Unintended pregnancy among women living with HIV and its predictors in East Africa, 2024. A systematic review and meta-analysis
2024

Unintended Pregnancy Among Women Living with HIV in East Africa

Sample size: 4319 publication 10 minutes Evidence: moderate

Author Information

Author(s): Lake Eyob Shitie, Ayele Mulat, Alamrew Abebaw, Tilahun Befikad Derese, Erega Besfat Berihun, Zemariam Alemu Birara, Kumie Getinet, Yilak Gizachew

Primary Institution: Woldia University, Ethiopia

Hypothesis

What is the pooled prevalence of unintended pregnancy among women living with HIV in East Africa and what are its predictors?

Conclusion

The study highlights a significant prevalence of unintended pregnancies among women living with HIV in East Africa, emphasizing the need for targeted interventions.

Supporting Evidence

  • The pooled prevalence of unintended pregnancy among women living with HIV in East Africa was found to be 40.98%.
  • Unemployment, high parity, and lack of formal education were identified as significant predictors of unintended pregnancy.
  • The study included data from ten studies with a total of 4319 participants.
  • Subgroup analysis showed varying prevalence rates in different countries, with Rwanda having the highest at 62.7%.
  • The findings suggest a need for improved access to contraceptive services for women living with HIV.

Takeaway

Many women living with HIV in East Africa have pregnancies they didn't plan for, which can be very risky for their health.

Methodology

A systematic review and meta-analysis of observational studies was conducted, analyzing data from various databases.

Potential Biases

Potential publication bias due to the limited number of studies included.

Limitations

The review was limited to ten studies, which may not represent all relevant research on the topic.

Participant Demographics

The studies included women living with HIV from various East African countries, primarily Ethiopia, Kenya, Uganda, and Rwanda.

Statistical Information

P-Value

0.00

Confidence Interval

95% CI: 28.75, 53.20%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0310212

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication