Reproductive Health and Family Planning Needs Among HIV-Infected Women in Sub-Saharan Africa

Sarnquist, Clea; Rahangdale, Lisa; Maldonado, Yvonne

doi:10.2174/1570162x11311020008

Cited by 38 publications

(42 citation statements)

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“…3 The need and desire for FP services is substantial among HIV-positive persons in both resource-limited [4][5][6][7][8][9][10] and resource-rich [11][12][13][14] settings. The unmet need for FP services is particularly high in Kenya; one study found that nearly 70% of HIV-positive women in western Kenya indicate wishing to delay their fertility for another 2 years or not have any further children.…”

mentioning

confidence: 99%

HIV-Positive Men's Experiences with Integrated Family Planning and HIV Services in Western Kenya: Integration Fosters Male Involvement

Patel

Baum²,

Grossman

et al. 2014

AIDS Patient Care and STDs

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A growing body of evidence indicates that integrating family planning (FP) services into HIV care is effective at improving contraceptive uptake among HIV-positive women in resource-poor settings, yet little research has examined HIV-positive men's experiences with such integration. We conducted in-depth interviews with 21 HIV-positive men seeking care at HIV clinics in Nyanza, Kenya. All clinics were intervention sites for a FP/ HIV service integration cluster-randomized trial. Grounded theory was used to code and analyze the data. Our findings highlight men's motivations for FP, reasons why men prefer obtaining their FP services, which include education, counseling, and commodities, at HIV care clinics, and specific ways in which integrated FP/HIV services fostered male inclusion in FP decision-making. In conclusion, men appear invested in FP and their inclusion in FP decision-making may bolster both female and male agency. Men's positive attitudes towards FP being provided at HIV care clinics supports the programmatic push towards integrated delivery models for FP and HIV services.

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mentioning

confidence: 99%

HIV-Positive Men's Experiences with Integrated Family Planning and HIV Services in Western Kenya: Integration Fosters Male Involvement

Patel

Baum²,

Grossman

et al. 2014

AIDS Patient Care and STDs

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“…This research provides evidence for advocacy for the integration of HIV and SRH services for PLHIV as part of primary health care services (Bekker et al, 2011;Cooper et al, 2009;Kawale et al, 2013;Mantell et al, 2009;Myer et al, 2007;Osman, 2011;Sarnquist et al, 2013;Smith and Mbakwem, 2010).…”

Section: Discussionmentioning

confidence: 90%

“…The integration of HIV care and SRH services on a primary health care level is urgently needed to attend to the reproductive desires of PLHIV (Sarnquist et al, 2013). Additionally the Department of Health could provide access to accredited centres specializing in basic HIV RRI, such as sperm wash and artificial insemination, to minimize the transmission risk.…”

Section: Recommendationsmentioning

confidence: 99%

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Reproductive desires of men and women living with HIV: implications for family planning counselling

Zyl

Visser

2015

Reproductive BioMedicine Online

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The reproductive desires of people living with HIV/AIDS (PLHIV) of low socioeconomic standing attending public health facilities in South Africa were studied. HIV-positive men, pregnant and non-pregnant women were recruited from two clinics at a large public hospital in Tshwane, South Africa. Individual interviews were used to explore the reproductive desires of HIV-positive participants. HIV counsellors' perceptions of their clients' reproductive desires were explored during focus group discussions. Parenthood proved to be an important factor to all participants in continuation of the family and establishing their gender identities, despite the possible risk of HIV transmission and community stigmatization. Different cultural procreation rules for men and women and stigmatizing attitudes towards PLHIV affected their reproductive decision making. Women had the dilemma of choosing which community expectations they wanted to fulfil. Community stigmatization towards PLHIV was visible in the negative attitudes of some HIV counsellors regarding HIV and procreation. Because the reproductive desires of PLHIV are currently not given high priority in HIV prevention and family planning in the public health sector in South Africa, the prevention of HIV transmission may be jeopardized. These results necessitate the integration of HIV and sexual and reproductive health counselling on a primary health care level

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“…Important gaps in pregnancy research for women living with HIV, including the need for evidencebased interventions to reduce morbidity due to malaria, tuberculosis and other co-infections among HIV positive pregnant women, have been well detailed previously. 10 There has been substantial evidence assessing contraceptive use and unmet family planning needs of women living with HIV, 11 including the impact of antiretrovirals on the efficacy of hormonal contraceptives. 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.…”

Section: Resultsmentioning

confidence: 99%

Fertility-related research needs among women at the margins

Schwartz¹,

Baral

2015

Reproductive Health Matters

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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.

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Reproductive Health and Family Planning Needs Among HIV-Infected Women in Sub-Saharan Africa

Cited by 38 publications

References 0 publications

HIV-Positive Men's Experiences with Integrated Family Planning and HIV Services in Western Kenya: Integration Fosters Male Involvement

HIV-Positive Men's Experiences with Integrated Family Planning and HIV Services in Western Kenya: Integration Fosters Male Involvement

Reproductive desires of men and women living with HIV: implications for family planning counselling

Fertility-related research needs among women at the margins

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