Fertility desire and associated factors among people on antiretroviral treatment at a public health facility in Hawassa city, Southern Ethiopia

Background: Fertility desire is the plan of people to have a child or more children in the face of being diagnosed with HIV and plan to a commitment to implement the desire. Methods: An institutional-based cross-sectional study was conducted in Hawassa city public health facilities from May 09 ­July 07/07/2019. Four hundred (400) study participants were selected using a simple random sampling technique. Data were collected by using interviewer-administered pre-tested structured questionnaires and chart review. The collected data were entered into EPI data version 3.1 software and then transported to SPSS version 20 for cleaning and data analysis. Bivariate and multivariate logistic regression was used to identify associated factors at p<0.05 was taken as a significant value with a 95% confidence level. Results: A total of 400 clients were included in the study giving a response rate of 97 %. The overall fertility desire was 53.6 % (95%CI: 48.7%, 58.2%). Age, sexual practice in the last six months and discussing reproductive health with ART providers were significantly associated with fertility desire. Younger age was positively associated with fertility desire, age group (18-29), [Adjust odds ratio = 5.75 95%CI (2.85, 11.57)], age group (30-39), [Adjust odds ratio= 4.71 95%CI:(2.55, 8.71)] Sexual practice in the last six months [Adjust odds ratio = 3.00 95%1.46, 6.16)] and counseling reproductive health with ART provider [Adjust odds ratio = 3.10 95%CI:(1.86,5.15)] Conclusion: The prevalence of fertility desire in this study was higher than previous studies while factors associated with fertility desire were age, sexual practice in the last six months, and discussing reproductive health with ART providers

Fertility desire and associated factors among HIV/AIDS women with Antiretroviral Therapy in Yogyakarta, Indonesia

@#Women living with HIV/AIDS (WLHA) in Indonesia face a lot of stigma in their communities, even in healthcare settings. Because of this, their desire to have biological children is suppressed. However, some positive changes to the desire to have children may be apparent with the introduction of antiretroviral therapy (ART). Fertility desires may also have implications for unprotected sexual intercourse. To date, there is limited knowledge about the fertility desires of WLHA receiving HIV care in Yogyakarta, Indonesia. Hence, the present study explores the extent of this fertility desire and its associated factors among WLHA in Yogyakarta, Indonesia. Using a crosssectional quantitative research design, 303 WLHA who are receiving ART, were obtained via convenience sampling in five districts in Yogyakarta between March and August 2019. WLHA with a hysterectomy and permanent contraception were excluded. Data were collected using a questionnaire and analyzed using descriptives, chi-square, and logistic regression. Just over half of the WLHA (50.8%) wanted to have at least one biological child without gender preferences. Bivariate correlations showed that younger age, formal employment, and not having a living biological child correlated with greater fertility desire (p<.05). A logistic regression further indicated that age (35 years or younger)(p<.001; AOR: 3.33; 95% CI: 2.00 to 5.53) and being childless (p<.001; AOR:.13; 95%CI:.52 to .33) were the most influential factors associated with the fertility desire among WLHA in Yogyakarta. We found that the WLHA, who were receiving ART in Yogyakarta, wanted to have their biological children. Since fertility concerns are an integral part of HIV patients' care, health workers can help the groups of WLHA who desire to have biological children make the right reproductive decisions by letting them know the benefits and risks of childbirth and measures to prevent HIV from spreading.

Fertility Desire and Reproductive Health Education Needs of Women Living with HIV Receiving Care at Regional Hospital Limbe HIV Treatment Centre.

Aims: Fertility desires among persons living with HIV (PLHIV) could have important HIV prevention and demographic implications particularly in high prevalence settings such as Cameroon. There is a paucity of data on fertility desires and associated factors among PLHIV in Cameroon. The aim of the study was to determine whether HIV positive women desire having children so as to improve on the sexual and reproductive health messages and services provided to them. Study Design: This was a facility based cross-sectional study. Place and Duration of Study: Regional Hospital Limbe (RHL) HIV treatment centre between May and June 2014. Methodology: Systematic sampling was used to select 250 women between the ages of 15–49 years as they consulted at the clinic. Participants were recruited and data collected using an interviewer administered questionnaire. Results: Mean age was 32 years and 75.9% were sexually active. In this study, 51.4% were not married while 48.6% were married. Fertility desires was high (83.3%) and child bearing after HIV diagnosis was common (48%) with 71.2% of them not going in for preconception counseling. In multivariate analysis, older age (OR: 20.895, 95%CI: 5.3-83.5), not using condom (OR: 30.021, 95% CI: 3.4-262.6) and not being married (OR: 4.87, 95%CI: 1.4-17.6) were having a significantly higher chance of desiring children in future. Majority of WLWHIV (86.9%) indicated a need for RH education. Fertility desire (OR: 11.013, P=.001), previous RH discussions (OR: 7.49, P=.001) and knowledge of PMTCT (OR: 3.647, P=0.021) were the best predictors of RHE need. Conclusion: A substantial number of WLWHIV attending RHL HIV treatment centre desire having children and there is unmet Reproductive Health Education needs for these women. There is need to sought new strategies to address reproductive health care services so as to satisfy reproductive health care needs of HIV positive woman in Cameroon.