| dc.creator | Mbidde, Mary Josephine Tabaro | |
| dc.date | 2013-07-02T09:01:19Z | |
| dc.date | 2013-07-02T09:01:19Z | |
| dc.date | 2007 | |
| dc.date.accessioned | 2018-09-04T12:50:02Z | |
| dc.date.available | 2018-09-04T12:50:02Z | |
| dc.identifier | | |
| dc.identifier | http://hdl.handle.net/10570/1477 | |
| dc.identifier.uri | http://hdl.handle.net/10570/1477 | |
| dc.description | A Dissertation submitted in partial fulfillment for the award of the degree of Master of Science in Clinical Epidemiology and Biostatistics of Makerere University. | |
| dc.description | BACKGROUND: The HIV epidemic has been in Uganda for over two decades now. Women of reproductive age have not been spared the brute of the epidemic. The prevalence of pregnancy among HIV positive women has not been explored in the country. Pregnancy among HIV positive women is both a social and medical issue. It was therefore important to explore the perspectives of HIV positive women as well as those of the key informants and health workers involved in their care. OBJECTIVE: To determine the prevalence of pregnancy and factors associated with pregnancy among HIV infected women in chronic care programs in Nsambya hospital. To determine the proportion of women who desire to have children and factors associated with wanting more children among HIV positive women in chronic care programs in Nsambya hospital. METHODS: A Cross-sectional study that employed both quantitative and qualitative methods of data collection was carried out between February and April 2007 in Nsambya hospital, Kampala. A total of 406 HIV positive women, 15-49 years of age, attending chronic care programs in Nsambya hospital were enrolled into the study through consecutive sampling. Quantitative data was collected using interviewer-administered semi-structured questionnaires and urine samples obtained from each respondent. Focus group discussions and key informants interviews were used for qualitative data. RESULTS: The prevalence of pregnancy among HIV positive women in Nsambya hospital was 13%. Pregnancy occurred commonly in women aged 15-32 years (p=0.005), those who were married (p=0.001), had known their HIV status for a short duration (p=0.011), had few numbers of children (p=0.043) and at least a pregnancy after learning that they were HIV positive (p=0.002). Among HIV positive women, 26% desired more children. These were younger women (15-32 years), not married and had few numbers of live children (p<0.001). The commonest reason for wanting children was the desire to fulfill their own personal and spousal/partner aspirations and social expectations. The perceived threat of HIV to their own health and that of their unborn children and fear of getting an infected child were the reasons mentioned for not wanting more children. CONCLUSION: The prevalence of pregnancy among the study population was similar to that found in a rural cohort in Uganda. The women who were pregnant were Aware of their HIV status. It has been assumed that HIV positive women face difficult reproductive decisions but this study confirmed that not all HIV positive women face difficult reproductive decisions since those who were pregnant had intended to do so. | |
| dc.language | en | |
| dc.subject | pregnancy | |
| dc.subject | women | |
| dc.subject | nsambya hospital | |
| dc.subject | kampala uganda HIV/AIDS | |
| dc.title | Prevalence and factors associated with pregnancy among HIV positive women in Nsambya hospital, Kampala, uganda. | |
| dc.type | Thesis, masters | |
