247302 Characteristics and fertility desires among people living with HIV in Sokoto, Nigeria

Tuesday, November 1, 2011

Aminu Kaoje Umar, MBBS, MPH , Community Medicine, Usmanu DanFodio University Teaching Hospital Sokoto, Sokoto, Nigeria
Mohammed Taofeek Ibrahim, MBBS, FWACP , Community Medicine, Usmanu DanFodio University Teaching Hospital Sokoto, Sokoto, Nigeria
Chibuzo Njoku, MBBS, FWACP , Community Medicine, Usmanu DanFodio University Teaching Hospital Sokoto, Sokoto, Nigeria
Garba Ahmad Gusau, PhD , Sociology, Usmanu DanFodio University, Sokoto, Sokoto, Nigeria
Abdulmumin Saad, MBBS, MPH, PhD , Center for Communication Programs, Johns Hopkins School of Public Health, Baltimore, MD
Hassan L. Jibiya, BSc, MPH , College of Health and Human Services, George Mason University, Fairfax, VA
Background: The fertility issues of people living with HIV/AIDS (PLWHA) are increasingly becoming very important because advances in medical care have decreased mother to child transmission. Thus, many are now opting for parenthood. Methods: A cross-sectional study was carried among 400 HIV-positive individuals receiving follow-up care at HIV clinic, Usmanu DanFodio University Teaching Hospital (UDUTH) Sokoto. Results: The overall mean age was 34.470.38 years (male, 38.40 0.52 and female, 31.40 0.44). Over half (57%) of the participants were sexually active, of which only 68.7% of them reported using condom always. High proportion of the respondents (67.7%); 64.4% among females and 70.2% among males, reported desire to have children in future. There were significant relationships between desire for children and age (χ2=17.7, p = <0.001), ethnicity (χ2=13.4, p= <0.001), religion (χ2=15.5, p= <0.001), educational level (χ2=9.0, p= 0.029) and marital status (χ2=9.3, p=0.025). In multiple logistic regression analysis, younger age (aOR=2.0, p= 0.023), married (aOR= 1.9, p= <0.001) and number of living children (aOR= 0.7, p= <0.001) were the significant predictors for the desire for children. Conclusion: Many of the respondents, at whatever stage of their illness, have a desire for children. Therefore it is recommended that fertility unit be established within the HIV clinic aimed at providing health education concerning risk of transmission and counselling, consisting of helping men and women evaluate their own feelings, goals and needs with respect to reproductive decision-making.

Learning Areas:
Epidemiology
Public health or related research
Social and behavioral sciences

Learning Objectives:
To determine the characteristics and fertility desire of people living with HIV (PLHIV) and identify factors associated with parenthood.

Keywords: HIV/AIDS, Reproductive Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Co-author with Master of Public Health Degree
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.