HIV & AIDS
Fertility Intentions of Prenatal and Postpartum HIV-Positive Women in Primary Care in Mpumalanga Province, South Africa: a Longitudinal Study
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.
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