High Fertility desire and Associated factors among People Living With HIV at the University of Gondar specialized hospital, Ethiopia; a cross-sectional study

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Abstract Objectives: The quality of life of people living with HIV( PLWHIV) has been improving due to the use of highly active antiretroviral therapy, which in turn results in an increased desire for childbearing. This study aimed to assess the prevalence and determinants of fertility desire among people on ART.Methods: An institution-based cross-sectional study was conducted among 407 PLWHIV the University of Gondar comprehensive and specialized hospital from August 1 to 30, 2021. A systematically random sampling technique was used to select the study subjects. The data was entered using EPI INFO version 7.2.2.6, analyzed with Stata 14.0, and described using frequency tables and texts. A binary logistic regression model was fitted to identify determinants of fertility desire.Results: Of 390 participants included in the analysis, 64.87% were females. The mean age of the respondents was 32.79 years (SD±10.89). The overall prevalence of fertility desire among PLWHIV was 44.87% (95% CI: 39.98–49.86). Of these, 42.29% desired fertility because they thought that they could have an HIV-negative child due to ART. Being male (AOR = 2.93), being on WHO treatment stage I (AOR = 2.49), living with HIV for more than 10 years (AOR = 2.50), being on a first-line ART regimen (AOR = 2.44), and having no child (AOR = 2.94) were all associated with fertility desire.Conclusion: A considerable proportion of PLWHIV have a desire for childbearing. Hence, sexuality and reproductive health counseling measures should consider the fertility needs of PLWHIV.

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