scholarly journals Fertility desires of people living with HIV: Does the implementation of a sexual and reproductive health and HIV integration model change healthcare providers’ attitudes and clients’ desires?

2020 ◽  
Author(s):  
Cecilia Milford ◽  
Mags Beksinska ◽  
Ross Greener ◽  
Jacqueline Pienaar ◽  
Letitia Rambally Greener ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Healthcare Providers ◽  
People Living With Hiv ◽  
Safer Conception ◽  
Cross Sectional Survey ◽  
Integration Model ◽  
Fertility Desires ◽  
Integration Of Services ◽  
Living With Hiv

Abstract Background There is a need for information and healthcare support for fertility desires and contraceptive needs of people living with HIV (PLHIV), and to provide safer conception support for sero-discordant couples wanting to conceive. A model to integrate sexual and reproductive health and HIV services was developed and implemented in a district hospital and six clinics in eThekwini District, South Africa. Methods To evaluate the model’s success, a cross-sectional survey was conducted before and after implementation. As part of this evaluation, fertility desires of PLHIV (both male and female), and providers’ perspectives thereof were explored. Changes in desires and attitudes after integration of services were investigated. Results Forty-six healthcare providers and 269 clients (48 male, 221 female) were surveyed at baseline, and 44 providers and 300 clients (70 male, 230 female) at endline. Various factors including relationship status, parity and ART access influenced PLHIVs’ desires for children. Concerns for their own and their child’s health impacted on PLHIV’s fertility desires. These concerns declined after integration of services. Similarly, providers’ concerns about PLHIV having children decreased after the implementation of the model. Conclusions Integrated services are important to facilitate provision of information on contraceptive options as well as safer conception information for PLHIV who want to have children.

scholarly journals Fertility desires of people living with HIV: does the implementation of a sexual and reproductive health and HIV integration model change healthcare providers’ attitudes and clients’ desires?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Cecilia Milford ◽  
Mags Beksinska ◽  
Ross Greener ◽  
Jacqueline Pienaar ◽  
Letitia Rambally Greener ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Healthcare Providers ◽  
People Living With Hiv ◽  
Safer Conception ◽  
Cross Sectional Survey ◽  
Integration Model ◽  
Fertility Desires ◽  
Integration Of Services ◽  
Living With Hiv

Abstract Background There is a need for information and healthcare support for the fertility desires and contraceptive needs of people living with HIV (PLHIV) in order to provide safer conception support for sero-discordant couples wanting to safely conceive. A model to integrate sexual and reproductive health and HIV services was developed and implemented in a district hospital and six clinics in the eThekwini District, South Africa. Methods To evaluate the model’s success, a cross-sectional survey was conducted before and after implementation of the model. As part of this evaluation, fertility desires of PLHIV (both male and female), and providers’ perspectives thereof were explored. Changes in desires and attitudes after integration of services were investigated. Results Forty-six healthcare providers and 269 clients (48 male, 221 female) were surveyed at baseline, and 44 providers and 300 clients (70 male, 230 female) at endline. Various factors including relationship status, parity and antiretroviral treatment (ART) access influenced PLHIVs’ desires for children. Concerns for their own and their child’s health negatively impacted on PLHIV’s fertility desires. These concerns declined after integration of services. Similarly, providers’ concerns about PLHIV having children decreased after the implementation of the model. Conclusions Integrated services are important to facilitate provision of information on contraceptive options as well as safer conception information for PLHIV who want to have children.

Differences in perceptions on sexual and reproductive health between service providers and people living with HIV: A qualitative elicitation study

2008 ◽  
Vol 13 (5) ◽  
pp. 516-528 ◽  
Author(s):  
Christiana Maria Nöstlinger ◽  
Victoria Gordillo ◽  
Ruth Borms ◽  
Cynthia Murphy ◽  
Johannes Bogner ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Service Providers ◽  
People Living With Hiv ◽  
Elicitation Study ◽  
Living With Hiv

Sexual and reproductive health services for people living with HIV/AIDS in Germany: are we up to the challenge?

