- Title
- Fertility among women living with HIV in western Ethiopia and its implications for prevention of vertical transmission: a cross-sectional study
- Creator
- Feyissa, Tesfaye Regassa; Harris, Melissa L.; Forder, Peta M.; Loxton, Deborah
- Relation
- BMJ Open Vol. 10, Issue 8, no. e036391
- Publisher Link
- http://dx.doi.org/10.1136/bmjopen-2019-036391
- Publisher
- B M J Group
- Resource Type
- journal article
- Date
- 2020
- Description
- Objective: This study aimed to examine fertility (live births) in the last 3 years and its associated factors among women living with HIV (WLHIV) in western Ethiopia . Design: Participants were recruited into a cross-sectional survey using systematic sampling. Settings: Four healthcare facilities in western Ethiopia were included. Participants Eligible participants were WLHIV of reproductive age (15–49 years) from western Ethiopia who found out about their HIV-positive status more than 3 years ago (N=866). Primary outcome measures: The fertility (live births) of HIV-positive women in the last 3 years was surveyed using face-to-face interviews (March–June 2018). Logistic regression analyses were conducted to examine factors influencing fertility in the last 3 years. Results: A total of 108 (12.5%) HIV-positive women gave birth to 121 live children in the last 3 years. Of these births, 18.2% were reported as mistimed at conception, while 26.4% were reported as unwanted. Of the live births, 8.3% ended in death. Of the 76 (62.8%) children with known HIV status born to HIV-positive women in the last 3 years, 7.9% were HIV-positive. In terms of predictors of fertility, women aged 15–24 years (adjusted OR (AOR) 2.72; 95% CI 1.14 to 6.49) and 25–34 years (AOR 4.34; 95% CI 2.61 to 7.21) had increased odds of fertility compared with women aged 35–49 years. Women using antiretroviral therapy (ART) for less than 5 years were more likely to have given birth in the last 3 years compared with those using ART for 10 years or more (AOR 2.96; 95% CI 1.19 to 7.36), even after controlling for age. Conclusions: WLHIV in Ethiopia are having children and so it is imperative that safe conception strategies are readily available as well as support to reduce HIV-related risks for children born to these mothers. Strengthening reproductive health services for HIV-positive women in order to achieve their family planning goals is therefore important.
- Subject
- adolescent; adult; humans; middle aged; young adult; child; cross-section studies; Ethipia - epidemiology; family planning services; female; fertility; HIV infections - drug therapy; HIV infections - epidemiology
- Identifier
- http://hdl.handle.net/1959.13/1455582
- Identifier
- uon:45105
- Identifier
- ISSN:2044-6055
- Rights
- This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
- Language
- eng
- Full Text
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