Fertility Desire and Associated Factors among Sexually Active HIV Positive Women at Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia: Institution-Based Cross-Sectional Study

Background: Many HIV-positive women continue to want to have children in spite of knowledge of their HIV status and the risk it imposes. This study aimed to assess the level of fertility desire and associated factors human immune-deficiency-positive women at Felege Hiwot referral Hospital. Methods: An institution based cross-sectional study was conducted among randomly 308 HIV positive reproductive age women at Felege Hiwot referral Hospital from June 01 st -30 th , 2018. Data were collected using structured interviewer-administered questionnaire. Data were analyzed using SPSS version20.Descriptive, bivariate and multivariate logistic regression statistics were carried out. Statistical significance was declared at P -value <0.05. Results: Out of 308 of participants, 45.5% reported a desire to have children in the near future. Being sexually activity (aOR=2.62, 95%CI; 1.58- 6.73), family planning use (aOR=7.62, 95%CI; 3.23-17.98), consistent condom use (aOR=2.6, 95%CI; 1.37- 4.94), and absence of children (aOR=4.43, 95%CI; 1.85- 10.64) were predictors of fertility desire. Conclusion: A considerable proportion HIV-positive women in the study area reported to have children in the future. Integration of family planning and ART services, attention to sexually active HIV positive women and supporting HIV positive women with unmet need of family planning could have significant impact.