scholarly journals Assessing Reproductive Decision-making Among HIV-Positive Women in Kumasi, Ghana

2019 ◽  
Vol 8 (1) ◽  
pp. 54-62
Author(s):  
Alicia E. Hersey ◽  
Betty Norman ◽  
Rebecca Reece
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Unmet Need ◽  
Hiv Positive ◽  
Hiv Status ◽  
Reproductive Decision ◽  
Hiv Positive Women ◽  
Reproductive Decision Making ◽  
Unmet Need For Contraception ◽  
Hiv Negative

Background or Objectives: HIV-positive women have higher rates of unmet need for contraception and unintended pregnancy and face unique obstacles in accessing family planning services, such as healthcare- related stigma and disclosing HIV status to partners. This study characterizes factors that influence the reproductive decision-making of women living with HIV and identifies areas for improvement in reproductive counseling in Kumasi. Methods: In this cross-sectional study, HIV-positive women, ages 18 to 45 years, presenting for care at Komfo Anokye Teaching Hospital between June and August 2017 were interviewed using structured surveys. Information gathered included demographics, method of contraceptive use, initiation of anti- retroviral therapy (ART), knowledge and use of contraception, and future reproductive plans. The primary outcome was current family planning use and future reproductive desire. Univariate analysis was used to characterize the demographics of the study group. Bivariate analysis including Chi-squared test was employed to assess the association between use of family planning between women with an HIV-positive and HIV-negative partner, with significance set at p < 0.05. Results: A total of 88 women were interviewed. The unmet need for contraception was 10%. Among all sexually active women, 26% did not use contraception. Fewer women with HIV-negative or untested partners were using contraception (65% and 67%, respectively), compared to women with HIV-positive partners (93%). Partner preference was the most common reason cited for not using a method of contraceptive (46%). Similar trends were found in future reproductive desires based on age cohorts, partner status, and use of family planning. Conclusion and Global Health Implications: Significant barriers to family planning use among HIV- positive women remain, especially those with a serodiscordant partner. Most partners were aware of their partner’s HIV status. This highlights an important opportunity to include partners in HIV and contraceptive counseling. Key words: • HIV • Family planning • Contraception • LARC • Serodiscordant • Ghana • Africa   Copyright © 2019 Hersey et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

UNMET NEED FOR CONTRACEPTION AMONG HIV-POSITIVE WOMEN IN LESOTHO AND IMPLICATIONS FOR MOTHER-TO-CHILD TRANSMISSION

2009 ◽  
Vol 41 (2) ◽  
pp. 269-278 ◽  
Author(s):  
TIMOTHY ADAIR
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Hiv Positive ◽  
Mother To Child Transmission ◽  
Hiv Status ◽  
Child Transmission ◽  
Childbearing Age ◽  
Hiv Positive Women ◽  
Mother To Child ◽  
Unmet Need For Contraception

SummaryIn Lesotho, the risk of mother-to-child-transmission (MTCT) of HIV is substantial; women of childbearing age have a high HIV prevalence rate (26·4%), low knowledge of HIV status and a total fertility rate of 3·5 births per woman. An effective means of preventing MTCT is to reduce unwanted fertility. This paper examines the unmet need for contraception to limit and space births among HIV-positive women in Lesotho aged 15–49 years, using the 2004 Lesotho Demographic and Health Survey. HIV-positive women have their need for contraception unmet in almost one-third of cases, and multivariate analysis reveals this unmet need is most likely amongst the poor and amongst those not approving of family planning. Urgent action is needed to lower the level of unmet need and reduce MTCT. A constructive strategy is to improve access to family planning for all women in Lesotho, irrespective of HIV status, and, more specifically, integrate family planning with MTCT prevention and voluntary counselling and testing services.

scholarly journals Unmet need for family planning and associated factors among married women attending anti-retroviral treatment clinics in Dire Dawa City, Eastern Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250297
Author(s):  
Hiwot Dejene ◽  
Muluemebet Abera ◽  
Afework Tadele
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Associated Factors ◽  
Unmet Need ◽  
Married Women ◽  
Hiv Positive ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
Hiv Positive Women ◽  
Dire Dawa

