Fertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: A longitudinal study

Karl Peltzer, Sibusiso Sifunda, Lissa N. Mandell, Violeta J. Rodriguez, Tae Kyoung Lee, Ryan Cook, Stephen M. Weiss, Deborah L. Jones

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)9-17
Number of pages9
JournalHIV/AIDS - Research and Palliative Care
Volume10
DOIs
StatePublished - Jan 1 2018

Keywords

  • Family planning
  • Fertility intentions
  • HIV infection
  • Male involvement
  • Pregnancy
  • South Africa

ASJC Scopus subject areas

  • Epidemiology
  • Health Policy
  • Dermatology
  • Infectious Diseases
  • Virology

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