Unintended Pregnancy and Associated Factors Among HIV Positive Women in Ilu Aba Bora zone, South Western Ethiopia: A Facility-Based Cross-Sectional Study

Tigist Teklu,1 Sena Belina,2 Fantaye Chemir,2 Martha Tessema,2 Worke Yismaw1 1Nursing Department, Mettu University, Mettu, Oromia, Ethiopia; 2Institute of Health, Jimma University, Jimma, Oromia, EthiopiaCorrespondence: Tigist TekluDepartment of Nursing, Mettu University Public Health and Medical Sc...

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Main Authors: Teklu T, Belina S, Chemir F, Tessema M, Yismaw W
Format: Article
Language:English
Published: Dove Medical Press 2021-02-01
Series:HIV/AIDS: Research and Palliative Care
Subjects:
Online Access:https://www.dovepress.com/unintended-pregnancy-and-associated-factors-among-hiv-positive-women-i-peer-reviewed-article-HIV
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author Teklu T
Belina S
Chemir F
Tessema M
Yismaw W
author_facet Teklu T
Belina S
Chemir F
Tessema M
Yismaw W
author_sort Teklu T
collection DOAJ
description Tigist Teklu,1 Sena Belina,2 Fantaye Chemir,2 Martha Tessema,2 Worke Yismaw1 1Nursing Department, Mettu University, Mettu, Oromia, Ethiopia; 2Institute of Health, Jimma University, Jimma, Oromia, EthiopiaCorrespondence: Tigist TekluDepartment of Nursing, Mettu University Public Health and Medical Science Faculty, Mettu, Oromia, EthiopiaTel +25910091307Email tigist16teklu@gmail.comBackground: Unintended pregnancy reflects the existence of unprotected sex. Understanding factors associated with unintended pregnancy among HIV-positive women is very important to design strategies for the prevention of further transmission and infection with the virus. However, there is scarce information in this regard. Given the degree of HIV prevalence among women and the current antiretroviral therapy scale up in Ethiopia, it is important to understand factors associated with un-intended pregnancy in order to prevent mother to child HIV transmission (MTCT).Methods: An institution-based cross-sectional study design was employed. The sample size was 353; all HIV/AIDS sero-positive reproductive age group (15– 49) women having any pregnancy history after their diagnosis and having started HAART were included and simple random sampling was used to select study participants. Data collection period was from March 9 to April 13, 2019.Results: The prevalence of unintended pregnancy among the participants was 40.9%. In the multivariate logistic regression, unemployment (AOR, 3.36; 95% CI: 1.55– 7.26), not being knowledgeable on MTCT and prevention of MTCT (PMTCT) (AOR, 3.18; 95% CI: 1.92– 5.24), and having had no discussion on reproductive health issues (AOR, 1.83; 95% CI: 1.09– 3.07) are factors significantly associated with unintended pregnancy occurrence among HIV-positive women on antiretroviral therapy.Conclusion and Recommendation: The prevalence of unintended pregnancy among the women in the study is high. To avoid unintended pregnancies, HIV-infected women need access to effective family planning services and risk reduction discussions during routine care visits.Keywords: unintended pregnancy, women on ART, Ilu Aba Bora zone, Southwest Ethiopia
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spelling doaj.art-68c9427044e24495a40915f9f5707c7b2022-12-21T20:36:37ZengDove Medical PressHIV/AIDS: Research and Palliative Care1179-13732021-02-01Volume 1319720362151Unintended Pregnancy and Associated Factors Among HIV Positive Women in Ilu Aba Bora zone, South Western Ethiopia: A Facility-Based Cross-Sectional StudyTeklu TBelina SChemir FTessema MYismaw WTigist Teklu,1 Sena Belina,2 Fantaye Chemir,2 Martha Tessema,2 Worke Yismaw1 1Nursing Department, Mettu University, Mettu, Oromia, Ethiopia; 2Institute of Health, Jimma University, Jimma, Oromia, EthiopiaCorrespondence: Tigist TekluDepartment of Nursing, Mettu University Public Health and Medical Science Faculty, Mettu, Oromia, EthiopiaTel +25910091307Email