title: Determinants of fertility intention among women living with hiv in western Ethiopia: implications for service delivery.
abstract: Despite increased emphasis on antiretroviral therapy for HIV infected individuals, issues of fertility and childbearing have received relatively little attention in Ethiopia. This study was conducted to assess socio-demographic, reproductive and HIV related characteristics of fertility intention among women living with HIV in Western Ethiopia. Cross sectional study was conducted from May I to May 26, 2012 using structured questionnaire on a sample of 456 women living with HIV who are on follow up care in anti-retroviral therapy clinics. Bivariate and multivariable logistic regression models were fitted to identify significant predictors of fertility desire at 95 CL. Out of 456 respondents 42.1% expressed intention to have children in the future. Educational attainment [AOR (95% CI) = 0.041(0.008-0.220)], partner fertility desire [AOR (95% CI) = 0.012 (0.004-0.034)], number of live children [AOR (95% CI) = 0.344 (0.125-0.950)] and partner sero-status [AOR (95% CI) = 6.578 (4.072-10.881)] were significantly associated with fertility intention. A large proportion of HIV-positive women in the study desired more children in future. Interventions to address this problem include integrated access to contraception methods, and counselling on reproductive health decision-making.
authors: Alemu
authors: A
authors: Sufa
authors: Muluemebet Abera
authors: MA
authors: Wordofa
authors: Bitiya Admassu
authors: BA
authors: Wossen
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000592:standards; D005002:Ethiopia; D005260:Female; D005298:Fertility; D015658:HIV Infections / Q000453:epidemiology / Q000276:immunology; D006679:HIV Seropositivity / Q000453:epidemiology / Q000523:psychology; D006301:Health Services Needs and Demand; D006801:Humans; D008875:Middle Aged; D060728:Reproductive Health; D012747:Sexual Partners / Q000523:psychology; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014930:Women / Q000523:psychology*