Fertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: a longitudinal study
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2018
TITLE AUTHOR(S): K.Peltzer, S.Sifunda, L.N.Mandell, V.J.Rodriquez, T.K.Lee, R.Cook, S.M.Weiss, D.L.Jones
KEYWORDS: FAMILY PLANNING, FERTILITY, HIV/AIDS, PREGNANCY, WOMEN
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 10220
HANDLE: 20.500.11910/11755
URI: http://hdl.handle.net/20.500.11910/11755
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
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. 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%). 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 time invariant 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. Results support ongoing perinatal family planning and PMTCT education.-
Related Research Outputs:
- Factors influencing pregnancy desires among HIV positive women in Gert Sibande district in Mpumalanga, South Africa
- Recent HIV prevalence trends among pregnant women and all women in sub-Saharan Africa: implications for HIV estimates
- Depression among pregnant rural South African women undergoing HIV testing
- Project Masihambisane: a cluster randomised controlled trial with peer mentors to improve outcomes for pregnant mothers living with HIV
- Awareness and use of and barriers to family planning services among female university students in Lesotho
- Psychological distress and associated factors among a sample of pregnant women in South Africa
- Alcohol consumption among HIV-positive pregnant women in KwaZulu-Natal, South Africa: prevalence and correlates
- HIV knowledge and sexual risk behavior among pregnant couples in South Africa: the PartnerPlus project
- Sexual HIV risk behaviour and associated factors among pregnant women in Mpumalanga, South Africa
- A cluster randomized controlled trial evaluating the efficacy of peer mentors to support South African women living with HIV and their infants
- Pregnant women living with HIV (WLH) supported at clinics by peer WLH: a cluster randomized controlled trial
- Collecting maternal health information from HIV-positive pregnant women using mobile phone-assisted face-to-face interviews in southern Africa
- HIV knowledge, disclosure and sexual risk among pregnant women and their partners in rural South Africa
- Barriers to recruitment and retention of pregnant HIV-positive black South African women into PMTCT intervention programs: a loss to follow-up
- Letter to the editor: response to
- Prevalence of prenatal depression and associated factors among HIV-positive women in primary care in Mpumalanga province, South Africa
- Intimate partner violence among HIV positive pregnant women in South Africa
- Prevalence and psychosocial correlates of suicidal ideation among pregnant women living with HIV in Mpumalanga province, South Africa
- Psychosocial correlates of patient-provider family planning discussions among HIV-infected pregnant women in South Africa
- Factors associated with male partner involvement in programs for the prevention of mother-to-child transmission of HIV in rural South Africa