ArticleBMJ open2020
Fertility among women living with HIV in western Ethiopia and
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.
- Utilization of modern contraception and determinants among HIV positive women in Ethiopia: a systematic review and meta-analysis.BMC women's health · 2024Pooled it
- Progress Toward the Elimination of Vertical HIV Transmission in Nepal: A Retrospective Cohort Study.Journal of community health · 2025Article
- Fertility desire and associated factors among reproductive age women on anti-retroviral therapy in East Wollega public health facilities, west Ethiopia: facility based cross-sectional study.Frontiers in reproductive health · 2025Article
- Prevalence and factors associated with fertility desire among HIV-positive women in Rwanda in the context of improved life expectancy.Archives of public health = Archives belges de sante publique · 2021Article
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to examine fertility (live births) in the last 3 years and its associated factors among women living with HIV (WLHIV) in western Ethiopia .
designParticipants were recruited into a cross-sectional survey using systematic sampling. SETTINGS: Four healthcare facilities in western Ethiopia were included.
participantsEligible participants were WLHIV of reproductive age (15-49 years) from western Ethiopia who found out about their HIV-positive status more than 3 years ago (N=866). PRIMARY OUTCOME MEASURES: The fertility (live births) of HIV-positive women in the last 3 years was surveyed using face-to-face interviews (March-June 2018). Logistic regression analyses were conducted to examine factors influencing fertility in the last 3 years.
resultsA total of 108 (12.5%) HIV-positive women gave birth to 121 live children in the last 3 years. Of these births, 18.2% were reported as mistimed at conception, while 26.4% were reported as unwanted. Of the live births, 8.3% ended in death. Of the 76 (62.8%) children with known HIV status born to HIV-positive women in the last 3 years, 7.9% were HIV-positive. In terms of predictors of fertility, women aged 15-24 years (adjusted OR (AOR) 2.72; 95% CI 1.14 to 6.49) and 25-34 years (AOR 4.34; 95% CI 2.61 to 7.21) had increased odds of fertility compared with women aged 35-49 years. Women using antiretroviral therapy (ART) for less than 5 years were more likely to have given birth in the last 3 years compared with those using ART for 10 years or more (AOR 2.96; 95% CI 1.19 to 7.36), even after controlling for age.
conclusionsWLHIV in Ethiopia are having children and so it is imperative that safe conception strategies are readily available as well as support to reduce HIV-related risks for children born to these mothers. Strengthening reproductive health services for HIV-positive women in order to achieve their family planning goals is therefore important.
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