Fertility Intention and Family Planning Use among People Living with HIV/AIDS in Follow Up Care Western Shoa Zone (ART Treatment Unit)
American Journal of Nursing Science
Volume 4, Issue 1, February 2015, Pages: 9-15
Received: Jan. 10, 2015; Accepted: Jan. 26, 2015; Published: Feb. 2, 2015
Views 2834      Downloads 263
Eshetu Ejeta, College of Medicine and Health Sciences, Department of Nursing, Ambo University, Ambo, Ethiopia
Mitsiwat Abebe, College of Medicine and Health Sciences, Department of Nursing, Ambo University, Ambo, Ethiopia
Article Tools
Follow on us
HIV positive individuals may or may not have intention to have children. They could also have different degrees of utilization and demand for family planning. The desire of HIV infected persons to have children in the future has significant implication for the transmission of HIV to sexual partners or newborns. So this study contributes a lot for program planner or other influential people. The study was designed to determine the fertility desire and contraceptive utilization among People Living with HIV in ART follow up care in western Shoa Zone. A cross sectional institution based study design supplemented by qualitative in-depth interview was done between December to May 2012. The study was conducted in western Shoa Zone (three Hospital; Ambo, Gedo and Gindeberet hospital), western Ethiopia. The study population were all People Living with HIV who had at list one visit to the selected ARV treatment units and age group 18- 49 for women and 18-59 for men and the sample size taken were 462 and data were analyzed by SPPS version 16 computer soft ware. Seventy-eight (50.3%) male and One hundred twelve (36.5%) female respondents expressed the desire for children, giving a total of 190(41.13%) of all respondents. One hundred ninety-nine (43.1%) were using family planning during the study period. Majority of the respondents 150(71.8%) using condom. Those who intended children are those who have no children, married and partner desire for children. Those who use family planning were educated (secondary and post secondary education), married, having children of three or more and those having knowledge on Mother To Child Transmission of HIV. Couples or individuals in need of children should be supported by availing adequate information on Prevention of Mother To Child Transmission service link with the country HIV prevention and control plan and strategy since high number of participants are in need of children.
Family Planning Use, Fertility Intention, People living with HIV, Antiretroviral Treatment
To cite this article
Eshetu Ejeta, Mitsiwat Abebe, Fertility Intention and Family Planning Use among People Living with HIV/AIDS in Follow Up Care Western Shoa Zone (ART Treatment Unit), American Journal of Nursing Science. Vol. 4, No. 1, 2015, pp. 9-15. doi: 10.11648/j.ajns.20150401.12
Hracareacion August 2003. Providing HIV/AIDs care in a changing environment 30(5).
Saha A April 2009. Convergence of Sexual and Reproductive Health and HIV/AIDS Services in India. Path HIV-SRH Convergence Project 3:1-2.
UNAIDS and WHO December 2007. AIDs epidemic updates Global summary of the AIDS epidemic: UNAIDS, WHO
FHAPCO 2006. Report on progress towards implementation of the Declaration of Commitment on HIV/AIDS. Ethiopia: Federal Democratic Republic of Ethiopia.
Cooper D, Harries J. Myer L, Orner P, Bracken H, Zweigenthal V Jul 2007. "Life is still going on”. Reproductive intentions among HIV-positive women and men in South Africa. Social Science and Medicine (65):274-83
Joseph K October 2006. Reproductive Intentions and Outcomes among Women on Antiretroviral Therapy in Rural Uganda.
Wossenyelesh T, Mesganaw F 2006. Fertility desire and family planning demand among HIV positive men and women in follow up care in Addis Ababa antiretroviral treatment units. Masters theses Addis Ababa university.
Ron G 1998. Pregnancy and HIV/AIDS. America: Johns Hopkins University.
Nam F July 27, 2009. pregnancy and contraception. India
Elizabeth A. Ellen G 2001. prevention of mother to child transmission of HIV in Africa: Apractical Guid line for programmers SARA,USAID
Mzikazi N.Lindiwe F March 2009. Women Living with HIV in South Africa and Their Concerns about Fertility. aids and behavior 62 (5).
Loutfy MR, Hart TA, Mohammed SS, Su D, Ralph ED 2009: Fertility desires and intentions of HIV-positive women of reproductive age in Ontan Canada: a cross sectional study. PLoS One , 4(12):e7925.(http://www.plosone.org webcite)
Marcellin F, Protopopescu C, Abe C, Boyer S, Blanche J, Ongolo-Zogo P, Koulla-Shiro S, Moatti JP, Carrieri MP, Spire B 2010: Desire for a child among HIV-infected women receiving antiretroviral therapy in Cameroon: results from the national survey, EVAL study. AIDS Care , 22(4):441-451
Hofman IF, Martinson FE, Powers KA, Chilongozi DA, Msiska ED, Kachipapa EI 2008: The year-long effect of HIV-positive test results on pregnancy intentions, contraceptive use, and pregnancy incidence among Malawian women. J Acquire Immune Defic Syndr 47(4):477-483.
Nakayiwa S, Abang B, Packel L, Lifshay J, Purcell DW, King R, Ezati E, Mermin J, Coutinho A, Bunnel R 2006: Desire for children and pregnancy risk behavior among HIV-infected men and women in Uganda. AIDS Behav , 10:S95-S104.
Berhan Y 2008: Attitude of people living with HIV/AIDS to be a biological parent and their knowledge on MTCT reduction methods. Ethiop Med J , 46(4):335-347.
Oladapo OT, Daniel OJ, Odusoga OL, Ayoola-Sotubo O 2005: Fertility desires and intentions of HIV positive patients at a suburban specialist center. J Natl Med Assoc, 97(12):1672-1681
Feldman R ,Maposhere C July 2000. Voices and choices. A participatory research and advocacy study of reproductive health and rights of HIV positive women in Zimbabwe. Journal of AIDs care 9-14.
Adir T 2007. Desire for children and unmet need for Contraception among HIV Positive Women. DHS working paper Demography and Health Research, Lesetho(2).
Aska ML, Chompikul J, Keiwkarnka B 2011: Determinants of fertility desires among HIV positive women living in the Western highlands province of Papua New Guinea. World J AIDS , 1(4):198-207
McClellan MK, Patel R, Kadzirange G, Chipato T, Katzenstein D 2010: Fertility desires and condom use among HIV-positive women at an antiretroviral roll-out program in Zimbabwe. Afr J Reprod Health, 14(2):27-35
Fentahun T, Habte D July, 2008. Fertility intention and Family Planning utilization among People living with HIV/AIDS in Felege Hiwot Hospital Bahir Dar, Ethipia
Natalie De La Cruz 2009. Parenting practices and desire for a child among mothers living with HIV, US.
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
Tel: (001)347-983-5186