ArticleThe journal of family planning and reproductive health care2015
Pregnancy desire and dual method contraceptive use among people living with HIV attending clinical care in Kenya, Namibia and Tanzania.
Article in The journal of family planning and reproductive health care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Utilization of modern contraception and determinants among HIV positive women in Ethiopia: a systematic review and meta-analysis.BMC women's health · 2024Pooled it
- Dual Contraceptive Use and Factor Associated with People Living with HIV/AIDS: A Systematic Review and Meta-Analysis.Infectious diseases in obstetrics and gynecology · 2021Pooled it
- Prevalence and factors associated with fertility desires/intentions among individuals in HIV-serodiscordant relationships: a systematic review of empirical studies.Journal of the International AIDS Society · 2019Pooled it
- Behavioral Interventions Targeting Alcohol Use Among People Living with HIV/AIDS: A Systematic Review and Meta-Analysis.AIDS and behavior · 2017Pooled it
- Article
- Dual contraception method use and determinant factors among HIV-positive women of reproductive age in Hawassa, Sidama, Ethiopia, an institutional-based cross-sectional study.Contraception and reproductive medicine · 2025Article
- Fertility desires of antiretroviral therapy-attending HIV-positive women and its associated factors in Harari region, Ethiopia.International health · 2024Article
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- Article
- Fertility desire of HIV-positive men and women in public health hospitals.SAGE open medicine · 2022Article
- Dual contraceptive utilization and determinant factors among HIV positive women in Ethiopia: a systematic review and meta-analysis, 2020.Contraception and reproductive medicine · 2021Review
- Higher contraceptive uptake in HIV treatment centers offering integrated family planning services: A national survey in Kenya.Contraception · 2020Article
- Article
- Risky Sexual Practice and Associated Factors Among Women Living with HIV/AIDS Receiving Antiretroviral Therapy at a PMTCT Clinic in Western Oromia, Ethiopia.HIV/AIDS (Auckland, N.Z.) · 2020Article
- Childbearing desire and reproductive behaviors among women living with HIV: A cross-sectional study in Abidjan, Côte d'Ivoire.PloS one · 2020Article
- Contraceptive implant failures among women using antiretroviral therapy in western Kenya: a retrospective cohort study.Gates open research · 2019Article
- [Contraceptive practices of HIV-infected women followed up on an ambulatory basis at the Treichville University Hospital (Abidjan, Ivory Coast)].The Pan African medical journal · 2019Article
- Preventing syndemic Zika virus, HIV/STIs and unintended pregnancy: dual method use and consistent condom use among Brazilian women in marital and civil unions.Culture, health & sexuality · 2018Article
- Prevalence and factors influencing modern contraceptive use among HIV-positive women in Kilimanjaro region, northern Tanzania.Contraception and reproductive medicine · 2018Article
- Fertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: a longitudinal study.HIV/AIDS (Auckland, N.Z.) · 2018Article
Corrections and comments
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Authors and funding
16 authors.
Funding
Abstract
aimTo describe factors associated with pregnancy desire and dual method use among people living with HIV in clinical care in sub-Saharan Africa.
designSexually active HIV-positive adults were enrolled in 18 HIV clinics in Kenya, Namibia and Tanzania. Demographic, clinical and reproductive health data were captured by interview and medical record abstraction. Correlates of desiring a pregnancy within the next 6 months, and dual method use [defined as consistent condom use together with a highly effective method of contraception (hormonal, intrauterine device (IUD), permanent)], among those not desiring pregnancy, were identified using logistic regression.
resultsAmong 3375 participants (median age 37 years, 42% male, 64% on antiretroviral treatment), 565 (17%) desired a pregnancy within the next 6 months. Of those with no short-term fertility desire (n=2542), 686 (27%) reported dual method use, 250 (10%) highly effective contraceptive use only, 1332 (52%) condom use only, and 274 (11%) no protection. Respondents were more likely to desire a pregnancy if they were from Namibia and Tanzania, male, had a primary education, were married/cohabitating, and had fewer children. Factors associated with increased likelihood of dual method use included being female, being comfortable asking a partner to use a condom, and communication with a health care provider about family planning. Participants who perceived that their partner wanted a pregnancy were less likely to report dual method use.
conclusionsThere was low dual method use and low use of highly effective contraception. Contraceptive protection was predominantly through condom-only use. These findings demonstrate the importance of integrating reproductive health services into routine HIV care.
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