Reproductive Choice for Women and Men Living with HIV: Contraception, Abortion and Fertility

Delvaux, Thérèse; Nöstlinger, Christiana

doi:10.1016/s0968-8080(07)29031-7

Cited by 71 publications

(64 citation statements)

References 74 publications

(54 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The findings in this study echo the general existing literature regarding barriers to accessing health services among PLWH [32][33][34]. Independent of kinship organisation, CLWH experience similar barriers.…”

Section: Discussionsupporting

confidence: 85%

“…In keeping with other research, we have shown that cost, in terms of time and distance to the health facility, waiting for services and in monetary terms, is a barrier to accessing reproductive health facilities [32,33]. We suggest bringing free sexual and reproductive health services closer to their communities through mobile clinics.…”

Section: Access To the Sexual And Reproductive Health Servicessupporting

confidence: 80%

See 1 more Smart Citation

A Social Ecological Approach to Exploring Barriers to Accessing Sexual and Reproductive Health Services among Couples Living with HIV in Southern Malawi

et al. 2012

View full text Add to dashboard Cite

With wide access to antiretroviral therapy, people living with HIV are living longer. The reduction in the mother-to-child transmission of HIV has encouraged some people living with HIV to have children and remarry. However, some continue to have limited access to sexual and reproductive health services. The study explores barriers encountered by couples living with HIV in accessing sexual and reproductive health services using the social ecological model. Data were collected using in-depth interviews with twenty couples purposively sampled in matrilineal Chiradzulu and patrilineal Chikhwawa communities in Malawi from July to December 2010. Data were analyzed using framework analysis method. The study findings identify barriers across the five levels of the social ecological model indicating that the use of sexual and reproductive health services is influenced by diverse factors. We suggest three main areas for primary intervention: services must be located closer to their communities and integrated with existing antiretroviral services. In addition, information gatekeepers, both formal and informal, should be empowered with knowledge about sexual and reproductive health, including HIV and AIDS. Finally, there is a need to coordinate the flow of reproductive health, HIV, and AIDS information between Malawi Ministry of Health and formal and informal organizations.

show abstract

Section: Discussionsupporting

confidence: 85%

Section: Access To the Sexual And Reproductive Health Servicessupporting

confidence: 80%

A Social Ecological Approach to Exploring Barriers to Accessing Sexual and Reproductive Health Services among Couples Living with HIV in Southern Malawi

et al. 2012

View full text Add to dashboard Cite

show abstract

“…[1,2] It has been noted that HIV-positive women have special concerns regarding family planning, which calls for research to better understand contraceptive behavior and needs of women living with HIV. [3] Many HIV-positive women desire to stop childbearing and prevent pregnancy, [4,5,6] but unintended pregnancies are as common among this group as among HIV-negative women.…”

Section: Introductionmentioning

confidence: 99%

HIV/AIDS and contraceptive use: factors associated with contraceptive use among sexually active HIV-positive women in Kenya

Magadi

2017

Contraception

View full text Add to dashboard Cite

This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. A C C E P T E D M A N U S C R I P T Results:The study provides evidence of lower contraceptive uptake among women living in high HIV-prevalence communities. It further reveals striking differences in factors associated with contraceptive uptake between HIV-positive and HIV-negative women. Education and the desire to stop childbearing are strongly associated with contraceptive uptake among uninfected women, but both factors are not significant among HIV-positive women for whom wealth is the most important factor. While HIV-negative women in the richest wealth quintile are about twice as likely to use contraceptives as their counterparts of similar characteristics in the poorest quintile, this gap is about seven-fold among HIV-positive women. Conclusion:These findings suggest that having the desire and relevant knowledge to use contraceptives does not necessarily translate into expected contraceptive behavior for HIVpositive women in Kenya and that poor HIV-positive women may be particularly in need of increased access to contraceptive services. Implications: Study provides evidence of lower contraceptive uptake among women living in high HIV-prevalence communities in Kenya. Results reveal striking differences in factors associated with contraceptive use between HIV-positive and HIV-negative women. Poverty may be an impediment to contraceptive uptake among HIV-positive women in Kenya.

show abstract

“…12 Yet, gaps exist in the understanding of knowledge and use of emergency contraception among women living with HIV, as well as to what extent certain antiretroviral drugs may reduce the efficacy of emergency contraception. 13,14 Recently, much attention has been given to the impact of hormonal contraception on HIV disease progression and HIV transmission and acquisition, though evidence of the impact on transmission and acquisition remains inconclusive. [15][16][17][18][19] There have been many calls for integrated family planning and HIV programming efforts; however, evidence of effective integration models have lagged behind and are only slowly emerging.…”

Section: Resultsmentioning

confidence: 99%

“…27,28 Additionally, evidence has emerged around coerced abortions and forced sterilization of women living with HIV. 3,13 This is alarming and often linked to abortion, as women have reported being coerced to sterilize in order to receive the abortion they are seeking. 3,29 This is an area for which continued attention is required to advocate for the reproductive rights of all women.…”

Section: Resultsmentioning

confidence: 99%

Fertility-related research needs among women at the margins

Schwartz¹,

Baral

2015

Reproductive Health Matters

View full text Add to dashboard Cite

Fertility-related research encompasses fertility intentions, preconception care, research amongst pregnant women, and post-partum outcomes of mothers and children. However, some women remain underrepresented within this domain of study. Women frequently missing within fertility-related research include those who are already the most vulnerable to health disparities, including female sex workers, lesbian, gay, bisexual, and transgender women, women living with HIV, and women who use drugs. Yet characterization of the needs of these women is important, given their unique fertility-related concerns, including risks and barriers to care emanating from social stigmas and discrimination. This synthesis provides an overview of fertility-related evidence, highlighting where there are clear research gaps among marginalized women and the potential implications of these data shortfalls. Overall, research among marginalized women to date has addressed pregnancy prevention and in some cases fertility intentions, but the majority of studies have focused on postconception pregnancy safety and the well-being of the child. However, among female sex workers specifically, data on pregnancy safety and the well-being of the child are largely unavailable. Within each marginalized group, preconception care and effectiveness of conception methods are consistently understudied. Ultimately, the absence of epidemiologic, clinical and programmatic evidence limits the availability and quality of reproductive health services for all women and prevents social action to address these gaps.

show abstract

Reproductive Choice for Women and Men Living with HIV: Contraception, Abortion and Fertility

Cited by 71 publications

References 74 publications

A Social Ecological Approach to Exploring Barriers to Accessing Sexual and Reproductive Health Services among Couples Living with HIV in Southern Malawi

A Social Ecological Approach to Exploring Barriers to Accessing Sexual and Reproductive Health Services among Couples Living with HIV in Southern Malawi

HIV/AIDS and contraceptive use: factors associated with contraceptive use among sexually active HIV-positive women in Kenya

Fertility-related research needs among women at the margins

Contact Info

Product

Resources

About