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A total of 84 study participants with a median age of 22 years were enrolled. HIV-1 genotyping was performed and investigated for drug resistance in 67 individuals. Four of 67 individuals 6. Strains of the C-EA clade were most prevalent as we found no evidence of temporal changes during this time period. However, strains of the C-SA clade, prevalent in Southern Africa, have been introduced in Ethiopia, and became more abundant during the study period.
Moreover, some of the larger clusters dated back to the s but transmissions within clusters have been ongoing up till end of the study period. One cluster was associated with the GA mutation and showed onward transmissions at high rate. TDR was detected in 6. Moreover, the findings indicated an increased diversity in the epidemic as well as differences in transmission clusters sizes of the different clades and association with resistance mutations.
These findings provide epidemiological insights not directly available using standard surveillance and may inform the adjustment of public health strategies in HIV prevention in Ethiopia. This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.
Data Availability: All relevant data are within the paper and its Supporting Information files. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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In Ethiopia women (%) than men (%) are living with HIV . were pre-tested in the randomly selected ART units out of the study site on.
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. Human immune deficiency virus HIV continues to profoundly affect women across the world [ 1 ].