Fertility Desires and Intentions among HIV-Positive Women during the Post-natal period in Uganda

Sarah A. Gutin, Fatuma Namusoke, Starley B. Shade, Florence Mirembe

Abstract

This study describes the fertility intentions and discusses the potential reproductive health needs of post-natal HIV-infected Ugandan women. HIV-infected mothers attending post-natal services in Kampala, Uganda participated in this cross-sectional study using structured interviewer administered questionnaires. Descriptive statistics and logistic regression models were used to identify predictors of desire for more children. Among 403 participants, 35% desired more children. Of these, 25% wanted another child within 2 years and 75% within 3 years or more. In multivariable analyses, believing that one’s partners wanted more children (OR=2.44; 95% CI = 1.30, 4.59) was associated with the desire for future children while having more living children was negatively associated with the desire for future children (OR=0.08; 95% CI = 0.02, 0.39). A minority of women desired future pregnancies, and most wanted to delay pregnancy for 3 years. These women are in need of family planning (FP) methods to meet stated desires to delay or end future pregnancies. Perceived partner desire for children also impacts on women’s fertility intentions, highlighting the importance of engaging men during the post-natal period. (Afr J Reprod Health 2014; 18[3]: 67-77)

 

Keywords: fertility intentions; desire for children; Post-natal women; HIV; reproductive health; contraception.

 

Résumé

Cette étude décrit les intentions de la fécondité et examine les besoins potentiels de la reproduction chez les femmes ougandaises post-natales infectées par le VIH. Des mères séropositives qui fréquentent les services de post-natal à Kampala, en Ouganda, ont participé à cette étude transversale en utilisant des questionnaires  structurés et administrés par les intervieweurs. Les statistiques descriptives et des modèles de la régression logistique ont été utilisés pour identifier les indices de l’envie d’avoir plus d’enfants. Parmi 403 participants, 35% désire avoir plus d'enfants. Parmi celles-ci, 25% voulaient avoir un autre enfant dans  2 ans et 75% dans  3 ans ou plus. Dans les analyses multivariées, estimant que ses partenaires voulaient plus d'enfants (OR = 2,44; IC à 95% = 1,30, 4,59) a été associée à la volonté de leurs futurs enfants tout en ayant plus d'enfants alors que d’avoir plus d’enfants vivant a été négativement associés au désir d'avoir des enfants dans l’avenir (OR = 0,08 IC à 95% = 0,02, 0,39). Une minorité de femmes ont désiré des grossesses futures, et la plupart voulaient  reporter la grossesse pendant 3 ans. Ces femmes ont besoin des méthodes de la planification familiale (PF)  pour satisfaire aux  désirs exprimés pour retarder ou pour  mettre fin à des grossesses futures. Le désir perçu du partenaire  des enfants a également un impact sur les intentions de la fécondité chez les femmes, soulignant ainsi l'importance de la participation des hommes au cours de la période post-natale. (Afr J Reprod Health 2014; 18[3]: 67-77)

 

Mots-clés: intentions de fécondité; Désir d'enfants;  femmes post-natales;  VIH; santé de la reproduction; contraception.  

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References

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