Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Unmet need for family planning, contraceptive failure, and unintended pregnancy among HIV-infected and HIV-uninfected women in Zimbabwe
PLoS ONE, Volume 9, No. 8, Article e105320, Year 2014
Notification
URL copied to clipboard!
Description
Background: Prevention of unintended pregnancies among women living with HIV infection is a strategy recommended by the World Health Organization for prevention of mother-to-child transmission of HIV (PMTCT). We assessed pregnancy intentions and contraceptive use among HIV-positive and HIV-negative women with a recent pregnancy in Zimbabwe. Methods: We analyzed baseline data from the evaluation of Zimbabwe's Accelerated National PMTCT Program. Eligible women were randomly sampled from the catchment areas of 157 health facilities offering PMTCT services in five provinces. Eligible women were ≥16 years old and mothers of infants (alive or deceased) born 9 to 18 months prior to the interview. Participants were interviewed about their HIV status, intendedness of the birth, and contraceptive use. Results: Of 8,797 women, the mean age was 26.7 years, 92.8% were married or had a regular sexual partner, and they had an average of 2.7 lifetime births. Overall, 3,090 (35.1%) reported that their births were unintended; of these women, 1,477 (47.8%) and 1,613 (52.2%) were and were not using a contraceptive method prior to learning that they were pregnant, respectively. Twelve percent of women reported that they were HIV-positive at the time of the survey; women who reported that they were HIV-infected were significantly more likely to report that their pregnancy was unintended compared to women who reported that they were HIV-uninfected (44.9% vs. 33.8%, p<0.01). After adjustment for covariates, among women with unintended births, there was no association between self-reported HIV status and lack of contraception use prior to pregnancy. Conclusions: Unmet need for family planning and contraceptive failure contribute to unintended pregnancies among women in Zimbabwe. Both HIV-infected and HIV-uninfected women reported unintended pregnancies despite intending to avoid or delay pregnancy, highlighting the need for effective contraceptive methods that align with pregnancy intentions. © 2014 McCoy et al.
Authors & Co-Authors
McCoy, Sandra Irene
United States, Berkeley
University of California, Berkeley
Buzdugan, Raluca
United States, Berkeley
University of California, Berkeley
Ralph, Lauren J.
United States, Berkeley
University of California, Berkeley
Mushavi, Angela
Zimbabwe, Harare
Ministry of Health and Child Welfare Zimbabwe
Mahomva, Agnes I.
United States, Washington, D.c.
Elizabeth Glaser Pediatric Aids Foundation
Hakobyan, Anna
United Kingdom, London
Children's Investment Fund Foundation
Watadzaushe, Constancia
Zimbabwe, Harare
Centre for Sexual Health and Hiv/aids Research Cesshar
DIrawo, Jeffrey
Zimbabwe, Harare
Centre for Sexual Health and Hiv/aids Research Cesshar
Cowan, Frances Mary
Zimbabwe, Harare
Centre for Sexual Health and Hiv/aids Research Cesshar
United Kingdom, London
University College London
Padian, Nancy S.
United States, Berkeley
University of California, Berkeley
Statistics
Citations: 78
Authors: 10
Affiliations: 6
Identifiers
Doi:
10.1371/journal.pone.0105320
e-ISSN:
19326203
Research Areas
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Zimbabwe
Participants Gender
Female