Background Unmet need for family planning is a measure of the gap between women’s contraceptive behavior and their fertility desires. It should be measured among different population groups to effectively implement public health interventions. Thus, this study aimed to determine the magnitude of unmet need for family planning and associated factors among HIV- positive women in Dire Dawa city Anti-retroviral treatment (ART) clinics, Eastern Ethiopia. Methods We carried out a facility-based cross-sectional study (March-June 2020) among 409 married women aged 15–49 on ART, using systematic random sampling. A face-to-face interview was done using a structured questionnaire. Bivariable and multivariable logistic regression was done to identify factors associated with unmet need for family planning. Results Overall, 33% [95% confidence interval (CI): 28.9–37.9] of the respondents had unmet need for family planning. Woman’s residing in a rural area (adjusted odds ratio (AOR): 2.41 [95% CI: 1.24–4.67]), woman’s not attained formal education (AOR: 4.14 [95% CI: 1.73–9.93]) and attaining primary education (AOR: 2.97 [95% CI: 1.54–5.74]), poor knowledge (AOR: 2.87 [95% CI: 1.52–5.40]), and unfavorable attitude towards family planning (AOR: 2.21 [95% CI: 1.12–4.34]), clients not satisfied with family planning service (AOR: 6.34 [95% CI: 3.31–12.15]), the woman not having decision making power on family planning (AOR:3.97 [95% CI: 2.14–7.38]) and not getting family planning counseling in ART clinics (AOR: 2.87 [95% CI: 1.54–5.35]) were positively associated with having unmet need for family planning. Conclusion This study indicates there a high unmet need for family planning among married HIV-positive women. Factors like a place of residence, educational status of women, knowledge and attitude towards family planning, client satisfaction with FP service, women decision-making power, and FP counseling service in ART. Therefore, we recommend that the concerned bodies should collaborate with ART clinics to design interventions that enhance access to family planning programs to combat the high unmet need for family planning among HIV-positive women.

scholarly journals Impact of HIV Positive Status on Reproductive Decision Making

2011 ◽  
Vol 3 (2) ◽  
pp. 82-85
Author(s):  
Sebanti Goswami ◽  
Ranjana Tibrewal
Keyword(s):  
Decision Making ◽  
Vertical Transmission ◽  
Antenatal Clinic ◽  
Hiv Positive ◽  
Medical College ◽  
Reproductive Decision ◽  
Hiv Positive Women ◽  
Reproductive Decision Making ◽  
Varied Response ◽  
Counseling Approach

ABSTRACT Objective The purpose of this study was to investigate the various factors that influence pregnancy decisions in HIV positive women. Methods This was a prospective observational study conducted in the Department of Obstetrics and Gynecology, Medical College and Hospital, Kolkata. Around 65 pregnant women testing positive for HIV and receiving care at our antenatal clinic or opting for MTP were included. An interview was taken regarding factors influencing reproductive decision making. Results Around 13.9% of the patients underwent MTP and 86.1% continued their pregnancy. When asked about the reason of opting for MTP, a varied response was noted out of which the fear for vertical transmission and concern of stigma took the major share. Conclusion The counseling approach is to be proposed that advocates encouraging HIV-infected women to make reasoned and considered decisions concerning childbearing. Such an approach would require providers to discuss with women not only the medical facts relevant to vertical transmission but also many of the psychosocial issues relevant to the woman's interest in bearing a child. Moreover, the encounter would be contextualized to include discussion of issues unique to the woman's situation and other family considerations.

The reproductive careers of a cohort of men and women following an HIV-positive diagnosis

1994 ◽  
Vol 26 (3) ◽  
pp. 409-415 ◽  
Author(s):  
Gill Green
Keyword(s):  
Decision Making ◽  
Health Services ◽  
Hiv Positive ◽  
Hiv Diagnosis ◽  
Men And Women ◽  
Positive Diagnosis ◽  
Reproductive Decision ◽  
Reproductive Decision Making ◽  
Hiv Negative ◽  
Do So

