Leta, Yohannes (2009) Determinants of Fertility Desire among Men and Women Living with HIV/AIDS in Adama Town. Masters thesis, Addis Ababa University.
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Abstract
The number of people living with Human Immunodeficiency Virus (HIV) continues to grow, as does the number of deaths due to Acquired Immune Deficiency Syndrome (AIDS). About 1.3 million people are living with HIV/AIDS; out of this 730,000 were women and 96,000 were children under 15 years of age (MOH, 2006). The majority of HIV positive men and women are of reproductive age and major modes of HIV transmission in Ethiopia is heterosexual and mother to child transmission. A better understanding of reproductive choice of HIV positive individuals is important especially as antiretroviral medication is becoming more accessible The study address the determinants of fertility desire among HIV positive men (aged 15-64) and women (aged 15-49) in Adama town. The study tried to identify the determinants of fertility desire among HIV positive men and women in Adama town. A cross sectional study was conducted from February 1 to February 20,2009 in Adama town, Oromiya regional state, to find determinants of fertility desire among men and women living with HIV/AIDS. The study used questionnaire, FGD guideline and interview guideline to collect data. Data were collected from all 11 associations of people living with HIV/AIDS and a total of 418 study subjects were included in the study using probability proportional to size. SPSS version 13 was used for data entry and analysis. The quantitative results are supported by qualitative information obtained using focus group discussion and in-depth interview. Logistic regression was used to determine the association between the dependent variable (fertility desire) and the independent variables controlling for other variables. The statistical test was done at a significant level of P <0.05. There are two models in this study. Model I describes about all men and women fertility desire where as Model II describes fertility desire of married men and women. Among the study population, 37.6% were married/living with partner and 62.4% were not in marriage/consensual union. From all respondents, 66.3% had a desire for children and females (73.1%) had more desire for children than males (58.8%). This study showed that many HIV positive men and women in Adama town living in associations desire to have children in the future. The desire for children was influenced by age, number of living children, contraceptive use and attitude of health professionals towards childbearing of HIV positive people. As age and number of living children increases, the fertility desire decreases. Surprisingly, contraceptive users desire for children(76.4%) more than non users(56.8%).Raising the awareness about Prevention of Mother to Child Transmission using Information Education Communication/ Behavioural Change for Communication IEC/BCC, promoting male involvement in fertility counselling and integrating Family planning services and HIV/AIDS testing and counselling to aid HIV-infected individuals informed choices of these critical life decisions.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | H Social Sciences > HM Sociology H Social Sciences > HN Social history and conditions. Social problems. Social reform H Social Sciences > HQ The family. Marriage. Woman |
| Divisions: | Africana |
| Depositing User: | Tim Khabala |
| Date Deposited: | 24 May 2018 14:28 |
| Last Modified: | 24 May 2018 14:28 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/4091 |
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