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Andrew D. Forsyth, PhD, Thomas J. Coates, PhD, Olga A. Grinstead, PhD, MPH, Gloria Sangiwa, MD, Donald Balmer, PhD, Munkolenkole C. Kamenga, MD and Steven E. Gregorich, PhD

Andrew D. Forsyth, Thomas J. Coates, Olga A. Grinstead, and Steven E. Gregorich are with the Center for AIDS Prevention Studies, University of California, San Francisco. At the time of this study, Gloria Sangiwa was with Muhimbili Medical College, University of Dar-Es-Salaam, Tanzania. At the time of the study, Don Balmer was with the University of Calgary, Canada. Munkolenkole C. Kamenga is with AIDS Control and Prevention (AIDSCAP), Family Health International, Arlington, Va.

Correspondence: Requests for reprints should be sent to Andrew D. Forsyth, PhD, Center for AIDS Prevention Studies, 74 New Montgomery Suite #600, San Francisco, CA 94105 (e-mail: aforsyth{at}psg.ucsf.edu).

Objectives. This study investigated the impact of HIV voluntary counseling and testing (VCT) on reproduction planning among 1634 adults in 2 sub-Saharan countries.

Methods. Data were obtained from a multisite randomized controlled trial.

Results. At 6 months post-VCT, the women more likely to be pregnant were younger (odds ratio [OR] = 2.5; 95% confidence interval [CI] = 1.0, 6.5), not using contraceptives (OR = 0.1; 95% CI = 0.1, 0.3), and HIV infected (OR = 3.0; 95% CI = 1.3, 7.0). An interaction emerged linking pregnancy intention at baseline and HIV serostatus with pregnancy at follow-up (OR = 0.1; 95% CI = .0, 0.4) Partner pregnancy rates did not differ by HIV serostatus among men.

Conclusions. HIV diagnosis may influence reproduction planning for women but not for men.

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