Fertility Desires and its Predictors among Persons Living with HIV in a Secondary Health Facility in Northcentral Nigeria

Fertility Desires and its Predictors among Persons Living with HIV in a Secondary Health Facility in Northcentral Nigeria

Author by Dr. Chikwendu Amaike

Journal/Publisher: Journal Of Global Infectious Diseases

Volume/Edition: 14

Language: English

Pages: 106 - 111

Abstract

Introduction: Among people living with HIV (PLHIV), fertility desire which is the desire to have more children is increasing due to the
improvement in quality of life and survival resulting from anti-retroviral treatment and also improved sexual and reproductive health services.
Fertility desires can result in increased risk of HIV transmission, especially in unprotected heterosexual intercourse. There is limited information
regarding the fertility desires and predictors among PLHIV in our environment. Methods: This study was aimed at assessing the fertility desires
and predictors in PLHIV in Northcentral Nigeria. Study was descriptive cross-sectional. Semi-structured interviewer administered pretested
questionnaires was used to get information from 170 PLHIV accessing care in a secondary health-care facility selected by the systematic
sampling technique. Data were analyzed using the SPSS software version 23.0. At 95% confidence interval (CI), a P ? 0.05 was considered to be
statistically significant. Chi-square and logistic regression. Results: Fertility desire was found among 64.1% of the respondents. Younger age (odds
ratio [OR] = 0.2270; 95% CI = 0.0662–0.7791, P = 0.0184), having no child or a smaller number of children (OR = 0.0432; CI = 0.0046–0.4050;
P = 0.0059) and suppressed viral loads (OR = 4.1069; CI = 1.1650–14.4784; P = 0.0280) were the predictors for fertility desire. Conclusion:
This study showed that PLHIV had high fertility desires but do not know any safe method of conception, hence intensified effort should be
made by primary care providers and other health-care workers to include sexual and reproductive health counselling during routine HIV clinic
visits to enable PLHIV make informed decision about their fertility desires.  


Other Co-Authors