- Title
- Unintended Pregnancy in Women Living with HIV in Sub-Saharan Africa: A Systematic Review and Meta-analysis
- Creator
- Feyissa, Tesfaye Regassa; Harris, Melissa L.; Melka, Alemu Sufa; Loxton, Deborah
- Relation
- AIDS and Behavior Vol. 23, Issue 6, p. 1431-1451
- Publisher Link
- http://dx.doi.org/10.1007/s10461-018-2346-4
- Publisher
- Springer New York LLC
- Resource Type
- journal article
- Date
- 2019
- Description
- In 2014, about 1.5 million pregnancies occurred among HIV-positive women in low and middle-income countries. To pool magnitude and factors associated with unintended pregnancy in women living with HIV in sub-Saharan Africa, a systematic search of electronic databases was undertaken in November 2016. Pooling the magnitude of unintended pregnancy reported by 14 studies yielded a crude summary prevalence of 55.9%. The magnitude of unwanted pregnancy and mistimed pregnancy in six studies ranged from 14 to 59 and 9 to 47.2%, respectively. Contraceptive failure was an important factor for many unintended pregnancies. The magnitude of unintended pregnancy was significantly higher in HIV-positive women than for HIV-negative women in three out of six studies. The available evidence suggests that there is a high magnitude of unintended pregnancy in this population. Improving effective contraceptive utilization is thus a priority to address unintended pregnancies and to prevent mother to child transmission of HIV. PROSPERO Number: CRD42016051310.
- Subject
- unintended pregnancy; unplanned pregnancy; unwanted pregnancy; mistimed pregnancy; HIV; women; SDG 3; SDG 5; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1464119
- Identifier
- uon:46918
- Identifier
- ISSN:1090-7165
- Language
- eng
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