FERTILITY DESIRE AND ASSOCIATED FACTORS AMONG ADULT ON ANTI-RETROVIRAL THERAPY USERS IN BALE ZONE HOSPITALS, OROMIA REGIONAL STATE, SOUTH EAST ETHIOPIA, 2017
Journal Title: INTERNATIONAL JOURNAL OF ADVANCED MEDICINE - Year 2019, Vol 3, Issue 4
Abstract
Background: Globally, there were an estimated 36.7 million people living with HIV with a prevalence of 0.8% in 2015. In Ethiopia, the prevalence of HIV is 1.14 with 15700 new infections reported in 2014 EDHS report. Despite the presence of wide spread ART service and improvement in quality of life, the reproductive desire to have children by HIV infected individuals and couples has not been addressed adequately. Objective: To assess the fertility desire and associated factors among adult ART users in Bale Zone hospitals from April 1-30/2017. Methodology:-Institution based cross sectional study design was implemented. Four hundred sixteen study participants were selected using simple random sampling technique. Data were collected through a pre- tested structured questionnaire and analyzed using SPSS version 20 statistical software package. Bivariate and multivariate logistic regression were used to identify associated factors at P value <0.05 was taken as signicant value with 95% condence level. Result: The prevalence of fertility desire in this study was 46.2%. This study identied that factors found to be associated with fertility desire were partner fertility desire(AOR= 10.7,95%CI: 5.53 -21.25), child died by HIV (AOR=13,95%CI:3.62-47),discussion with health worker on fertility intention (AOR=2.4,95% CI:1.22-4.65), sexual partner pressure (AOR=2.6,95% CI:1.11-4.79),respondent or partner current pregnancy[AOR=6.69,95%CI:(1.04,42.87)],had no biological live birth[AOR=2.9,95%CI:((1.16,7.26)] were signicantly associated with fertility desire of adult ART users [AOR=13,95%CI:(3.62-47),discussion with health worker (AOR=2.4,95%CI:1.22-4.65),Sexual partner pressure (AOR=2.6,95%CI:1.11-4.8),Current pregnancy (AOR= 6.69,95%CI:1.04-42.87), had no biological live births (AOR=2.9,95%CI:1.16-7.26) were signicantly associated with fertility desire of adult ART users. Conclusion: The prevalence of fertility desire in this study was 46.2% while factors associated with fertility desire were partner fertility desire, having child died by HIV, discussion with health worker about fertility intention, current pregnancy, and sexual partner pressure. Therefore, these factors should be emphatically considered for PLHIVs during reproductive health service provision.
Authors and Affiliations
Wondosen Assefa, Jeylan Kassim, Abdurrahman Kalu
Keywords
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