Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Nov 23;78(1):123.
doi: 10.1186/s13690-020-00504-0.

Fertility desire and associated factors among people living with HIV in Ethiopia: a systematic review and meta-analysis

Getu Mosisa  1 , Reta Tsegaye  2 , Bizuneh Wakuma  2 , Diriba Mulisa  2 , Werku Etefa  2 , Muktar Abadiga  2 , Ginenus Fekadu  3 , Adugna Oluma  2 , Ebisa Turi  4
Affiliations
Review

Fertility desire and associated factors among people living with HIV in Ethiopia: a systematic review and meta-analysis

Getu Mosisa et al. Arch Public Health. .

Abstract

Background: Increased Anti-Retroviral Therapy (ART) coverage improves health status and the survival of people living with Human Immunodeficiency Virus (HIV) as a result, reproductive health needs of the clients are increased. As part of continuum HIV care, understanding fertility desire and reproductive health care needs of HIV positive peoples will play paramount role in planning and delivering appropriate health services. The finding of studies conducted on the fertility desire and associated factors among People Living with HIV in Ethiopia presented inconclusive. Therefore, this study aimed to assess the pooled prevalence of fertility desire and associated factors among people living with HIV in Ethiopia.

Methods: A total of 26 studies conducted in Ethiopia were included in this Meta-analysis. Pub Med, HINARI, Google scholar and Google data bases were searched. Data from the included articles were extracted using a standardized data extraction tool. The included studies were analyzed using a random effects meta-analysis model. Analysis was done Using STATA version 14 statistical software. Heterogeneity was assessed statistically using the standard Chi-square, I2. The association between fertility desire and factors were examined using a random effects model.

Result: In this meta-analysis, the pooled prevalence of fertility desire in Ethiopia is 42.21% (95%CI 39.18, 45.25). Fertility desire is significantly associated with sex: being female (OR = 0.71,95%CI 0.57,0.86), partners desire (OR = 16.8, 95% CI: 9.45, 29.88), not having child (OR = 5.46 95%CI 4.24, 7.040), age < 30(OR = 2.34, 95%CI 2.10, 2.60), formal education (OR = 1.31 95%CI 1.09, 1.59)). However, use of family planning, residence, and Knowledge on Prevention of Mother to Child Transmission and disclosure status didn't show association with fertility desire.

Conclusion: In this finding, significant people of living with HIV have a desire to have a child. The finding showed the need to strengthen fertility desire and reproductive health care needs of HIV positive peoples. Therefore, strengthening the integration of fertility related issues with HIV continuum care will play a paramount role in averting risky sexual behaviors and Prevention of Mother to Child Transmission among peoples on ART.

Keywords: ART; Ethiopia; Fertility desire; Meta-analysis; People living with HIV.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
PRISMA flow diagram of included studies for the systematic review and meta-analysis of Fertility desire and associated factors among people living with HIV in Ethiopia, 2020
Fig. 2
Fig. 2
Forest plot of the pooled Prevalence of fertility desire among HIV positive peoples in Ethiopia, 2020
Fig. 3
Fig. 3
Sub-group analysis of prevalence of fertility desire among HIV positive peoples in Ethiopia, 2020
Fig. 4
Fig. 4
Funnel plot with 95% confidence limit of the pooled Prevalence of fertility desire among HIV positive peoples in Ethiopia, 2020
Fig. 5
Fig. 5
Sensitivity analysis for a single study influence on the overall study of fertility desire in Ethiopia, 2020
Fig. 6
Fig. 6
Forest plot of association between fertility desire among people with HIV positive and sex of the participants in Ethiopia, 2020
Fig. 7
Fig. 7
Forest plot of association between fertility desire among people with HIV positive and Partner fertility desire of the participants in Ethiopia, 2020
Fig. 8
Fig. 8
Forest plot of association between fertility desire among people with HIV positive and number of alive children in Ethiopia, 2020
Fig. 9
Fig. 9
Forest plot of association between fertility desire among people with HIV positive and and use of family planning in Ethiopia, 2020
Fig. 10
Fig. 10
Forest plot of association between fertility desire among people with HIV positive and and disclosure status in Ethiopia, 2020
Fig. 11
Fig. 11
Forest plot of association between fertility desire among people with HIV positive and and residenceof participants in Ethiopia, 2020
Fig. 12
Fig. 12
Forest plot of association between fertility desire among people with HIV positive and and knowledge of the participants about PMTCT in Ethiopia, 2020
Fig. 13
Fig. 13
Forest plot of association between fertility desire among people with HIV positive and and age of the participants in Ethiopia, 2020
Fig. 14
Fig. 14
Forest plot of association between fertility desire among people with HIV positive and and educational status of the participants in Ethiopia, 2020
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. UNAIDS GH. AIDS statistics—2019 fact sheet. 2019.
    1. Ethiopia F. Country Progress report on the HIV response. 2014.
    1. Wilcher R, Petruney T, Reynolds H, Cates W. From effectiveness to impact: contraception as an HIV prevention intervention. Sexually Transmitted Infect. 2008;84(Suppl 2):ii54–ii60. doi: 10.1136/sti.2008.030098. - DOI - PubMed
    1. World Health Organization. HIV Country Profile: 2016, Ethiopia,2017. Available at: https://www.who.int/hiv/data/Country_profile_Ethiopia.pdf?ua=1.
    1. Mirkuzie AH. Implementation and outcomes of guideline revisions for the prevention of mother-to-child HIV transmission in mother support Programme, Addis Ababa, Ethiopia. PloS one. 2018;13(6):e0198438. doi: 10.1371/journal.pone.0198438. - DOI - PMC - PubMed