Unintended pregnancy in women living with HIV in sub-Saharan Africa: A systematic review and meta-analysis


In 2014, about 1.5 million pregnancies occurred among HIV-positive women in low and middle-income countries. To pool magnitude and factors associated with unintended pregnancy in women living with HIV in sub-Saharan Africa, a systematic search of electronic databases was undertaken in November 2016. Pooling the magnitude of unintended pregnancy reported by 14 studies yielded a crude summary prevalence of 55.9%. The magnitude of unwanted pregnancy and mistimed pregnancy in six studies ranged from 14 to 59 and 9 to 47.2%, respectively. Contraceptive failure was an important factor for many unintended pregnancies. The magnitude of unintended pregnancy was significantly higher in HIV-positive women than for HIV-negative women in three out of six studies. The available evidence suggests that there is a high magnitude of unintended pregnancy in this population. Improving effective contraceptive utilization is thus a priority to address unintended pregnancies and to prevent mother to child transmission of HIV. PROSPERO Number: CRD42016051310


Feyissa TR, Harris ML, Melka AS, Loxton D




  • Epidemiology and Determinants of Health
    • Epidemiology
  • Population(s)
    • Women
    • General HIV+ population
  • Engagement and Care Cascade
    • Treatment
  • Prevention
    • Biomedical interventions


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