Unmet need for family planning among reproductive-age women living with HIV in Ethiopia: A systematic review and meta-analysis.

<h4>Background</h4>Closing the gap of unmet for family planning is crucial to eliminate new pediatric HIV infections likewise to improve maternal and child health among reproductive-age women living with HIV. However, studies conducted on unmet need for family planning among reproductive...

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Main Authors: Bereket Kefale, Bezawit Adane, Yitayish Damtie, Mastewal Arefaynie, Melaku Yalew, Assefa Andargie, Elsabeth Addisu
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0255566&type=printable
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author Bereket Kefale
Bezawit Adane
Yitayish Damtie
Mastewal Arefaynie
Melaku Yalew
Assefa Andargie
Elsabeth Addisu
author_facet Bereket Kefale
Bezawit Adane
Yitayish Damtie
Mastewal Arefaynie
Melaku Yalew
Assefa Andargie
Elsabeth Addisu
author_sort Bereket Kefale
collection DOAJ
description <h4>Background</h4>Closing the gap of unmet for family planning is crucial to eliminate new pediatric HIV infections likewise to improve maternal and child health among reproductive-age women living with HIV. However, studies conducted on unmet need for family planning among reproductive-age women living with HIV showed inconsistent and non-conclusive findings on the magnitude of the problem. Moreover, there was no meta-analysis conducted in this area. So this systematic review and meta-analysis were conducted to estimate the pooled prevalence unmet need for family planning among reproductive-age women living with HIV in Ethiopia.<h4>Methods</h4>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed to review both published and unpublished studies in Ethiopia. All studies in PubMed, Cochrane Library, Hinari, Google Scholar, CINAHL, and Global Health databases were searched. Meta-analysis was performed using STATA 14 software. The heterogeneity and publication bias were assessed using the I2 statistics and Egger regression asymmetry test, respectively. Forest plots were used to present the pooled prevalence with a 95% confidence interval (CI).<h4>Results</h4>This review included 7 studies, and 3333 study participants. The pooled prevalence of unmet need for family planning among reproductive-age women living with HIV in Ethiopia was 25.13% (95%CI: 19.97, 30.29). The pooled prevalence of unmet need for spacing and limiting was 13.91% (95%CI: 10.11, 17.72) and 9.11% (95%CI: 6.43, 11.78), respectively.<h4>Conclusions</h4>One-fourths of reproductive-age women living with HIV had an unmet need for family planning. A variety of programmatic investments are needed to achieve more meaningful progress toward the reduction of unmet need for family planning among reproductive-age women living with HIV.
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spelling doaj-art-19af828d651c4bb1a2a451f643c99ae42025-08-20T03:28:47ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01168e025556610.1371/journal.pone.0255566Unmet need for family planning among reproductive-age women living with HIV in Ethiopia: A systematic review and meta-analysis.Bereket KefaleBezawit AdaneYitayish DamtieMastewal ArefaynieMelaku YalewAssefa AndargieElsabeth Addisu<h4>Background</h4>Closing the gap of unmet for family planning is crucial to eliminate new pediatric HIV infections likewise to improve maternal and child health among reproductive-age women living with HIV. However, studies conducted on unmet need for family planning among reproductive-age women living with HIV showed inconsistent and non-conclusive findings on the magnitude of the problem. Moreover, there was no meta-analysis conducted in this area. So this systematic review and meta-analysis were conducted to estimate the pooled prevalence unmet need for family planning among reproductive-age women living with HIV in Ethiopia.<h4>Methods</h4>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed to review both published and unpublished studies in Ethiopia. All studies in PubMed, Cochrane Library, Hinari, Google Scholar, CINAHL, and Global Health databases were searched. Meta-analysis was performed using STATA 14 software. The heterogeneity and publication bias were assessed using the I2 statistics and Egger regression asymmetry test, respectively. Forest plots were used to present the pooled prevalence with a 95% confidence interval (CI).<h4>Results</h4>This review included 7 studies, and 3333 study participants. The pooled prevalence of unmet need for family planning among reproductive-age women living with HIV in Ethiopia was 25.13% (95%CI: 19.97, 30.29). The pooled prevalence of unmet need for spacing and limiting was 13.91% (95%CI: 10.11, 17.72) and 9.11% (95%CI: 6.43, 11.78), respectively.<h4>Conclusions</h4>One-fourths of reproductive-age women living with HIV had an unmet need for family planning. A variety of programmatic investments are needed to achieve more meaningful progress toward the reduction of unmet need for family planning among reproductive-age women living with HIV.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0255566&type=printable
spellingShingle Bereket Kefale
Bezawit Adane
Yitayish Damtie
Mastewal Arefaynie
Melaku Yalew
Assefa Andargie
Elsabeth Addisu
Unmet need for family planning among reproductive-age women living with HIV in Ethiopia: A systematic review and meta-analysis.
PLoS ONE
title Unmet need for family planning among reproductive-age women living with HIV in Ethiopia: A systematic review and meta-analysis.
title_full Unmet need for family planning among reproductive-age women living with HIV in Ethiopia: A systematic review and meta-analysis.
title_fullStr Unmet need for family planning among reproductive-age women living with HIV in Ethiopia: A systematic review and meta-analysis.
title_full_unstemmed Unmet need for family planning among reproductive-age women living with HIV in Ethiopia: A systematic review and meta-analysis.
title_short Unmet need for family planning among reproductive-age women living with HIV in Ethiopia: A systematic review and meta-analysis.
title_sort unmet need for family planning among reproductive age women living with hiv in ethiopia a systematic review and meta analysis
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0255566&type=printable
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