@article{fdi:010078167,
  title = {{F}actors associated with unmet need for limiting childbirth among women living with {HIV} in {T}ogo : an averaging approach},
  author = {{Y}aya, {I}ssifou and {N}ambiema, {A}. and {D}ieng, {S}. and {D}jalogue, {L}. and {A}gboyibor, {M}. {K}. and {N}'{D}ri, {M}. {K}. and {B}aba-{T}oherou, {T}. and {P}atassi, {A}. {A}. and {L}andoh, {D}. {E}. and {K}olani, {K}. and {A}boubakari, {A}. {S}. and {S}aka, {B}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {A}ccess to antiretroviral treatment has improved the life expectancy of {HIV}-positive patients, most often associated with a desire to limit childbearing. {W}omen living with {HIV} ({WLHIV}) commonly have unmet need for contraception and could be at risk of unintended pregnancy. {P}reventing unintended pregnancies among women living with {HIV} are effective strategies to eliminate mother-to-child transmission of {HIV}. {O}bjective {T}he aim of this study was to assess unmet need for limiting childbirth and its associated factors among women living with {HIV} in {T}ogo. {M}ethods {T}his facility based cross-sectional study was conducted, between {J}une and {A}ugust 2016, among {WLHIV} in their reproductive age (15-49 years) in {HIV}-care settings in {C}entrale and {K}ara regions {D}ata was collected using a structured and pretested questionnaire. {WLHIV} who desired to limit childbirth but not using contraception were considered to have unmet need of birth limitations. {U}nivariate and multivariate {P}oisson regression models with robust variance were performed to identify associated factors with unmet needs. {A} multi-model averaging approach was used to estimate the degree of the association between these factors and the unmet need of birth limitations. {R}esults {A} total of 443 {WLHIV} were enrolled, with mean age of 34.5 years (standard deviation [{SD}] = 7.0). {A}mong them 244 (55.1%) were in couple and 200 (45.1%) had at least the secondary level of education. 39.1% were followed-up in a private healthcare facility. {A}t the time of the survey, 40.0% did not desire childbearing but only 9.0% (95% {CI} [6.7-12.1]) of them expressed unmet needs for limiting childbirth. {I}n multivariable analysis, associated factors with unmet needs of birth limitations were: being aged 35 years or more (adjusted prevalence ratio (a{PR}) = 3.11, 95% confidence intervals (95% {CI}) [1.52-6.38]), living in couple (a{PR} = 2.32 [1.15-4.65]), living in {K}ara region (a{PR} = 0.10 [0.01-0.76]), being followed in a private healthcare facility (a{PR} = 0.08[0.01-0.53]) and having severe {HIV} symptoms (a{PR} = 3.50 [1.31-9.37]). {C}onclusion {E}ven though the unmet need for births limitation was relatively low among {WLHIV} in {T}ogo, interventions to improve more access to contraceptive methods, and targeting 35 to 49 years old women, those in couple or followed in the public healthcare facilities would contribute to the eradication of mother-to-child transmission of {HIV}.},
  keywords = {{TOGO}},
  booktitle = {},
  journal = {{PL}o{S} {O}ne},
  volume = {15},
  numero = {5},
  pages = {e0233136 [13 ]},
  ISSN = {1932-6203},
  year = {2020},
  DOI = {10.1371/journal.pone.0233136},
  URL = {https://www.documentation.ird.fr/hor/fdi:010078167},
}