Unintended Pregnancies Among HIV Positive Women

Scope of the problem Unexpected pregnancy in HIV positive women in low income areas is an important public health problem affecting the health and happiness of women of childbearing age and their partners and their children. According to the worldwide progress report on HIV / AIDS response progress (WHO, 2011), Swaziland is the top priority country to eliminate mother-to-child transmission of HIV. Swaziland is the country with the highest HIV prevalence rate in the world. Approximately 26% of Swaziland adults aged 15-49 are infected with HIV.

However, in this progress, not all women share it equally. Among low-income women, the percentage of unwanted pregnancies has declined between 2008 and 2011, but there are still major differences. In 2011, the proportion of unwanted pregnancies of women under federal poverty level (18, 3, 3 in the same year) went over 200% of poverty, or 20 out of 1,000 with over 15 people It was five times more than 112 pairs. 44.6-year-old woman Because of this high unintentional pregnancy rate, women struggling economically are experiencing high levels of abortion

Since the late 1980s, the proportion of unwanted pregnancies in adolescence is decreasing. Between 2008 and 2011, unanticipated pregnancy rates for women aged 18 to 19 declined by 20% and accidental fertility rates declined by 21%. For women aged 15-17 years, unnecessary pregnancies decreased by 44% at the same time and accidental fertility rate decreased by 47%. Between 2008 and 2011, the proportion of unwanted pregnancies in all racial and ethnic subgroups decreased at birth. Of the black women, the proportion of women who have chosen to experience unwanted pregnancies and choose to complete abortion by abortion is higher than other ethnic and ethnic groups.

Among women at low levels, the proportion of unwanted pregnancies and accidental births rose from 1994 to 2001, while more wealthier women (more than 200% of federal poverty) increased. (For those below the federal poverty level, unwanted pregnancies increase by nearly 30% and accidental fertility rates are rising by 50%.) Although the use of contraceptives continues to increase for years, in the 1990's Was canceled and the decline of lower grade women began. Reductions in federal and state family planning programs may result in reduced contraceptive use and increased unwanted pregnancies

• The lack of public funds for family planning is related to the unwanted pregnancy of the poor. Between 2001 and 2006, the proportion of unwanted pregnancies among poor women increased by 10%. In fact, poor women are five times more likely to have unwanted pregnancies than high-income women (Finer & Zollna, 2011). • Family planning with public funds is cost-effective, saving $ 3.74 for a dollar spent on public-funded family planning services. Otherwise, these costs are used for medical, welfare and other social services of pregnant women and certain women. Guttmacher Institute, 2010)