Pregnancy in women diagnosed with hiv on antiretroviral therapy in ethiopia : A retrospective cohort study
(2020) In Pan African Medical Journal 37(101).- Abstract
Introduction: due to increasing coverage of antiretroviral therapy (ART), more women living with HIV have improved health condition which also increases their chances of getting pregnant. However, the knowledge about pregnancy among women receiving ART in resource-constrained settings, like Ethiopia, is limited. The aim was to assess factors associated with pregnancy among women living with HIV in Ethiopia. Methods: a retrospective cohort study from 2005 through 2013 including a total of 809 women aged 15-49 years on ART was used. The study was conducted in eight hospitals and health centers in two regions of Ethiopia. The data was collected between March and June of 2014 from patients´ pre-ART and ART registers by trained nurses,... (More)
Introduction: due to increasing coverage of antiretroviral therapy (ART), more women living with HIV have improved health condition which also increases their chances of getting pregnant. However, the knowledge about pregnancy among women receiving ART in resource-constrained settings, like Ethiopia, is limited. The aim was to assess factors associated with pregnancy among women living with HIV in Ethiopia. Methods: a retrospective cohort study from 2005 through 2013 including a total of 809 women aged 15-49 years on ART was used. The study was conducted in eight hospitals and health centers in two regions of Ethiopia. The data was collected between March and June of 2014 from patients´ pre-ART and ART registers by trained nurses, assisted by data entry clerks and supervised by senior physicians. Kaplan-Meier survival analysis and Cox regression analysis were used to examine the probability of becoming pregnant. Factors associated with pregnancy were presented with hazard ratios with 95% Confidence Interval (CI). Results: a total of 809 women were included in this analysis, their median age was 27 years, 90% were urban residents and 40.6% were married. Four hundred eighty three (60.6%) were in WHO stage III at initiation of ART. The median CD4 count was 162.5 cell/μl at initiation of ART. Eighty-one women became pregnant during 3069 person-years of observation. The overall incidence of pregnancy was 26.4 pregnancies per 1000 person-years of observation. Women under the age of 24, those in less advanced disease stage, women with no education and those with college education had higher rates of pregnancy. Conclusion: the results highlight that younger women, those in less advanced disease stage, either uneducated or highly educated ones have higher probability of becoming pregnant during HIV treatment. This suggests the need for integrating reproductive health services into HIV care services to meet the needs of women on ART.
(Less)
- author
- Elliver, Matilda ; Hallström, Inger LU and Jerene, Degu LU
- organization
- publishing date
- 2020
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Antiretroviral therapy, Ethiopia, HIV, Pregnancy, Women
- in
- Pan African Medical Journal
- volume
- 37
- issue
- 101
- article number
- 101
- pages
- 13 pages
- publisher
- African Field Epidemiology Network
- external identifiers
-
- scopus:85096622987
- pmid:33425134
- ISSN
- 1937-8688
- DOI
- 10.11604/pamj.2020.37.101.23035
- project
- eHealth as an aid for facilitating and supporting self-management in families with long-term childhood illness – development, evaluation and implementation in clinical practice
- Improving adherence to antiretroviral therapy among adolescents living with HIV in Ethiopia
- language
- English
- LU publication?
- yes
- id
- d082483c-1145-4e89-ba78-08dfd46963b9
- date added to LUP
- 2020-12-07 13:01:58
- date last changed
- 2024-04-03 19:20:02
@article{d082483c-1145-4e89-ba78-08dfd46963b9,
abstract = {{<p>Introduction: due to increasing coverage of antiretroviral therapy (ART), more women living with HIV have improved health condition which also increases their chances of getting pregnant. However, the knowledge about pregnancy among women receiving ART in resource-constrained settings, like Ethiopia, is limited. The aim was to assess factors associated with pregnancy among women living with HIV in Ethiopia. Methods: a retrospective cohort study from 2005 through 2013 including a total of 809 women aged 15-49 years on ART was used. The study was conducted in eight hospitals and health centers in two regions of Ethiopia. The data was collected between March and June of 2014 from patients´ pre-ART and ART registers by trained nurses, assisted by data entry clerks and supervised by senior physicians. Kaplan-Meier survival analysis and Cox regression analysis were used to examine the probability of becoming pregnant. Factors associated with pregnancy were presented with hazard ratios with 95% Confidence Interval (CI). Results: a total of 809 women were included in this analysis, their median age was 27 years, 90% were urban residents and 40.6% were married. Four hundred eighty three (60.6%) were in WHO stage III at initiation of ART. The median CD4 count was 162.5 cell/μl at initiation of ART. Eighty-one women became pregnant during 3069 person-years of observation. The overall incidence of pregnancy was 26.4 pregnancies per 1000 person-years of observation. Women under the age of 24, those in less advanced disease stage, women with no education and those with college education had higher rates of pregnancy. Conclusion: the results highlight that younger women, those in less advanced disease stage, either uneducated or highly educated ones have higher probability of becoming pregnant during HIV treatment. This suggests the need for integrating reproductive health services into HIV care services to meet the needs of women on ART.</p>}},
author = {{Elliver, Matilda and Hallström, Inger and Jerene, Degu}},
issn = {{1937-8688}},
keywords = {{Antiretroviral therapy; Ethiopia; HIV; Pregnancy; Women}},
language = {{eng}},
number = {{101}},
publisher = {{African Field Epidemiology Network}},
series = {{Pan African Medical Journal}},
title = {{Pregnancy in women diagnosed with hiv on antiretroviral therapy in ethiopia : A retrospective cohort study}},
url = {{http://dx.doi.org/10.11604/pamj.2020.37.101.23035}},
doi = {{10.11604/pamj.2020.37.101.23035}},
volume = {{37}},
year = {{2020}},
}