efficient maternal and child health care programs. However, such determinants are not well understood in the context of a successful scale-up of antiretroviral therapy in Rwanda. The present study aim was to assess fertility desire among HIV- positive women and its determinants in Rwanda.Methods: Data were extracted from the 2015 Rwanda demographic health survey (RDHS) for 243 HIV-positive women of reproductive age. Univariate and multivariable based variable selection as well as multivariable logistic regression analysis were conducted. Results: The prevalence of desire to have another child in HIV-positive women was as high as 40.7%. Multivariable logistic regression analyses showed that the woman’s age, number of her living children, woman’s employment status, and having a co-wife are significant determinants of fertility desire among HIV- positive women in Rwanda. Women younger than 25 years, with no living child, who were unemployed or who had at least a co-wife were associated with greater odds of desire to have another child in the future than other HIV- positive women.. Conclusion: There is a need to devise integrated programs and services that are tailored to support HIV-positive women in planning their fertility, and controlling HIV transmission to their prospective children. Efficient policy and fertility interventions among WLHA in Rwanda should target young women, especially those living with partners and have fewer children than they prefer.

Oral Candida colonization in HIV-positive women: associated factors and changes following antiretroviral therapy

2013 ◽  
Vol 62 (1) ◽  
pp. 126-132 ◽  
Author(s):  
Foluso J. Owotade ◽  
Mrudula Patel ◽  
Tshakane R. M. D. Ralephenya ◽  
Glynnis Vergotine
Keyword(s):  
Antiretroviral Therapy ◽  
Associated Factors ◽  
Hiv Positive ◽  
Candida Colonization ◽  
Hiv Positive Women ◽  
Oral Candida

Fertility desire and associated factors among HIV positive women attending ART clinics, Afar region, northeast Ethiopia

2021 ◽  
Author(s):  
Etsay Woldu ◽  
Aydahis Ali
Keyword(s):  
Immune Deficiency ◽  
Associated Factors ◽  
Young Age ◽  
Hiv Positive ◽  
Human Immune Deficiency Virus ◽  
Significant Implication ◽  
Fertility Desire ◽  
Hiv Positive Women ◽  
Afar Region ◽  
Human Immune

Abstract BackgroundThe desire of human immune deficiency virus infected person to have children in the future has significant implication for the transmission of human immune deficiency virus to sexual partner and new born. However, fertility desire has given little attention and the uptake of PMTCT services is limited. Therefore, this study aimed to assess fertility desire and associated factors among HIV positive women attending ART clinics, Afar region, northeast EthiopiaMethodologyInstitution-based cross-sectional study was conducted on 402 HIV positive women attending ART clinic in selected Hospitals in Afar region. A systematic random sampling technique was employed to identify and enroll women. Logistic regression analysis was employed to identify the factors associated with fertility desire. Statistical association was measured and p-value < 0.05 was considered statistically significant.ResultIn this study a total of 391 HIV positive were participated with a response rate of 97.3%.The prevalence of fertility desire was 63.9 % (95 % CI, 59.1 %, 68.8 %). Young age between 15–24 (AOR = 11.98, 95% CI (4.04, 35.5) and 25–34 years (AOR = 2.93, 95% CI (1.46, 5.86), women who were not had live children (AOR = 5.1, 95% CI (1.31, 20.2) and women that had 1 or 2 live children (AOR = 2.7, 95% CI (1.39, 5.27), disclose sero status to their partner (AOR = 5.89, 95% CI (2.33, 14.9) were associated with increased odds of fertility desire. However, women who use contraceptive were associated with decreased odd of fertility desire (AOR = 0.11, 95%, CI (0.05, 0.22).ConclusionThis study showed that six in ten HIV positive women attending ART clinic were had fertility desire. Young age, not having live child, and having 1 or 2 live number of children, disclosing sero status to partner, and contraceptive use were predictors of fertility desire. Therefore, efforts should be made to increase fertility desire among young HIV positive women attending ART clinic. Moreover, awareness creation on the importance of disclosing sero status to partner is mandatory as it helps to increase fertility desire.

scholarly journals Intimate partner violence against HIV-positive Cameroonian women: Prevalence, associated factors and relationship with antiretroviral therapy discontinuity—results from the ANRS-12288 EVOLCam survey

2019 ◽  
Vol 15 ◽  
pp. 174550651984854 ◽  
Author(s):  
Marion Fiorentino ◽  
Luis Sagaon-Teyssier ◽  
Khadim Ndiaye ◽  
Marie Suzan-Monti ◽  
Marie-Thérèse Mengue ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Antiretroviral Therapy ◽  
Antiviral Therapy ◽  
Partner Violence ◽  
Associated Factors ◽  
Significant Risk ◽  
Intimate Partner ◽  
Hiv Positive ◽  
Hiv Positive Women ◽  
Therapy Interruption

Background: Intimate partner violence in its various forms increases HIV exposure in female victims and potentially jeopardizes the HIV treatment cascade, for instance, by impeding engagement in and adherence to care. Elevated rates of HIV and intimate partner violence are reported in Central Africa. Evidence on the effect of intimate partner violence on antiviral therapy interruption is lacking in Cameroon, where only 330,000 women live with HIV and only 19% of HIV-positive people are virally suppressed. This study aimed to assess the prevalence and factors of intimate partner violence against HIV-positive women and its relationship with antiretroviral therapy interruption ⩾1 month. Methods: The EVOLCam cross-sectional survey was conducted in 19 hospitals in the Center and Littoral regions. The study sample comprised antiviral therapy–treated women declaring at least one sexual partner in the previous year. Scores of recent emotional, physical, extreme physical and sexual intimate partner violence were built using principal component analysis and categorized under no, occasional or frequent intimate partner violence. Multivariate logistic analyses were performed to investigate the relationship between intimate partner violence and recent antiretroviral therapy interruption ⩾1 month, and associated factors. Results: Among the 894 analyzed women, the prevalence of intimate partner violence was 29% (emotional), 22% (physical), 13% (extreme physical) and 18% (sexual). Frequent physical intimate partner violence was a significant risk factor of antiretroviral therapy interruption ⩾1 month (adjusted odds ratio = 2.42 (95% confidence interval = 1.00; 5.87)). It was also associated with HIV-related stigma (2.53 (1.58; 4.02)), living with a main partner (2.03 (1.20; 3.44) and non-defensive violence against this partner (5.75 (3.53; 9.36)). Conclusion: Intimate partner violence is a potential barrier to antiviral therapy continuity and aggravates vulnerability of Cameroonian HIV-positive women. The prevention and detection of intimate partner violence by HIV services might help to reach the last “90” of the 90-90-90 targets.

Sign in / Sign up

Export Citation Format

Share Document