Given the degree of HIV epidemic among women and the current antiretroviral therapy ART scale up in Ethiopia; considering the issue of fertility is vital to ensure the delivery of integrated reproductive health along with prevention services provided to positive women. Institution based cross sectional survey was conducted, among HIV positive, women aged 18—49 years selected from different public health facilities in Addis Ababa; from June to October Information was gathered by using interviewer administered questionnaires. Data were double entered in EPI Info version 3. Logistic regression models were used to predict the association of study variables and adjusted for possible confounders. In addition to this, having partner being on sexual relationship, young age, being single and having fewer or no children were found to be predictors of fertility intentions. The presence of ART, improvement of health condition and the influence of husband were the main reasons for childbearing intentions of women in the study area. A considerable proportion of women reported fertility intention. There was an association between fertility intentions and ART use. It is important for health care providers and policy makers to strengthen the fertility need of HIV positive women along with HIV care so that women may decide freely and responsibly on their fertility issues.

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Metrics details. HIV prevalence in the Addis Ababa is still higher in key and priority populations. The documents relevant to address the objectives were collected from online databases Google scholar and PubMed for published works. It appears that the HIV prevalence stabilizes, but varies along areas and socio-demographic groups. The most common hot spots in Addis Ababa are areas where bars, groceries, pensions, guest houses, hotels, brothels, massage houses, khat houses, shisha houses, night clubs, drinking establishments and tourist frequented settings are concentrated.

There is sexual mixing of key and priority populations KPPs with the general population.

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