KAIS 2007 1 - Kenya National AIDS & STI Control Programme ...

Figure 8.11b Desire for a child in the future among married or cohabiting women aged 15-49 years, by self-reported HIV status, Kenya 2007.80Women Expressing Fertility Desire (Weighted %)60402008.119.320.5Want a child withinthe next 2 years10.527.112.1Want a child, but notwithin the next 2years4.12.3 2.9Want a child, timenot specified1.15.87.0Unsure if want achild76.345.657.6Do not want a childever in futureFertility DesireSelf-reported HIV-positive test Self-reported HIV-negative test Never tested/Never received resultsFigure 8.11b Significantly more women who self-reported positive did not want a childever in the future compared with women who self-reported negative.Fertility desires were significantly associated with self‐reported HIV status. Among women who selfreportedpositive, 8.1% wanted a child within the next two years; 10.5% wanted a child, but not withinthe next two years; and 76.3% did not want a child ever in the future. Among women who selfreportednegative, that is, believed themselves to be HIV‐uninfected based on the results of their lastHIV test, 19.3% wanted a child within the next two years; 27.1% wanted a child, but not within thenext two years; and 45.6% did not want a child ever in the future. Fewer women who self‐reportedpositive wanted a child either in the next two years or in more than two years time when compared towomen who self‐reported negative. More women who self‐reported positive did not want anotherchild ever in the future when compared to women who self‐reported negative.Only 44.6% of women aged 15‐49 years reported ever having been tested for HIV (see Chapter 4),suggesting that many fertility decisions made by women may be independent of knowledge of theirown HIV status. Therefore, to quantify the need for PMTCT program services, we also examinedfertility desires among women by their actual HIV infection status (based on laboratory confirmed2007 KAIS test results).KAIS 2007 157