Fertility Desire and Its Determinants Among People Living with HIV in Antiretroviral Therapy Clinic of Teku Hospital, Nepal

Namuna Shrestha, 1 Rajani Pokharel, 2 Anil Poudyal, 3 Ranjeeta Subedi, 3 Namra Kumar Mahato, 3 Nitisha Gautam, 3 Dirghayu KC, 3 Govinda Prasad Dhungana 4 1Chitwan Medical College, Chitwan, Nepal; 2Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal; 3Nepal Health Research Council, Kathmandu...

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Autores principales:	Shrestha N, Pokharel R, Poudyal A, Subedi R, Mahato NK, Gautam N, KC D, Dhungana GP
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	art factors fertility desire nepal plhiv. Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/9a5f0b7f7c4641c39635dab4aeb6ae2e
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spelling	oai:doaj.org-article:9a5f0b7f7c4641c39635dab4aeb6ae2e2021-12-02T05:37:16ZFertility Desire and Its Determinants Among People Living with HIV in Antiretroviral Therapy Clinic of Teku Hospital, Nepal1179-1373https://doaj.org/article/9a5f0b7f7c4641c39635dab4aeb6ae2e2020-01-01T00:00:00Zhttps://www.dovepress.com/fertility-desire-and-its-determinants-among-people-living-with-hiv-in--peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Namuna Shrestha, 1 Rajani Pokharel, 2 Anil Poudyal, 3 Ranjeeta Subedi, 3 Namra Kumar Mahato, 3 Nitisha Gautam, 3 Dirghayu KC, 3 Govinda Prasad Dhungana 4 1Chitwan Medical College, Chitwan, Nepal; 2Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal; 3Nepal Health Research Council, Kathmandu, Nepal; 4Department of Community Medicine and Public Health, Chitwan Medical College, Chitwan, NepalCorrespondence: Namuna Shrestha Tel +977 9841611718Email namunashrestha12@gmail.comBackground: Pregnancy in people Living with HIV/AIDS (PLHIV) involves significant public health risks, including the risk of HIV transmission to uninfected partners and the fetus. Despite the growing importance of fertility issues for HIV-infected people, little is known about their fertility desires in Nepal. This study, therefore, aimed to determine the magnitude of and factors associated with the fertility desire of PLHIV.Patients and Methods: A cross-sectional study was conducted among 280 PLHIV attending the antiretroviral therapy (ART) clinic in Teku Hospital, Nepal. A standard semi-structured questionnaire was administered to participants using systematic random sampling. Data were entered using Epi-data 3.1 and analyzed using SPSS software version 20.Results: Out of the total participants, 12.1% desired to have a child. Among those having this desire, 44.1% had not decided when to have a child. Reasons for desiring a child were having no children (44.1%), wanting to have a child of different sex than the previous one (29.4%), followed by wanting to have another child (26.5%). Factors such as being male (COR: 3.1, 95% CI: 1.3– 7.0), being ≤ 40 years of age (COR: 3.8, 95% CI: 1.5– 9.4), higher age at marriage (COR: 7.7, 95% CI: 1.5– 39.6), middle socio-economic status (COR: 3.5, 95% CI: 1.7– 7.3), having no children (COR: 22.9, 95% CI: 8.6– 60.8) or fewer children (COR: 74.8, 95% CI: 9.7– 575.1), greater CD4 count (COR: 2.8, 95% CI: 1.3– 5.9) and having moderate knowledge of prevention of mother-to-child transmission (COR: 5.4, 95% CI: 2.3– 12.7) had higher odds of having fertility desire.Conclusion: Around one in every ten participants had a desire for fertility despite their HIV status. This calls for special attention in promoting integrated services for HIV and reproductive health. It will be important to include counseling and other services for those with fertility desire alongside providing ART.Keywords: ART, factors, fertility desire, Nepal, PLHIVShrestha NPokharel RPoudyal ASubedi RMahato NKGautam NKC DDhungana GPDove Medical Pressarticleartfactorsfertility desirenepalplhiv.Immunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 12, Pp 41-46 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	art factors fertility desire nepal plhiv. Immunologic diseases. Allergy RC581-607
