title: Determinants of Desire for Children among HIV-Positive Women in the Afar Region, Ethiopia: Case Control Study.
abstract: BACKGROUND
  The desire for a child in Ethiopian society is normal. Among HIV positive women, due to the risk of MTCT, it is imperative to understand factors influencing women's desire for children. This study aimed at assessing factors associated with desire for children among HIV-positive women in two selected hospitals of Afar Regional State, Ethiopia.
  
  
  METHODS
  A facility based case-control study was conducted among 157 cases (with a desire) and 157 controls of HIV positive individuals registered in the selected health facilities. The participants were selected by random sampling technique. Data were collected using face-to-face interview and was analyzed using logistic regression.
  
  
  RESULTS
  Factors found to be independently associated with desire for children were age categories of 20-24 years (OR = 6.22, 1.29-10.87) and 25-29 years (OR = 14.6, 3.05-21.60), being married (OR = 5.51, 2.19-13.54), Afar ethnicity (OR 6.93, 1.19-12.14), having HIV-positive children (OR 0.23, 0.09-0.63), duration on ART more than one year (3.51, 1.68-9.05), CD4 count greater than 350 (OR 4.83, 1.51-7.27) and discussion of reproductive health issues with health providers (OR 0.31, 0.12-0.51).
  
  
  CONCLUSIONS
  Women who were young, married, Afar, those who received ART more than one year, and had CD4 count >350 were more likely to have a desire for children.
  
  
  CONCLUSIONS
  Health care workers at ART clinic should openly discuss about the reproductive options for the women living with HIV/AIDS.
authors.affiliation: College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
authors.forename: Fatimetu
authors.initials: F
authors.lastname: Mohammed
authors.affiliation: College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
authors.forename: Nega
authors.initials: N
authors.lastname: Assefa
mesh_terms: D000328:Adult; D000367:Age Factors; D018791:CD4 Lymphocyte Count; D016022:Case-Control Studies; D005002:Ethiopia; D005260:Female; D006679:HIV Seropositivity / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D009035:Mothers / Q000523:psychology*; D010298:Parity; D055815:Young Adult