Men’s sexual and reproductive health in the situation of HIV-serodiscordance

Abstract

Objective: to know men’s perspective in face of reproduction in the situation of HIV-serodiscordance. Method: qualitative study developed in a university hospital in Southern Brazil. Unstructured in-depth interviews were conducted with 11 men living with HIV and a thematic content analysis was performed. Results: men expressed not wanting to have children and that this pregnancy was different. They showed concerns related to the vertical transmission of HIV, sexual and reproductive rights and responsibility in the exercise of parenthood. Final considerations: men’s perspective is influenced by their role in the family, which is historically and culturally determined, and by the concerns about infection, which are socially determined and entail their understanding of reproductive rights and their participation in care. In services, men’s perspective must be considered in the planning and implementation of health care actions by supporting their participation in the exercise of fatherhood.

Parceiros sexuais sorodiferentes quanto ao HIV: representações sociais dos profissionais de serviços de saúde

“…(45), incluindo médicos (15), técnicos de enfermagem (11), farmacêuticos (7), enfermeiros (6), assistente social (3) e psicólogos (3) -os demais eram coordenadores dos serviços e programas DST HIV/Aids (6). O tempo de atuação dos profissionais nos SAEs esteve no intervalo de nove dias a 37 anos, sendo boa parte nos intervalos de tempo de nove dias a três anos (26).…”

“…Por fim, ainda na zona de contraste, aponta-se a necessidade de haver uma articulação de políticas de planejamento reprodutivo nesse contexto, que é apontada na literatura como forma de suprir essa demanda de informações ainda aparentemente distante desses usuários (1,7) .…”

“…Assim, o papel e a conduta adotados pelos profissionais de saúde em face das parcerias sorodiferentes quanto ao HIV são fundamentais para garantir que esses sujeitos se sintam acolhidos e confiantes para expor suas fragilidades, medos, intimidades adquiridas, isto é, que seja estabelecido vínculo e confiança entre paciente e profissional (7) .…”

HIV serodiscordant sexual partners: social representations of health care professionals

“…The predominant level of education was higher education (40), followed by technical education (11), and a lower number of participants reported having specialization or specific training to work in the service (31). As for the professionals' performance, a large part of them were part of the multi-professional assistance team (45), including doctors (15), nursing technicians (11), pharmacists (7), nurses (6), social workers (3) and psychologists (3). The time of professionals working in the SCSs was in the interval of nine days to 37 years, being most of them in the interval of nine days to three years (26).…”

“…Thus, the role and conduct adopted by health professionals in relation to HIV serodiscordant partnerships are essential to ensure that these individuals feel welcomed and confident to expose their weaknesses, fears, acquired intimacies, that is, that a bond and trust is established between patient and professional ( 7 ) .…”