spellingShingle	art factors fertility desire nepal plhiv. Immunologic diseases. Allergy RC581-607 Shrestha N Pokharel R Poudyal A Subedi R Mahato NK Gautam N KC D Dhungana GP Fertility Desire and Its Determinants Among People Living with HIV in Antiretroviral Therapy Clinic of Teku Hospital, Nepal
description	Namuna Shrestha, 1 Rajani Pokharel, 2 Anil Poudyal, 3 Ranjeeta Subedi, 3 Namra Kumar Mahato, 3 Nitisha Gautam, 3 Dirghayu KC, 3 Govinda Prasad Dhungana 4 1Chitwan Medical College, Chitwan, Nepal; 2Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal; 3Nepal Health Research Council, Kathmandu, Nepal; 4Department of Community Medicine and Public Health, Chitwan Medical College, Chitwan, NepalCorrespondence: Namuna Shrestha Tel +977 9841611718Email namunashrestha12@gmail.comBackground: Pregnancy in people Living with HIV/AIDS (PLHIV) involves significant public health risks, including the risk of HIV transmission to uninfected partners and the fetus. Despite the growing importance of fertility issues for HIV-infected people, little is known about their fertility desires in Nepal. This study, therefore, aimed to determine the magnitude of and factors associated with the fertility desire of PLHIV.Patients and Methods: A cross-sectional study was conducted among 280 PLHIV attending the antiretroviral therapy (ART) clinic in Teku Hospital, Nepal. A standard semi-structured questionnaire was administered to participants using systematic random sampling. Data were entered using Epi-data 3.1 and analyzed using SPSS software version 20.Results: Out of the total participants, 12.1% desired to have a child. Among those having this desire, 44.1% had not decided when to have a child. Reasons for desiring a child were having no children (44.1%), wanting to have a child of different sex than the previous one (29.4%), followed by wanting to have another child (26.5%). Factors such as being male (COR: 3.1, 95% CI: 1.3– 7.0), being ≤ 40 years of age (COR: 3.8, 95% CI: 1.5– 9.4), higher age at marriage (COR: 7.7, 95% CI: 1.5– 39.6), middle socio-economic status (COR: 3.5, 95% CI: 1.7– 7.3), having no children (COR: 22.9, 95% CI: 8.6– 60.8) or fewer children (COR: 74.8, 95% CI: 9.7– 575.1), greater CD4 count (COR: 2.8, 95% CI: 1.3– 5.9) and having moderate knowledge of prevention of mother-to-child transmission (COR: 5.4, 95% CI: 2.3– 12.7) had higher odds of having fertility desire.Conclusion: Around one in every ten participants had a desire for fertility despite their HIV status. This calls for special attention in promoting integrated services for HIV and reproductive health. It will be important to include counseling and other services for those with fertility desire alongside providing ART.Keywords: ART, factors, fertility desire, Nepal, PLHIV
format	article
author	Shrestha N Pokharel R Poudyal A Subedi R Mahato NK Gautam N KC D Dhungana GP
author_facet	Shrestha N Pokharel R Poudyal A Subedi R Mahato NK Gautam N KC D Dhungana GP
author_sort	Shrestha N
title	Fertility Desire and Its Determinants Among People Living with HIV in Antiretroviral Therapy Clinic of Teku Hospital, Nepal
title_short	Fertility Desire and Its Determinants Among People Living with HIV in Antiretroviral Therapy Clinic of Teku Hospital, Nepal
title_full	Fertility Desire and Its Determinants Among People Living with HIV in Antiretroviral Therapy Clinic of Teku Hospital, Nepal
title_fullStr	Fertility Desire and Its Determinants Among People Living with HIV in Antiretroviral Therapy Clinic of Teku Hospital, Nepal
title_full_unstemmed	Fertility Desire and Its Determinants Among People Living with HIV in Antiretroviral Therapy Clinic of Teku Hospital, Nepal
title_sort	fertility desire and its determinants among people living with hiv in antiretroviral therapy clinic of teku hospital, nepal
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/9a5f0b7f7c4641c39635dab4aeb6ae2e
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Fertility Desire and Its Determinants Among People Living with HIV in Antiretroviral Therapy Clinic of Teku Hospital, Nepal

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