Magnitude And Factors Affecting Fertiliy Desire Among Women Living With Hiv In Addis Ababa City Adminstration Ethiopia

Back ground: Effective linkages between the sexual, reproductive health and the HIVrninterventions are essential to ensuring the reproductive rights of women living with HIV. Thernsexual and reproductive decisions faced by women with HIV involve their desire forrnpregnancy, their contraceptive practices, their choices about an unintended pregnancy, andrntheir prenatal and postnatal options to reduce perinatal HIV transmission.rnObjective:-The aim of the study was to assess the magnitude and factors affecting childrndesire of women living with HIV in the food distribution sites of four sub cities of AddisrnAbaba.rnMethods: - A quantitative cross sectional survey on 414 HIV-positive women at four subrncities of Addis Ababa was conducted from February to April 2010. Data on sociodemographicrncharacteristics and fertility needs were collected using structured and pre-testedrninterviewer administered questionnaire. This was supplemented by qualitative study (FGD).rnDescriptive analysis followed by binary and multivariate logistic regression was made tornassess predictors of their desire to have future children.rnResult: - Subjects had median age of 31 years and had been diagnosis with HIV for mean ofrn55 months. 39.9% of women in the food program have future child desire. Among thoserndesiring children 90.6% of them were not having children currently. Majority women livingrnwith HIV and their partners have similar desire to have children in the future. As many asrn63% of HIV positive women who desire children have a partner who does. Generally, womenrnliving with HIV who desire children are younger, not educated, have no children, havingrnpartner who have child desire and CD4 count >200cell/mm3. Moreover lack of healthrnprofessional’s discussion about reproductive health increases future child desire of women.rnRespondents in the age group 40 years and above had less likely to desire future childrenrn(AOR: 0.06, 95% CI: [0.01-0.58] than the other age group. Having primary and secondaryrneducation were less likely to desire children (AOR: 0.14, 95%CI: [0.04-0.52] & AOR: 0.16,rn95% CI: [0.05-0.47] respectively. Respondents having one or more children were less likelyrnto desire children. Respondents with partners not having future child desire were less likely tornhave children in the future (AOR: 0.27,95% CI:[0.01-0.78] and those whose CD4 count isrn>200cell/mm3 and not discussed about reproductive health with the health professionals werernmore likely to have future child(AOR:4.48,95% CI:1.27-15.77 and AOR:6.2,95%rnCI:2.08,18.5)respectively.rnviiirnConclusion: Younger age, not educated, not having currently alive children, partner’s futurernchild desire, having current CD4 count of >200cell/mm3 and lack of discussion aboutrnsexuality with their counselors are factors associated with child desire of women living withrnHIV.rnRecommendations: Women living with HIV and who desire children have numerous servicernneeds in addition to future closely linked to medical care. The issues of mother with HIVrnneed to be emphasizes at all levels including policy, programmatic and service level.

Get Full Work

Report copyright infringement or plagiarism