Fertility Desire and Associated Factors Among People Living with HIV in Ethiopia: a Systematic Review and Meta-analysis

Overview

Journal Arch Public Health

Publisher Biomed Central

Date 2020 Dec 9

PMID 33292626

Citations 8

Authors

Getu Mosisa

Reta Tsegaye

Bizuneh Wakuma

Diriba Mulisa

Werku Etefa

Muktar Abadiga

Ginenus Fekadu

Adugna Oluma

Ebisa Turi

Affiliations

Soon will be listed here.

Abstract

Background: Increased Anti-Retroviral Therapy (ART) coverage improves health status and the survival of people living with Human Immunodeficiency Virus (HIV) as a result, reproductive health needs of the clients are increased. As part of continuum HIV care, understanding fertility desire and reproductive health care needs of HIV positive peoples will play paramount role in planning and delivering appropriate health services. The finding of studies conducted on the fertility desire and associated factors among People Living with HIV in Ethiopia presented inconclusive. Therefore, this study aimed to assess the pooled prevalence of fertility desire and associated factors among people living with HIV in Ethiopia.

Methods: A total of 26 studies conducted in Ethiopia were included in this Meta-analysis. Pub Med, HINARI, Google scholar and Google data bases were searched. Data from the included articles were extracted using a standardized data extraction tool. The included studies were analyzed using a random effects meta-analysis model. Analysis was done Using STATA version 14 statistical software. Heterogeneity was assessed statistically using the standard Chi-square, I The association between fertility desire and factors were examined using a random effects model.

Result: In this meta-analysis, the pooled prevalence of fertility desire in Ethiopia is 42.21% (95%CI 39.18, 45.25). Fertility desire is significantly associated with sex: being female (OR = 0.71,95%CI 0.57,0.86), partners desire (OR = 16.8, 95% CI: 9.45, 29.88), not having child (OR = 5.46 95%CI 4.24, 7.040), age < 30(OR = 2.34, 95%CI 2.10, 2.60), formal education (OR = 1.31 95%CI 1.09, 1.59)). However, use of family planning, residence, and Knowledge on Prevention of Mother to Child Transmission and disclosure status didn't show association with fertility desire.

Conclusion: In this finding, significant people of living with HIV have a desire to have a child. The finding showed the need to strengthen fertility desire and reproductive health care needs of HIV positive peoples. Therefore, strengthening the integration of fertility related issues with HIV continuum care will play a paramount role in averting risky sexual behaviors and Prevention of Mother to Child Transmission among peoples on ART.

Citing Articles

Fertility desire and associated factors among antiretroviral therapy users in South Gondar Zone, Northwest Ethiopia, 2022.

Mitiku A, Yirdaw B, Alem H, Yazie Ferede W, Erega B SAGE Open Med. 2024; 12:20503121241283347.

PMID: 39529896 PMC: 11552051. DOI: 10.1177/20503121241283347.

Factors associated with fertility intentions among women living with and without human immunodeficiency virus in Zambia.

Mulemena D, Phiri M, Mutombo N, Lukama C, Odhiambo J, Kalinda C Womens Health (Lond). 2023; 19:17455057231219600.

PMID: 38130101 DOI: 10.1177/17455057231219600.

Fertility desire among HIV-positive individuals in the Chinese sociocultural context: A qualitative study.

Guo Y, Chongsuvivatwong V, Songwathana P, Liu J, Wichaidit W J Educ Health Promot. 2023; 12:156.

PMID: 37404936 PMC: 10317250. DOI: 10.4103/jehp.jehp_126_23.

Fertility desires of antiretroviral therapy-attending HIV-positive women and its associated factors in Harari region, Ethiopia.

Assefa S, Dheresa M, Lami M, Berhanu B, Mohammed H, Sertsu A Int Health. 2023; 16(2):174-181.

PMID: 37128936 PMC: 10911533. DOI: 10.1093/inthealth/ihad030.

"It's Not Good to Be Sick and Have the Child": Perspectives on Pregnancy After HIV-Positive Diagnosis Among Women in Western Jamaica.

Andrews C, Reuter T, Londono V, Claye L, Aung M, Jolly P Int J Womens Health. 2022; 14:565-573.

PMID: 35479291 PMC: 9037423. DOI: 10.2147/IJWH.S352343.

References

Shiferaw T, Kiros G, Birhanu Z, Gebreyesus H, Berhe T, Teweldemedhin M . Fertility desire and associated factors among women on the reproductive age group of Antiretroviral treatment users in Jimma Town, South West Ethiopia. BMC Res Notes. 2019; 12(1):158. PMC: 6425594. DOI: 10.1186/s13104-019-4190-7. View

Wilcher R, Petruney T, Reynolds H, Cates W . From effectiveness to impact: contraception as an HIV prevention intervention. Sex Transm Infect. 2008; 84 Suppl 2:ii54-60. DOI: 10.1136/sti.2008.030098. View

Wekesa E, Coast E . Fertility desires among men and women living with HIV/AIDS in Nairobi slums: a mixed methods study. PLoS One. 2014; 9(8):e106292. PMC: 4149552. DOI: 10.1371/journal.pone.0106292. View

