Reproductive rights and options available to women infected with HIV in Ghana: perspectives of service providers from three Ghanaian health facilities

Laar, Amos

doi:10.1186/1472-6874-13-13

Cited by 11 publications

(14 citation statements)

References 17 publications

(18 reference statements)

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“…Health care providers in our focus groups were ambivalent about HIV-infected individuals having children. This has also been reported in Cape Town [ 5 ] and Ghana [ 19 ]. Providers believe in reproductive choices and recognize that they cannot make these decisions for their clients.…”

Section: Discussionsupporting

confidence: 79%

“…Certain service providers expressed an undertone of judgment related to people with HIV desiring children. Studies in Cape Town [ 15 ], Argentina [ 20 ], Nigeria [ 21 , 22 ] and Ghana [ 19 ] show that fertility choice among people with HIV is often not possible in a climate of judgmental and/or overtly negative attitudes of healthcare providers. In our previous study on fertility desires and intentions from these same two clinics, clients revealed the importance of provider authority and opinion in their decisions about childbearing [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

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Provider attitudes about childbearing and knowledge of safer conception at two HIV clinics in Malawi

Kawale¹,

Mindry

Phoya

et al. 2015

Reprod Health

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BackgroundThere is limited understanding of health care providers’ attitudes towards HIV-infected individuals’ reproductive choices, as well as knowledge about safer conception. Our study objective was to explore provider-level factors that serve as barriers and/or facilitators to the provision of reproductive and safer conception services for men and women living with HIV.MethodsTwenty-five providers were interviewed in four focus group discussions about their attitudes regarding childbearing by HIV-infected clients, reproductive health and HIV knowledge, and views and knowledge of safer conception.ResultsProviders reported ambivalence about supporting childbearing among their clients with HIV. They raised concerns about HIV-infected individuals having children, and in certain cases expressed judgment that people with HIV should not have children because of these concerns. Providers lack specific knowledge about safer conception strategies and have low level of knowledge of reproductive health, the efficacy of PMTCT, and the risks of pregnancy for HIV-infected women.ConclusionsProviders in our setting have complex attitudes about HIV-infected clients having children and lack knowledge to appropriately counsel clients about reproductive health and safer conception. Our findings highlight need for further research in this area as well as the need for provider training in reproductive health and safer conception.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Provider attitudes about childbearing and knowledge of safer conception at two HIV clinics in Malawi

Kawale¹,

Mindry

Phoya

et al. 2015

Reprod Health

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“…There were also fears that previous corrupt officials linked to the National Social Security Fund (NSSF) and National Health Insurance Fund (NHIF) would manipulate the new scheme for their gain [ 5 ]. The degree to which knowledge influences utilisation, acceptability and smooth implementation of health care interventions has been investigated previously [ 6 – 8 ]. Implementing a new system is no exception to the above.…”

Section: Introductionmentioning

confidence: 99%

Public awareness and knowledge of the National Health Insurance in South Africa

et al. 2015

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IntroductionIndividuals residing in Limpopo, KwaZulu-Natal and the Eastern Cape provinces who had access to public health services were surveyed to determine public knowledge and awareness of the new National Health Insurance (NHI).MethodsA descriptive cross-sectional study was conducted and a total of 748 adult respondents were sampled using a two-stage systematic sampling design. Data were collected using mobile phone assisted personal interviews.ResultsThe study found that 80.3% of the respondents were aware of the NHI and slightly less than half (49.8%) of the respondents did not have knowledge of how the NHI works and 71.8% lacked awareness about the origin of the development of the NHI concept in South Africa. The knowledge of what the NHI would pay for was poor and 48.1% knew that the NHI Fund would pay for medical expenses if a person got sick and 45.7% knew that with health insurance, basic health requirement is ensured and that if one becomes ill, medical treatment would be paid for by the NHI Fund, 50.9% of respondents did not understand how the NHI Fund will pay for health care received, only 44.8% understood how the NHI will pay for health care services received.ConclusionThe public education campaigns to increase knowledge and understanding of the NHI scheme might have been inadequate hence might not have penetrated many communities. It is recommended that a comprehensive community consultation plan be established to increase awareness and knowledge of the NHI among community members targeting clinics, schools, pension pay points and other community sites.

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“…In fact, among a sample of university students in Lebanon, formal healthcare seeking behavior for psychological concerns was exceedingly low at 3% (El Kahi, Abi Rizk, Hlais, & Adib, 2012). Additionally, women in the Middle East may tend to delay seeking formal healthcare and instead opt for self-prescribed medications and home treatments due to gendered socio-cultural roles, financial concerns, and perceptions about quality of care and health needs (Majaj, Nassar, & De Allergi, 2013). Women in the region may also prioritize seeking healthcare for physical symptoms over psychological symptoms (Kabakian-Khasholian, Shayboub, & Ataya, 2014).…”

Section: Discussionmentioning

confidence: 99%

Suicide risk factors among trans feminine individuals in Lebanon

Kaplan

Nehme²,

Aunon³

et al. 2016

International Journal of Transgenderism

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Transgender women are disproportionately affected by high rates of depression and suicide attempts. It is therefore important to identify factors that influence suicidal risk, particularly in the Middle East where little research has examined the mental health of transgender women. We examined risk factors associated with suicide attempts among 54 trans feminine individuals in Beirut, Lebanon. Data were collected using interviewer-administered questionnaires and analyzed using bivariate statistics. Twenty-five (46%) participants reported having ever attempted suicide. Among them, only one participant received some kind of counseling in response to the attempted suicide. Low general social support, low social integration, and low support from peers were significantly associated with a history of attempted suicide, as were being more open about transgender identity in public and any hormone use (past or current). These findings suggest that progression in gender transition can have unintended consequences related to mental health and suicide risk, while social support systems can mitigate the impact of mental health problems. Some of these findings mirror other contexts around the globe and can inform mental health services for trans feminine individuals in Lebanon, the greater Middle East region, and other international settings.

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Reproductive rights and options available to women infected with HIV in Ghana: perspectives of service providers from three Ghanaian health facilities

Cited by 11 publications

References 17 publications

Provider attitudes about childbearing and knowledge of safer conception at two HIV clinics in Malawi

Provider attitudes about childbearing and knowledge of safer conception at two HIV clinics in Malawi

Public awareness and knowledge of the National Health Insurance in South Africa

Suicide risk factors among trans feminine individuals in Lebanon

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