Journal des soins de santé des femmes
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Fertility Deisire and Associated Factors Among People on Antiretroviral Treatment at a Public Health Facility in Hawassa City, Southern Ethiopia

Muche Argaw Eniyew1*, Yusuf Haji2, Kelemu Abebe3, Minchil Demelash4, Yibeltal Mesfin5, Aynamaw Embial6, Belay Amare7

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.Increasing quality of life for patients leads to a desire for fertility in people living with HIV/AIDS and fertility desires were increased due to easy accessibility and availability of antiretroviral treatment drugs.

Objectives: To assessed fertility desire and associated factors among people living on ante-retro viral treatment at Hawassa city southern Ethiopia, 2019. A study was conducted in Hawassa city public health facilities from May 09 –July 07/07/2019

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 discussed reproductive health with antiretroviral treatment 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%CI(1.46, 6.16)]and counseling reproductive health withantiretroviral treatment provider[Adjust odds ratio = 3.10 95%CI:(1.86,5.15)].

Conclusion: The prevalence of fertility desire in this study was higher than in previous studies while factors associated with fertility desire were age, sexual practice in the last six months, and discuss reproductive health with antiretroviral treatment providers.

Keywords: Antiretroviral treatment, Fertility Desire, Hiv/Aids