Journal
AIDS AND BEHAVIOR
Volume 23, Issue 6, Pages 1431-1451Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-018-2346-4
Keywords
Unintended pregnancy; Unplanned pregnancy; Unwanted pregnancy; Mistimed pregnancy; HIV; Women
Funding
- University of Newcastle International Postgraduate Research Scholarship (UNIPRS) [UNRSC 50:50]
- University of Newcastle Research Scholarship Central 50:50 (UNRSC 50:50)
- Hunter Medical Research Institute/Greaves Family Postgraduate Top Up Scholarship [G1701582]
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In 2014, about 1.5 million pregnancies occurred among HIV-positive women in low and middle-income countries. To pool magnitude and factors associated with unintended pregnancy in women living with HIV in sub-Saharan Africa, a systematic search of electronic databases was undertaken in November 2016. Pooling the magnitude of unintended pregnancy reported by 14 studies yielded a crude summary prevalence of 55.9%. The magnitude of unwanted pregnancy and mistimed pregnancy in six studies ranged from 14 to 59 and 9 to 47.2%, respectively. Contraceptive failure was an important factor for many unintended pregnancies. The magnitude of unintended pregnancy was significantly higher in HIV-positive women than for HIV-negative women in three out of six studies. The available evidence suggests that there is a high magnitude of unintended pregnancy in this population. Improving effective contraceptive utilization is thus a priority to address unintended pregnancies and to prevent mother to child transmission of HIV. PROSPERO Number: CRD42016051310.
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