tigist16teklu@gmail.comBackground: Unintended pregnancy reflects the existence of unprotected sex. Understanding factors associated with unintended pregnancy among HIV-positive women is very important to design strategies for the prevention of further transmission and infection with the virus. However, there is scarce information in this regard. Given the degree of HIV prevalence among women and the current antiretroviral therapy scale up in Ethiopia, it is important to understand factors associated with un-intended pregnancy in order to prevent mother to child HIV transmission (MTCT).Methods: An institution-based cross-sectional study design was employed. The sample size was 353; all HIV/AIDS sero-positive reproductive age group (15– 49) women having any pregnancy history after their diagnosis and having started HAART were included and simple random sampling was used to select study participants. Data collection period was from March 9 to April 13, 2019.Results: The prevalence of unintended pregnancy among the participants was 40.9%. In the multivariate logistic regression, unemployment (AOR, 3.36; 95% CI: 1.55– 7.26), not being knowledgeable on MTCT and prevention of MTCT (PMTCT) (AOR, 3.18; 95% CI: 1.92– 5.24), and having had no discussion on reproductive health issues (AOR, 1.83; 95% CI: 1.09– 3.07) are factors significantly associated with unintended pregnancy occurrence among HIV-positive women on antiretroviral therapy.Conclusion and Recommendation: The prevalence of unintended pregnancy among the women in the study is high. To avoid unintended pregnancies, HIV-infected women need access to effective family planning services and risk reduction discussions during routine care visits.Keywords: unintended pregnancy, women on ART, Ilu Aba Bora zone, Southwest Ethiopiahttps://www.dovepress.com/unintended-pregnancy-and-associated-factors-among-hiv-positive-women-i-peer-reviewed-article-HIVunintended pregnancywomen on artilu aba bora zonesouth west ethiopia.
spellingShingle Teklu T
Belina S
Chemir F
Tessema M
Yismaw W
Unintended Pregnancy and Associated Factors Among HIV Positive Women in Ilu Aba Bora zone, South Western Ethiopia: A Facility-Based Cross-Sectional Study
HIV/AIDS: Research and Palliative Care
unintended pregnancy
women on art
ilu aba bora zone
south west ethiopia.
title Unintended Pregnancy and Associated Factors Among HIV Positive Women in Ilu Aba Bora zone, South Western Ethiopia: A Facility-Based Cross-Sectional Study
title_full Unintended Pregnancy and Associated Factors Among HIV Positive Women in Ilu Aba Bora zone, South Western Ethiopia: A Facility-Based Cross-Sectional Study
title_fullStr Unintended Pregnancy and Associated Factors Among HIV Positive Women in Ilu Aba Bora zone, South Western Ethiopia: A Facility-Based Cross-Sectional Study
title_full_unstemmed Unintended Pregnancy and Associated Factors Among HIV Positive Women in Ilu Aba Bora zone, South Western Ethiopia: A Facility-Based Cross-Sectional Study
title_short Unintended Pregnancy and Associated Factors Among HIV Positive Women in Ilu Aba Bora zone, South Western Ethiopia: A Facility-Based Cross-Sectional Study
title_sort unintended pregnancy and associated factors among hiv positive women in ilu aba bora zone south western ethiopia a facility based cross sectional study
topic unintended pregnancy
women on art
ilu aba bora zone
south west ethiopia.
url https://www.dovepress.com/unintended-pregnancy-and-associated-factors-among-hiv-positive-women-i-peer-reviewed-article-HIV
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AT chemirf unintendedpregnancyandassociatedfactorsamonghivpositivewomeniniluababorazonesouthwesternethiopiaafacilitybasedcrosssectionalstudy
AT tessemam unintendedpregnancyandassociatedfactorsamonghivpositivewomeniniluababorazonesouthwesternethiopiaafacilitybasedcrosssectionalstudy
AT yismaww unintendedpregnancyandassociatedfactorsamonghivpositivewomeniniluababorazonesouthwesternethiopiaafacilitybasedcrosssectionalstudy