Rising pregnancy rates among known HIV-positive women in at health centers in addis ababa, Ethiopia
Methods: Retrospective study of 3 cohorts of WRA starting ART at 4 health centers in Addis Ababa between 2009 and 2011 to examine pregnancy rates over time; Interviews with HIV+ pregnant women regarding reasons for their pregnancy.
Results: Among 167 women who started ART in 2008/9, 4.2% had become pregnant. Of 165 who started ART in 2009/10, 9.1% had become pregnant. Of 161 enrolled on ART in 2010/11, 13.7% had become pregnant. In the first cohort, the pregnancy rate dropped from 4.2% to 4.1% after one year and 3.8% after two years on ART. In the second cohort, the rate dropped from 9.1% to 7.5% after one year on ART. The third cohort was too recent to assess pregnancy rates after one year. Among 297 WRA enrolled in HIV care, 24% had become pregnant after knowing they were HIV+. Of these, 74% were on ART; 61% were planned pregnancies.
Conclusions: Women recently enrolled on ART had higher pregnancy rates than women on ART after one year, possibly reflecting the monthly FP counseling once on ART. The data further show substantial unmet need for FP, as 39% reported an unintended pregnancy.
Provision of health care to the public
Public health or related research
Compare rate of pregnancy among 3 years cohort of HIV positive women of reproductive age Assess the factors for the increased rates of pregnancy among HIV positive women of reproductive age group
Keyword(s): Family Planning, HIV/AIDS
Qualified on the content I am responsible for because: I am a medical doctor and public health specialist working as clinician for the last 7 years and currently as a clinical advisor eversince last 2 years in the HIV AIDS program
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.