Fertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: a longitudinal study
: HIV/AIDS: Research and Palliative Care OUTPUT TYPE
: Journal Article PUBLICATION YEAR
: K.Peltzer, S.Sifunda
, L.N.Mandell, V.J.Rodriquez, T.K.Lee, R.Cook, S.M.Weiss, D.L.JonesKEYWORDS
: FAMILY PLANNING
: Social Aspects of Public Health (SAPH)
: HSRC Library: shelf number 10220
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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.