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Fertility Desire and Its Associated Factors Among Adults Living with HIV and Followed at CHUD-Borgou in 2019

Received: 29 May 2022     Accepted: 15 June 2022     Published: 27 June 2022
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Abstract

Objectives: To study the fertility desire and its associated factors among people living with the human immunodeficiency virus (PLHIV) and followed up at CHUD-B in 2019. Settings and methods: Cross-sectional, descriptive, and analytical study based on systematic recruitment of every PLHIV received in consultation at the internal medicine unit of the Departmental Teaching Hospital of Borgou (CHUD-B) of Parakou from March 1st to September 30th, 2019. Results: Over 442 PLHIV surveyed, more than half (55.66%) wanted to have a child. The average number of children they desired was 3. The desire was common to couples in 82.91% of cases and exposed couples to regular (61.27%) and unprotected (63.68%) sex. More than half of the respondents did not know their partner's HIV status and 39.60% had not informed their partner of their HIV status. The risks of mother-to-child and intra-partner transmission of HIV were known in 70.14% and 60.42% of cases, respectively. The factors associated with fertility desire were age (p=0.00), the number of children the patient had (p=0.00), the absence of HIV infection in the partner (p=0.052), regular sexual relations (p=0.00) and having a duration of antiretroviral treatment of between 1 and 5 years (p=0.082) Conclusion: It is imperative to take into account fertility desire in the follow-up of PLHIV to reduce the risks of mother-to-child and intra-partner transmission of HIV infection.

Published in International Journal of HIV/AIDS Prevention, Education and Behavioural Science (Volume 8, Issue 1)
DOI 10.11648/j.ijhpebs.20220801.17
Page(s) 36-41
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Associated Factors, Benin, Fertility Desire, HIV, Parakou

