Effect of HIV/AIDS on fertility: historical evidence from South Africa’s women educators

Eric O. Udjo


Context/Background: The HIV/AIDS epidemic remains a public health challenge.  Globally, South Africa ranks second in HIV prevalence and has the second lowest fertility rate in sub-Saharan Africa.  The effect of HIV/AIDS on fertility is contentious, although it is often assumed in population projections that HIV/AIDS reduces fertility.  This study examines the effect of HIV/AIDS on the probability of getting pregnant among South Africa’s educators controlling for confounders.

Data Source and Methods: The data consisted of a representative sample of educators in public schools in South Africa in 2004. Statistical analysis utilized multivariate logistic regression.

Results: Controlling for confounders, HIV positive women educators aged 18-34 had higher odds of being pregnant in the preceding 12 months compared with HIV negative women educators in the same age group.

Conclusion: There was no evidence from this study that HIV positive women were less likely to be pregnant than HIV negative women.


HIV/AIDS, fertility, educators, pregnancy status, South Africa.

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DOI: https://doi.org/10.11564/32-2-1205


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ISSN 2308-7854 (online); ISSN 0850-5780 (print)

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