UNINTENDED PREGNANCY AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN LIVING WITH HIV BAHIRDAR TOWN PUBLIC HEALTH FACILITIES, NORTHWEST ETHIOPIA, 2022

Abstract Background: Unintended pregnancy is a pregnancy that is untimely or unforeseen at the time of conception but may be wanted later.The burden and negative consequences of unintended pregnacy is miserable if it happens among HIV positive women.There was a paucity of evidence regarding unintended pregnancy among HIV positive women in the study area. Objective:- To assess the prevalence and factor associated with unintended pregnancy among pregnant women living with HIV in Bahirdar town health care facilities 2022. Methods:- An institution-based cross-sectional study was conducted from February 1st to march 30th 2022..A systematic sampling technique was employed to select 408 eligible women. A structured, pretested interview administered questionnaire and chart review was used to collect the data. Data were entered in to Epidata version 4.6 and exported to SPSS version 23 for data analysis. Multivariable logistic regression model fitted to identify factors associated with unintended pregnancy.Statical association was claimed based on the adjusted odds ratio (AOR) with its 95% CI and a p-value of ≤ 0.05. Result :- Prevalence of unintended pregnancy among HIV positive pregnant women in Bahirdar town public health facilities was (22.4 %) with 95% CI=18.2- 26.4).Factors significantly associated with unintended pregnancy were, who doesn’t want more child [AOR:4.24,95%CI= 2.31-7.77], who don’t know about dual method [AOR:2.49,95%CI= 1.44-4.30] women taking ARV for more than five years [AOR:2.29,95%CI =1.32-3.95] and having non-regular sexual partner [AOR:0.30,95%CI=0.12-0.70) were significantly associated with unintended pregnancy. Conclusion and recommendation:-Prevalence of unintended pregnancy among PWLHIV in Bahirdar town public health facilities was slightly less than the global unintended pregnancy prevalence. Better to give counselling on use of dual method and to practice safe sexual practice thereby decrease unintended pregnancy and reinfection with new virus.