Background: Globally, there are an estimated 36.7 million people living with HIV with a prevalence of 0.8% in 2015. In Ethiopia, the prevalence of HIV is 1.14 in 2014 EDHS report. Despite the presence of wide spread anti-retroviral therapy(ART) service and improvement in quality of life, the reproductive desire to have children by HIV infected individuals and couples has not been addressed adequately.
Objective: To assess fertility desire and associated factors among adult ART users in Bale Zone hospitals from April 1-30/2017.
Methodology:-Institution based cross sectional study design was implemented four hundred and sixty participants study participants were selected using simple random sampling technique. Bivariate and multivariate logistic regressions were used to identify associated factors.
Result: The prevalence of fertility desire in this study was found to be 46.2%. Factors found to be associated with fertility desire were partner fertility desire (AOR= 10.7, 95%CI: 5.53 -21.25) and child died of HIV (AOR=13, 95%CI: 3.62-47), were significantly associated with fertility desire of adult ART users.
Conclusion: The prevalence of fertility desire was found to be high while having child died of HIV and partner fertility desire are factors should be emphatically considered for PLHIVs during reproductive health service.
Keywords: Key words: Fertility desire, Anti-retroviral therapy (ART), People living with HIV/AIDS (PLHIVs)