Abstract
Introduction: This study aimed to assess fertility intentions (planning to have more children in the future) and associated factors among pregnant and postpartum HIV positive women in rural South Africa. Methods: In a longitudinal study, as part of a prevention of mother to child transmission (PMTCT) intervention trial, 699 HIV positive prenatal women, were systematically recruited and followed up at 6 months and 12 months postpartum (retention rate = 59.5%). Results: At baseline, 32.9% of the women indicated fertility intentions and at 12 months postnatal, 120 (28.0%) reported fertility intentions. In longitudinal analyses, which included timeinvariant baseline characteristics predicting fertility intention over time, not having children, having a partner with unknown/HIV-negative status, and having disclosed their HIV status to their partner, were associated with fertility intentions. In a model with time-varying covariates, decreased family planning knowledge, talking to a provider about a future pregnancy, and increased male involvement were associated with fertility intentions. Conclusion: Results support ongoing perinatal family planning and PMTCT education.
Original language | English (US) |
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Pages (from-to) | 9-17 |
Number of pages | 9 |
Journal | HIV/AIDS - Research and Palliative Care |
Volume | 10 |
DOIs | |
State | Published - 2018 |
Externally published | Yes |
Keywords
- Family planning
- Fertility intentions
- HIV infection
- Male involvement
- Pregnancy
- South Africa
ASJC Scopus subject areas
- Epidemiology
- Health Policy
- Dermatology
- Infectious Diseases
- Virology