References
[1] UNAIDS. Global HIV & AIDS statistics-fact sheet 2021. https://www.unaids.org/en/resources/fact-sheet
[2] CNLS-TP Bénin. Rapport sur le suivi mondial de la lutte contre le sida 2020. BEN_2020_countryreport.docx. p40.
[3] Scarlatti G. Mother-to-child transmission of HIV-1: advances and controversies of the twentieth centuries. AIDS Rev. 2004; 6 (2): 67-78.
[4] Sheppard HW and Ascher MS. The natural history and pathogenesis of hiv infection. Annu. Rev. Microbiol. 1992; 46: 533-64.
[5] Attinsounon Cossi Angelo, Wanvoegbe Armand, Agbodandé Anthelme, Alassani Adebayo, Fandohan Wilfried, Tognon Francis. Quality of life and associated factors in HIV-infected adults undergoing antiretroviral treatment at CHUD-Borgou. Inter J of Infect Dis. and Ther. 2022; 7 (2): 29-34. doi: 10.11648/j.ijidt.20220702.12.
[6] Cohen MS, Chen YQ, McCauley M, Gamble T, Hosseinipour MC, Kumarasamy N et al. Prevention of HIV-1 Infection with Early Antiretroviral Therapy. N Engl J Med 2011; 365 (6): 493-505.
[7] Sofolahan Y and Airhihenbuwa CO. Cultural expectations and reproductive desires: experiences of south african women living with HIV/AIDS (WLHA). Health Care Women Int. 2013; 34 (3-4): 263–80. doi: 10.1080/07399332.2012.721415.
[8] Oladapo O, Daniel OJ, Odusoga OL, Ayoola-sotubo O. fertility desires and intentions of HIV-positive patients at a suburban specialist center. J. Natl Med. Assoc. 2005; 97 (12): 1672-81.
[9] Atieno SM, Gitonga L, Ng’ang’a Z, Orege P. Factors accounting for differences of fertility desires and intentions among HIV-infected and uninfected women of reproductive age at six hospitals in two regions of Kenya. International Journal of HIV/AIDS Prevention, Education and Behavioural Science 201; 4 (1): 11-19. doi: 10.11648/j.ijhpebs.20180401.13.
[10] Mekonnen B, Minyihun A. fertility desire and associated factors among HIV positive women attending ART clinics in Amhara region referral hospitals in northwest Ethiopia, 2017. HIV AIDS (Auckl) 2019; 17 (11): 247-54. doi: 10.2147/HIV.S221941.
[11] Zannou DM, Houngbe F, Lokossou A, Ade G, Abouki CA, Gougounou A et al. Les personnes vivant avec le VIH face au désir de procréation. Cotonou, Benin: connaissances, attitudes et Pratiques. Médecine d’Afrique Noire. 2007; 54 (8/9): 460-5.
[12] Amaike C, Afolaranmi TO, Amaike BA, Agbo H, Abiodun O. Knowledge on mother-to-child transmission of HIV, and sexuality and fertility desires among people living with HIV in North-Central, Nigeria. Pan Afr Med J. 2021; 28 (40): 64. doi: 10.11604/pamj.2021.40.64.31455.
[13] Gutin SA, Namusoke F, Shade SB and Mirembe F. fertility desires and Intentions among HIV-Positive Women during the Post-natal period in Uganda. African Journal of Reproductive Health 2014; 18 (3): 67.
[14] Mmbaga EJ, Leyna GH, Ezekiel MJ and Kakoko DC. fertility desire and intention of people living with HIV/AIDS in Tanzania: a call for restructuring care and treatment services. BMC Public Health 2013; 13: 86. doi: 10.1186/1471-2458-13-86.
[15] Arco DA, Rodríguez S, Pérez-Elías MJ, Blanco JR, Cuellar S, del Romero J, et al. Role of HIV in the desire of procreation and motherhood in women living with HIV in Spain: a qualitative approach. BMC Women's Health 2018; 18: 24. DOI 10.1186/s12905-017-0483-y.
[16] Ayekoe AI, Gakoue ZD, Coulibaly M, Djoman C, Ayekoe DHA, Gourizro KS et al. Factors associated with condom use in the marital home among people living with HIV followed at a site in Abidjan. Euro Scien J. 2019; 15 (36): 230-45.
[17] N'guessan E, Gbeli F, Dia JM, Guie P. Pratiques contraceptives des femmes infectées par le VIH suivies en ambulatoire au Centre Hospitalier Universitaire de Treichville (Abidjan, Côte d'Ivoire). Pan Afr Med J. 2019; 33: 79. doi: 10.11604/pamj.2019.33.79.16435. http://www.panafrican-med-journal.com/content/article/33/79/full/.
[18] Birungi F, Munyashongore C, Kakoma JB. Les déterminants du désir de maternité chez les femmes séropositives: cas du district de Gicumbi au cours de l’année 2007. RMJ 2013; 70 (2): 13-16.
[19] Wekesa E and Coast E. fertility desires among Men and Women Living with HIV/AIDS in Nairobi Slums: A Mixed Methods Study. PLoS ONE 2014; 9 (8): e106292. doi: 10.1371/journal.pone.0106292.
[20] Mosisa G, Tsegaye R, Wakuma B, Mulisa D, Etefa W, Abadiga M, et al. fertility desire and associated factors among people living with HIV in Ethiopia: a systematic review and meta-analysis. Archives of Public Heath 2020; 78: 123 https://doi.org/10.1186/s13690-020-00504-0
[21] Yan X, Du J, Ji G. Prevalence and factors associated with fertility desire among people living with HIV: A systematic review and meta-analysis. PLoS ONE 2021; 16 (3): e0248872. https://doi.org/10.1371/journal.pone.0248872
Cite This Article
  • APA Style

    Cossi Angelo Attinsounon, Aliou Nouhou, Alassani Adebayo, Dovonou Comlan Albert, Obossou Achille, et al. (2022). Fertility Desire and Its Associated Factors Among Adults Living with HIV and Followed at CHUD-Borgou in 2019. International Journal of HIV/AIDS Prevention, Education and Behavioural Science, 8(1), 36-41. https://doi.org/10.11648/j.ijhpebs.20220801.17

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    ACS Style

    Cossi Angelo Attinsounon; Aliou Nouhou; Alassani Adebayo; Dovonou Comlan Albert; Obossou Achille, et al. Fertility Desire and Its Associated Factors Among Adults Living with HIV and Followed at CHUD-Borgou in 2019. Int. J. HIV/AIDS Prev. Educ. Behav. Sci. 2022, 8(1), 36-41. doi: 10.11648/j.ijhpebs.20220801.17

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    AMA Style

    Cossi Angelo Attinsounon, Aliou Nouhou, Alassani Adebayo, Dovonou Comlan Albert, Obossou Achille, et al. Fertility Desire and Its Associated Factors Among Adults Living with HIV and Followed at CHUD-Borgou in 2019. Int J HIV/AIDS Prev Educ Behav Sci. 2022;8(1):36-41. doi: 10.11648/j.ijhpebs.20220801.17

