Determinants of Fertility Intention among Women Living with HIV in Western Ethiopia: Implications for Service Delivery

Despite increased emphasis on antiretroviral therapy for HIV infected individuals, issues of fertility and childbearing have received relatively little attention in Ethiopia. This study was conducted to assess socio-demographic, reproductive and HIV related characteristics of fertility intention among women living with HIV in Western Ethiopia. Cross sectional study was conducted from May 1 to May 26, 2012 using structured questionnaire on a sample of 456 women living with HIV who are on follow up care in anti-retroviral therapy clinics. Bivariate and multivariable logistic regression models were fitted to identify significant predictors of fertility desire at 95 CL. Out of 456 respondents 42.1% expressed intention to have children in the future. Educational attainment [AOR (95% CI) = 0.041(0.008 -0.220)], partner fertility desire [AOR (95% CI) =0.012(0.004-0.034)], number of live children [AOR (95% CI) =0.344(0.125-0.950)] and partner sero-status [AOR (95% CI) =6.578 (4.072-10.881)] were significantly associated with fertility intention. A large proportion of HIV-positive women in the study desired more children in future. Interventions to address this problem include integrated access to contraception methods, and counselling on reproductive health decision-making.Keywords: Fertility, desire, Nekemte, PLWH, ARTMalgré l'accent augmenté mis sur la thérapie antirétrovirale pour les personnes infectées par le VIH, les questions de la fertilité et la procréation ont reçu relativement peu d'attention en Ethiopie. Cette étude a été menée pour évaluer les caractéristiques sociodémographiques, la reproduction et la fécondité liées au VIH de l'intention chez les femmes vivant avec le VIH en Ethiopie occidentale. Une étude transversale a été menée du 1 mai au 26 mai 2012 en utilisant à l’aide d’un questionnaire structuré sur un échantillon de 456 femmes vivant avec le VIH qui sont sur le suivi des soins dans les cliniques de thérapie antirétroviraux. Les modèles de la régression Bi -variées et multi-variées ont été ajustés pour identifier les indices significatifs du désir de fécondité à 95 CL. Parmi les 456 interrogées 42,1% ont exprimé l'intention d'avoir des enfants à l'avenir. Le niveau de scolarité [AOR (IC 95%) = 0,041 (0,008 -0,220)], le désir de fertilité chez le partenaire [AOR (IC 95%) = 0,012 (de 0,004 à 0,034)], nombre d'enfants vivants [AOR (IC à 95% = 0,344) (0,125 à 0,950)] et le statut sérologique du partenaire [AOR (IC 95%) = 6,578 (4,072 à 10,881)] ont été statistiquement associé à la l’intention de fertilité. Une grande proportion des femmes séropositives dans l'étude ont le désir d’avoir des enfants dans l'avenir. Les programmes à élaborer devraient aborder un accès intégré aux méthodes de contraception, aux conseils sur la décision liée à la reproduction à la grossesse et à l’accouchement sans risque. Mots clés: fertilité, désir, Nekemte, PVVIH, TA

Role of antenatal and postnatal care in contraceptive use during postpartum period in western Ethiopia: A cross sectional study

Objective: Little has been known about the magnitude and predictors of contraceptive use in extended postpartum period in Ethiopia. Thus, this study aims to assess the magnitude and determinants of contraception utilization in extended postpartum period. A community based cross-sectional survey was conducted in Gida Ayana district, Oromia regional state, Ethiopia in February 2015. Six hundred and three postpartum women were included using a multistage sampling technique. Descriptive statistics were used to summarize the data and logistic regressions were used to assess the predictors of modern family planning use at 95% confidence interval. Results: The proportion of women using any of the modern family planning in extended postpartum period was 45.4%. Women who had four and more antenatal care visits (AOR = 2.93; 95% CI 1.08-7.94), mothers who received post-natal care (AOR = 4.34; 95% CI 2.37-7.94), and those desiring less number of children (AOR = 5; 95% CI 2.19-11.41) were more likely to use modern family planning methods during the extended postpartum period. Therefore, health care providers should work to improve quality of health services provided during antenatal care and postnatal care to enhance family planning utilization among post-partum women