Abstract:
Background: Unintended pregnancy reflects the existence of unprotected sex. Understanding factors
associated with unintended pregnancy among HIV positive women is very important to design strategy
for prevention of further transmission and infection with new virus. However, there is paucity of
information in this regard. Given the degree of HIV prevalence among women and the current
antiretroviral therapy scale up in Ethiopia, it is important to understand factors predicting un- intended
pregnancy in order to prevent mother to child transmission.
Objective: To assess the magnitude and associated factors of un- intended pregnancy among HIV
positive women attending antiretroviral therapy clinics at public health facilities of Ilu Aba Bora zone
Oromia region, south western Ethiopia, 2017.
Methods: Institution based cross-sectional study design with both quantitative and qualitative method of
data collection was used. The sample size was 353; all anti retroviral therapy clinics in the zone were
included and simple random sampling was used to select if more than one antiretroviral therapy sites in
one woreda.Consecutive sampling was employed to get study participants for quantitative study and
purposive random sampling method was used for qualitative study and data collection period was from
March9 to April 13.The data was entered using EPI data version 3.1 and analyzed using SPSS version
21. Descriptive statistics was done and logistic regression was used to identify independent predictors of
un- intended pregnancy among HIV positive women. P-value < 0.05 at 95 % CI was considered
statistically significant. Qualitative data was analyzed through thematic analysis approach.
Result: The prevalence ofunintended pregnancy among the participantis40.9%. In the multi variate
logistic regression, unemployment (AOR, 3.36[1.55, 7.26],95%CI), being not knowledgable on MTCT
and PMTCT (AOR,3.18[1.92,5.24],95%CI), having no discussion on reproductive health
(AOR,1.83[1.09,3.07], 95% CI) issues are factors significantlyassociated with unintended pregnancy
occurrence among HIV positive women on antiretroviral therapy.
Conclusion and Recommendation: The prevalence of unintended pregnancy among the women in the
study is high. To avoid unintended pregnancies, HIV-infected women need access to effective family
planning services and risk reduction discussions during routine care visits.