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  • @article{10.11648/j.ijhpebs.20220801.17,
      author = {Cossi Angelo Attinsounon and Aliou Nouhou and Alassani Adebayo and Dovonou Comlan Albert and Obossou Achille and Salifou Kabibou},
      title = {Fertility Desire and Its Associated Factors Among Adults Living with HIV and Followed at CHUD-Borgou in 2019},
      journal = {International Journal of HIV/AIDS Prevention, Education and Behavioural Science},
      volume = {8},
      number = {1},
      pages = {36-41},
      doi = {10.11648/j.ijhpebs.20220801.17},
      url = {https://doi.org/10.11648/j.ijhpebs.20220801.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijhpebs.20220801.17},
      abstract = {Objectives: To study the fertility desire and its associated factors among people living with the human immunodeficiency virus (PLHIV) and followed up at CHUD-B in 2019. Settings and methods: Cross-sectional, descriptive, and analytical study based on systematic recruitment of every PLHIV received in consultation at the internal medicine unit of the Departmental Teaching Hospital of Borgou (CHUD-B) of Parakou from March 1st to September 30th, 2019. Results: Over 442 PLHIV surveyed, more than half (55.66%) wanted to have a child. The average number of children they desired was 3. The desire was common to couples in 82.91% of cases and exposed couples to regular (61.27%) and unprotected (63.68%) sex. More than half of the respondents did not know their partner's HIV status and 39.60% had not informed their partner of their HIV status. The risks of mother-to-child and intra-partner transmission of HIV were known in 70.14% and 60.42% of cases, respectively. The factors associated with fertility desire were age (p=0.00), the number of children the patient had (p=0.00), the absence of HIV infection in the partner (p=0.052), regular sexual relations (p=0.00) and having a duration of antiretroviral treatment of between 1 and 5 years (p=0.082) Conclusion: It is imperative to take into account fertility desire in the follow-up of PLHIV to reduce the risks of mother-to-child and intra-partner transmission of HIV infection.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Fertility Desire and Its Associated Factors Among Adults Living with HIV and Followed at CHUD-Borgou in 2019
    AU  - Cossi Angelo Attinsounon
    AU  - Aliou Nouhou
    AU  - Alassani Adebayo
    AU  - Dovonou Comlan Albert
    AU  - Obossou Achille
    AU  - Salifou Kabibou
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    DO  - 10.11648/j.ijhpebs.20220801.17
    T2  - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
    JF  - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
    JO  - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
    SP  - 36
    EP  - 41
    PB  - Science Publishing Group
    SN  - 2575-5765
    UR  - https://doi.org/10.11648/j.ijhpebs.20220801.17
    AB  - Objectives: To study the fertility desire and its associated factors among people living with the human immunodeficiency virus (PLHIV) and followed up at CHUD-B in 2019. Settings and methods: Cross-sectional, descriptive, and analytical study based on systematic recruitment of every PLHIV received in consultation at the internal medicine unit of the Departmental Teaching Hospital of Borgou (CHUD-B) of Parakou from March 1st to September 30th, 2019. Results: Over 442 PLHIV surveyed, more than half (55.66%) wanted to have a child. The average number of children they desired was 3. The desire was common to couples in 82.91% of cases and exposed couples to regular (61.27%) and unprotected (63.68%) sex. More than half of the respondents did not know their partner's HIV status and 39.60% had not informed their partner of their HIV status. The risks of mother-to-child and intra-partner transmission of HIV were known in 70.14% and 60.42% of cases, respectively. The factors associated with fertility desire were age (p=0.00), the number of children the patient had (p=0.00), the absence of HIV infection in the partner (p=0.052), regular sexual relations (p=0.00) and having a duration of antiretroviral treatment of between 1 and 5 years (p=0.082) Conclusion: It is imperative to take into account fertility desire in the follow-up of PLHIV to reduce the risks of mother-to-child and intra-partner transmission of HIV infection.
    VL  - 8
    IS  - 1
    ER  - 

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Author Information
  • Teaching and Research Unit in Infectious and Tropical Diseases, Faculty of Medicine, University of Parakou, Parakou, Benin

  • Teaching and Research Unit in Infectious and Tropical Diseases, Faculty of Medicine, University of Parakou, Parakou, Benin

  • Department of Medicine and Medical Specialties, Departmental Teaching Hospital of Borgou (CHUD-B), Faculty of Medicine, University of Parakou, Parakou, Benin

  • Department of Medicine and Medical Specialties, Departmental Teaching Hospital of Borgou (CHUD-B), Faculty of Medicine, University of Parakou, Parakou, Benin

  • Mother-Child Department, Departmental Teaching Hospital of Borgou (CHUD-B), Faculty of Medicine, University of Parakou, Parakou, Benin

  • Mother-Child Department, Departmental Teaching Hospital of Borgou (CHUD-B), Faculty of Medicine, University of Parakou, Parakou, Benin

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