SummaryThis report examines the consequences of a positive HIV diagnosis upon the reproductive decision-making of 39 men and women in Scotland. Whilst the majority initially decide never to have any (more) children this sometimes changes as other factors gain ascendancy, such as a partner wanting ‘their’ child, and about one-third had had a child or were intending to do so. The motivations underlying such decisions are discussed and ways in which health services could intervene to support people with HIV in making reproductive choices and to minimise the risk of transmission to an HIV-negative partner and the child are suggested.

scholarly journals Unmet need for contraception among HIV-positive women in Ile-Ife, Nigeria

2018 ◽  
Vol 49 (1) ◽  
pp. 26-31
Author(s):  
Temitope Omoladun Okunola ◽  
Kayode T Ijaduola ◽  
Ebunoluwa A Adejuyigbe
Keyword(s):  
Unwanted Pregnancy ◽  
Unmet Need ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Public Health Issue ◽  
Hiv Positive ◽  
Cross Sectional ◽  
Women Living With Hiv ◽  
Hiv Positive Women ◽  
Unmet Need For Contraception

As mother-to-child transmission of HIV is difficult to predict and also hard to prevent in practice, pregnancy among women living with HIV/AIDS (WHA) needs to be taken with considerable aforethought. The prevention of unwanted pregnancy among WHA is therefore a public health issue. The aim of our study was to determine the unmet need for contraception among HIV-positive women and the associated factors. Ours was a cross-sectional study involving 425 non-pregnant WHA attending an adult HIV clinic in Nigeria. Interviewer-administered, structured questionnaires designed for the study were used to obtain data. The contraceptive uptake was 47% while the unmet need for contraception was 20%. There were significant associations between unmet need for contraception and age group ( P < 0.001), religion ( P < 0.001), ethnic group ( P < 0.001), knowledge about contraceptives ( P = 0.02), educational status ( P = 0.01) and partners’ retroviral status ( P = 0.008) The unmet need for contraception was high. Advocacy programs should perhaps be focused on older women, Christians and those with little or no education.

scholarly journals Contraceptive use and unmet need for family planning among HIV positive women on antiretroviral therapy in Kumasi, Ghana

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Dennis Odai Laryea ◽  
Yaw Ampem Amoako ◽  
Kathryn Spangenberg ◽  
Ebenezer Frimpong ◽  
Judith Kyei-Ansong
Keyword(s):  
Family Planning ◽  
Antiretroviral Therapy ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Hiv Positive ◽  
Hiv Positive Women

scholarly journals Predictors of Unmet Need for Family Planning among HIV Positive Women in Care in Federal Teaching Hospital Gombe, Nigeria

2020 ◽  
pp. 26-33
Author(s):  
A. Mohammed ◽  
D. Chiroma ◽  
C. H. Laima ◽  
M. A. Danimoh ◽  
P. A. Odunze
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Hiv Care ◽  
Hiv Positive ◽  
P Value ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Hiv Positive Women ◽  
History Of ◽  
Mother To Child

Background: Elimination of mother-to-child transmission (EMTCT) of Human Immunodeficiency Virus (HIV) requires adequate and continuous use of family planning commodities among women of reproductive age. This can be made possible by reducing the proportion of HIV positive women with unmet need for family planning. The study aims to determine the factors associated with having unmet need among women in HIV care. Methods: A cross sectional study was conducted using an interviewer administered questionnaire to study 325 women on HIV care. Cluster sampling technique was used to select the study respondents from the clinic. Results: Less than half of the respondents (40%) were currently using family planning, 35% had unmet need for family planning with 53.6% having unmet need for spacing while 46.4% having unmet need for limiting. Women with no history of previous use of family planning were fifteen times more likely to have unmet need for family planning than those with history of previous use of family planning (p value <0.001, CI 2.511-15.770). Also women with more than five deliveries were eight times more likely to have unmet need for family planning (p value 0.004, CI 0.001-0.279) while women with 2-5 deliveries are four times likely to have unmet need for family planning (p value 0.035, CI 0.005-0.832). Conclusion: A high proportion of women receiving ART care still have unmet need for family planning despite incorporating this service in HIV care. It is therefore important to target high risk groups to reduce the proportion of women with unmet need for family planning which will invariable reduce mother to child transmission of HIV.

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