Pottinger A, Carroll K . Reproductive needs of PLHIV in Jamaica: relationship between fertility desire, motives and depression. J Reprod Infant Psychol. 2019; 38(1):38-48. DOI: 10.1080/02646838.2019.1599334. View

Mirkuzie A . Implementation and outcomes of guideline revisions for the prevention of mother-to-child HIV transmission in Mother Support Programme, Addis Ababa, Ethiopia. PLoS One. 2018; 13(6):e0198438. PMC: 6013243. DOI: 10.1371/journal.pone.0198438. View

Kawale P, Mindry D, Stramotas S, Chilikoh P, Phoya A, Henry K . Factors associated with desire for children among HIV-infected women and men: a quantitative and qualitative analysis from Malawi and implications for the delivery of safer conception counseling. AIDS Care. 2013; 26(6):769-76. PMC: 3943633. DOI: 10.1080/09540121.2013.855294. View

Yeatman S, Eaton J, Beckles Z, Benton L, Gregson S, Zaba B . Impact of ART on the fertility of HIV-positive women in sub-Saharan Africa. Trop Med Int Health. 2016; 21(9):1071-85. DOI: 10.1111/tmi.12747. View

Jose H, Madi D, Chowta N, Ramapuram J, Bhaskaran U, Achappa B . Fertility Desires and Intentions among People Living with HIV/AIDS (PLWHA) in Southern India. J Clin Diagn Res. 2016; 10(6):OC19-22. PMC: 4963688. DOI: 10.7860/JCDR/2016/20282.7968. View

Loutfy M, Hart T, Mohammed S, Su D, Ralph E, Walmsley S . Fertility desires and intentions of HIV-positive women of reproductive age in Ontario, Canada: a cross-sectional study. PLoS One. 2009; 4(12):e7925. PMC: 2785467. DOI: 10.1371/journal.pone.0007925. View

10.

Nobrega A, Oliveira F, Galvao M, Mota R, Barbosa R, Dourado I . Desire for a child among women living with HIV/AIDS in northeast Brazil. AIDS Patient Care STDS. 2007; 21(4):261-7. DOI: 10.1089/apc.2006.0116. View

11.

Mekonnen B, Minyihun A . Fertility Desire And Associated Factors Among HIV Positive Women Attending ART Clinics In Amhara Region Referral Hospitals In Northwest Ethiopia, 2017. HIV AIDS (Auckl). 2019; 11:247-254. PMC: 6802556. DOI: 10.2147/HIV.S221941. View

12.

Mantell J, Smit J, Stein Z . The right to choose parenthood among HIV-infected women and men. J Public Health Policy. 2009; 30(4):367-78. PMC: 2830745. DOI: 10.1057/jphp.2009.35. View

13.

Adilo T, Wordofa H . Prevalence of fertility desire and its associated factors among 15- to 49-year-old people living with HIV/AIDS in Addis Ababa, Ethiopia: a cross-sectional study design. HIV AIDS (Auckl). 2017; 9:167-176. PMC: 5587090. DOI: 10.2147/HIV.S133766. View

14.

Asfaw H, Gashe F . Fertility intentions among HIV positive women aged 18-49 years in Addis Ababa Ethiopia: a cross sectional study. Reprod Health. 2014; 11:36. PMC: 4038077. DOI: 10.1186/1742-4755-11-36. View

15.

Tamene W, Fantahun M . Fertility desire and family-planning demand among HIV-positive women and men undergoing antiretroviral treatment in Addis Ababa, Ethiopia. Afr J AIDS Res. 2015; 6(3):223-7. DOI: 10.2989/16085900709490418. View

16.

Melaku Y, Zeleke E, Kinsman J, Abraha A . Fertility desire among HIV-positive women in Tigray region, Ethiopia: implications for the provision of reproductive health and prevention of mother-to-child HIV transmission services. BMC Womens Health. 2014; 14:137. PMC: 4240867. DOI: 10.1186/s12905-014-0137-2. View

17.

Sufa A, Wordofa M, Admassu Wossen B . Determinants of fertility intention among women living with hiv in western Ethiopia: implications for service delivery. Afr J Reprod Health. 2015; 18(4):54-60. View

18.

Myer L, Morroni C, Rebe K . Prevalence and determinants of fertility intentions of HIV-infected women and men receiving antiretroviral therapy in South Africa. AIDS Patient Care STDS. 2007; 21(4):278-85. DOI: 10.1089/apc.2006.0108. View

19.

Wanyenze R, Wagner G, Tumwesigye N, Nannyonga M, Wabwire-Mangen F, Kamya M . Fertility and contraceptive decision-making and support for HIV infected individuals: client and provider experiences and perceptions at two HIV clinics in Uganda. BMC Public Health. 2013; 13:98. PMC: 3568663. DOI: 10.1186/1471-2458-13-98. View

20.

Cooper D, Mantell J, Moodley J, Mall S . The HIV epidemic and sexual and reproductive health policy integration: views of South African policymakers. BMC Public Health. 2015; 15:217. PMC: 4389705. DOI: 10.1186/s12889-015-1577-9. View