Prevalence and factors associated with fertility desire among HIV-positive women in Rwanda in the context of improved life expectancy

Abstract Background The knowledge of the key factors associated with fertility desire among people living with HIV/AIDS is crucial for the efficient planning of maternal and child health care programs. Fertility desire has generally increased among women of reproductive age in Rwanda. However, its l...

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Autores principales:	François Niragire, Celestin Ndikumana, Marie Gaudence Nyirahabimana, Dieudonne Uwizeye
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	HIV/AIDS Fertility desire Factors Logistic regression Odds ratio Rwanda Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/7b3f10471d94456ba814f856f554127c
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spelling	oai:doaj.org-article:7b3f10471d94456ba814f856f554127c2021-11-28T12:13:19ZPrevalence and factors associated with fertility desire among HIV-positive women in Rwanda in the context of improved life expectancy10.1186/s13690-021-00742-w2049-3258https://doaj.org/article/7b3f10471d94456ba814f856f554127c2021-11-01T00:00:00Zhttps://doi.org/10.1186/s13690-021-00742-whttps://doaj.org/toc/2049-3258Abstract Background The knowledge of the key factors associated with fertility desire among people living with HIV/AIDS is crucial for the efficient planning of maternal and child health care programs. Fertility desire has generally increased among women of reproductive age in Rwanda. However, its level and determinants among women living with HIV/AIDS (WLHA) are currently not well known in the context of Rwanda. The present study aimed to fill in this knowledge gap. Methods Data were extracted from the 2015 Rwanda demographic and health survey (RDHS) for 243 HIV-positive women of reproductive age. Univariate and multivariable logistic regression analyses were conducted in order to identify the most influential factors. Results The prevalence of desire to have another child in HIV-positive women was found to be as high as 40.7%. Multivariable logistic regression analyses showed that the woman’s age of 35–49 years (AOR = 0.051, 95% CI: 0.013–0.204), woman’s parity of 3 children or above (AOR = 0.177, 95% CI: 0.037–0.837), being employed (AOR = 0.298, 95% CI: 0.113–0.782) and currently using contraceptives (AOR = 0.146; 95% CI: 0.057–0.375) were significantly associated with low odds of fertility desire among HIV- positive women in Rwanda. Women younger than 25 years, with no living child, or who were unemployed or who were not using any contraceptive were significantly associated with greater odds of desire to have another child than did other HIV- positive women. A woman whose partner's desire for children is different from hers was associated with about four times higher odds (AOR = 3.752; 95% CI: 1.203–11.702) of desire for more children than women who desire the same as their partners. Conclusion Fertility desire in WLHA is currently high in Rwanda. It is significantly influenced by demographic and socioeconomic factors. The Rwanda’s health care system should be prepared to intensify the required services for the prevention of the vertical transmission of HIV, the delivery of maternal and child health care services, and the support to WLHA in planning their fertility. Interventions should target low-parity young women, with a particular focus on meeting their contraceptive needs.François NiragireCelestin NdikumanaMarie Gaudence NyirahabimanaDieudonne UwizeyeBMCarticleHIV/AIDSFertility desireFactorsLogistic regressionOdds ratioRwandaPublic aspects of medicineRA1-1270ENArchives of Public Health, Vol 79, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	HIV/AIDS Fertility desire Factors Logistic regression Odds ratio Rwanda Public aspects of medicine RA1-1270
spellingShingle	HIV/AIDS Fertility desire Factors Logistic regression Odds ratio Rwanda Public aspects of medicine RA1-1270 François Niragire Celestin Ndikumana Marie Gaudence Nyirahabimana Dieudonne Uwizeye Prevalence and factors associated with fertility desire among HIV-positive women in Rwanda in the context of improved life expectancy
description	Abstract Background The knowledge of the key factors associated with fertility desire among people living with HIV/AIDS is crucial for the efficient planning of maternal and child health care programs. Fertility desire has generally increased among women of reproductive age in Rwanda. However, its level and determinants among women living with HIV/AIDS (WLHA) are currently not well known in the context of Rwanda. The present study aimed to fill in this knowledge gap. Methods Data were extracted from the 2015 Rwanda demographic and health survey (RDHS) for 243 HIV-positive women of reproductive age. Univariate and multivariable logistic regression analyses were conducted in order to identify the most influential factors. Results The prevalence of desire to have another child in HIV-positive women was found to be as high as 40.7%. Multivariable logistic regression analyses showed that the woman’s age of 35–49 years (AOR = 0.051, 95% CI: 0.013–0.204), woman’s parity of 3 children or above (AOR = 0.177, 95% CI: 0.037–0.837), being employed (AOR = 0.298, 95% CI: 0.113–0.782) and currently using contraceptives (AOR = 0.146; 95% CI: 0.057–0.375) were significantly associated with low odds of fertility desire among HIV- positive women in Rwanda. Women younger than 25 years, with no living child, or who were unemployed or who were not using any contraceptive were significantly associated with greater odds of desire to have another child than did other HIV- positive women. A woman whose partner's desire for children is different from hers was associated with about four times higher odds (AOR = 3.752; 95% CI: 1.203–11.702) of desire for more children than women who desire the same as their partners. Conclusion Fertility desire in WLHA is currently high in Rwanda. It is significantly influenced by demographic and socioeconomic factors. The Rwanda’s health care system should be prepared to intensify the required services for the prevention of the vertical transmission of HIV, the delivery of maternal and child health care services, and the support to WLHA in planning their fertility. Interventions should target low-parity young women, with a particular focus on meeting their contraceptive needs.
format	article
author	François Niragire Celestin Ndikumana Marie Gaudence Nyirahabimana Dieudonne Uwizeye
author_facet	François Niragire Celestin Ndikumana Marie Gaudence Nyirahabimana Dieudonne Uwizeye
author_sort	François Niragire
title	Prevalence and factors associated with fertility desire among HIV-positive women in Rwanda in the context of improved life expectancy
title_short	Prevalence and factors associated with fertility desire among HIV-positive women in Rwanda in the context of improved life expectancy
title_full	Prevalence and factors associated with fertility desire among HIV-positive women in Rwanda in the context of improved life expectancy
title_fullStr	Prevalence and factors associated with fertility desire among HIV-positive women in Rwanda in the context of improved life expectancy
title_full_unstemmed	Prevalence and factors associated with fertility desire among HIV-positive women in Rwanda in the context of improved life expectancy
title_sort	prevalence and factors associated with fertility desire among hiv-positive women in rwanda in the context of improved life expectancy
publisher	BMC
publishDate	2021
url	https://doaj.org/article/7b3f10471d94456ba814f856f554127c
work_keys_str_mv	AT francoisniragire prevalenceandfactorsassociatedwithfertilitydesireamonghivpositivewomeninrwandainthecontextofimprovedlifeexpectancy AT celestinndikumana prevalenceandfactorsassociatedwithfertilitydesireamonghivpositivewomeninrwandainthecontextofimprovedlifeexpectancy AT mariegaudencenyirahabimana prevalenceandfactorsassociatedwithfertilitydesireamonghivpositivewomeninrwandainthecontextofimprovedlifeexpectancy AT dieudonneuwizeye prevalenceandfactorsassociatedwithfertilitydesireamonghivpositivewomeninrwandainthecontextofimprovedlifeexpectancy
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Prevalence and factors associated with fertility desire among HIV-positive women in Rwanda in the context of improved life expectancy

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