Infection ◽  
2013 ◽  
Vol 41 (4) ◽  
pp. 761-768 ◽  
Author(s):  
M. C. Mueller ◽  
C. Walentiny ◽  
U. Seybold ◽  
C. Nöstlinger ◽  
T. Platteau ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
People Living With Hiv ◽  
Reproductive Health Services ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals The Dark Side of Female HIV Patient Care: Sexual and Reproductive Health Risks in Pre- and Post-Clinical Treatments

2018 ◽  
Vol 7 (11) ◽  
pp. 402 ◽  
Author(s):  
Thu Khuat ◽  
Thu Do ◽  
Van Nguyen ◽  
Xuan Vu ◽  
Phuong Nguyen ◽  
...  
Keyword(s):  
Health Care ◽  
High Risk ◽  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Hiv Care ◽  
High Risk Population ◽  
People Living With Hiv ◽  
Women Living With Hiv ◽  
Women And Girls ◽  
Living With Hiv

This study examines the pre- and post-clinical issues in human immunodeficiency virus (HIV) care and treatment for women and girls of high-risk population groups—namely sex workers, injecting drug users, women living with HIV, primary sexual partners of people living with HIV, adolescent girls who are children of these groups, and migrant young girls and women—in five provinces and cities in Vietnam. Through a sample of 241 surveyed participants and 48 respondents for in-depth interviews and 32 respondents in the focus group discussions, the study identifies multiple barriers that keep these groups from receiving the proper health care that is well within their human rights. Most respondents rated HIV testing as easily accessible, yet only 18.9% of the surveyed women living with HIV disclosed their infection status, while 37.8% gave no information at the most recent prenatal care visit. The level of knowledge and proper practices of sexual and reproductive health (SRH) care also remains limited. Meanwhile, modern birth control methods have yet to be widely adopted among these populations: only 30.7% of respondents reported using condoms when having sex with their husband. This increases the risks of unwanted pregnancy and abortion, as well as vulnerability to sexually transmitted infections (STIs) and HIV transmission. On the other hand, HIV-related stigma and discrimination at health care settings are still pervasive, which create significant barriers for patients to access proper care services. Based on these results, six recommendations to improve SRH status of women and girls of populations at high risk are put forward.

scholarly journals Sources of Information on HIV and Sexual and Reproductive Health for Couples Living with HIV in Rural Southern Malawi

2013 ◽  
Vol 2013 ◽  
pp. 1-11 ◽  
Author(s):  
Belinda Chimphamba Gombachika ◽  
Ellen Chirwa ◽  
Address Malata ◽  
Alfred Maluwa
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Cultural Practices ◽  
Health Workers ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Sources Of Information ◽  
Comprehensive Information ◽  
Set Up ◽  
Living With Hiv

With wider access to antiretroviral therapy, people living with HIV are reconsidering their reproductive decisions: remarrying and having children. The purpose of the paper is to explore sources of information for reproductive decision used by couples living with HIV in patrilineal and matrilineal districts of Malawi. Data were collected from forty couples from July to December 2010. Our results illuminate five specific issues: some of the informants (1) remarry after divorce/death of a spouse, (2) establish new marriage relationship with spouses living with HIV, and (3) have children hence the need for information to base their decisions. There are (4) shared and interactive couple decisions, and (5) informal networks of people living with HIV are the main sources of information. In addition, in matrilineal community, cultural practices about remarriage set up structures that constrained information availability unlike in patrilineal community where information on sexual and reproductive health, HIV, and AIDS was disseminated during remarriage counselling. However, both sources are not able to provide comprehensive information due to complexity and lack of up to date information. Therefore, health workers should, offer people living with HIV comprehensive information that takes into consideration the cultural specificity of groups, and empower already existing and accepted local structures with sexual and reproductive health, HIV, and AIDS knowledge.

Fertility intentions of women living with HIV and their male partners during the perinatal period in rural South Africa

2021 ◽  
pp. 095646242098744
Author(s):  
Lissa N Mandell ◽  
Violeta J Rodriguez ◽  
Karl Peltzer ◽  
Stephen M Weiss ◽  
Deborah L Jones
Keyword(s):  
South Africa ◽  
Perinatal Care ◽  
Healthcare Providers ◽  
Male Involvement ◽  
Fertility Intentions ◽  
People Living With Hiv ◽  
Male Partners ◽  
Safer Conception ◽  
Women Living With Hiv ◽  
Living With Hiv

Understanding the fertility intentions of people living with HIV can guide safer conception planning and prevention of mother-to-child transmission (PMTCT). Most research has addressed fertility intentions among women, rather than couples, at a single time point. This clinical trial of a PMTCT intervention in rural Mpumalanga province, South Africa, examined longitudinal fertility intentions among perinatal women living with HIV and their male partners. Study assessments and intervention and control sessions were conducted prenatally and postpartum. Longitudinal predictors of participants’ ( n = 360 men, n = 917 women) fertility intentions were similar between sexes. Younger age and male involvement in perinatal care were associated with reporting fertility intentions at both baseline and 12 months postpartum. Having an HIV-positive infant and discussing pregnancy plans with a healthcare provider by 12 months postpartum were associated with incident fertility intentions after reporting no plans for further children at baseline. Results highlight the important role of healthcare providers to educate men and women on issues surrounding conception, as well as the potential for incorporating PMTCT and safer conception education into HIV clinical services.

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