ORIGINAL RESEARCH article
Front. Reprod. Health
Sec. HIV and STIs
Volume 7 - 2025 | doi: 10.3389/frph.2025.1449392
This article is part of the Research TopicSpotlight on Women's Health in EthiopiaView all 10 articles
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
Provisionally accepted
- Wollega University, Nekemte, Ethiopia
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Background: Fertility desire in people living with HIV is the desire of people to have children in the future despite a diagnosis of HIV. The desire to have children among reproductive-age women living with HIV has significant implications for the transmission of HIV to sexual partners and newborns in the future. There is no study conducted to determine the magnitude of the fertility desire among women of reproductive age living with HIV HIV positive reproductive age women in east wollegaEast Wollega western Ethiopia. Therefore, the aim of this study wase this study aimed to determine fertility desire and associated factors among women of reproductive age living with HIV HIV-positive reproductive-age women receiving ART. Objectives: To assess fertility desire and associated factors among reproductive-aged women on antiretroviral treatment in East Wollega, West Ethiopia, 2023. Methods: A facility-based cross-sectional study was conducted in East Wollega from January 01/2023 to 30/2023. Data was collected from 419 study participants using intervieweradministered structured questionnaires by employingsystematic employing systematic random sampling techniques. Data entry and analysis were performed by using Epi Data version 3.1 and SPSS version 23, respectively. Both bivariate and multivariate analyses were carried out using binary logistic regression. Statistical significance was established for variables with P<0.05 in the multivariate analysis.Results: Among the 419 respondents, 166 (39.62%) reported that they desired to have children in the future. Age between 18 and 24 years (AOR= 2.49, 95% CI; 1.16, 5.35), having partner Living with HIV :having an HIV-positive partner (AOR=0.50, 95% CI; 0.25, 0.9), and being married (AOR=2.69, 95% CI; 1.65, 4.39) were significantly associated with fertility desire.The proportion of of women of reproductive age living with HIV HIV-positive women who desired children was high in this cohortgreater in this study than in previous studies. Understanding the fertility desire among women living with HIV/AIDS has a significant role in reducing perinatal transmission of HIV. Hence, Health care workers should provide intensive counselling regarding the possibility of the mother to childmother-to-child transmission of HIV.
Keywords: PLHIV, fertility desire, Reproductive women, East Wollega, Ethiopia
Received: 14 Jun 2024; Accepted: 19 May 2025.
Copyright: © 2025 Fikadu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Worku Fikadu, Wollega University, Nekemte, Ethiopia
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