Sexual and Reproductive Life of Women Informed of Their HIV Seropositivity: A Prospective Cohort Study in Burkina Faso

Nébié, Yacouba; Méda, Nicolas; Leroy, Valériane; Mandelbrot, Laurent; Yaro, Seydou; Sombié, Issiaka; Cartoux, Michel; Tiendrébéogo, S; Dao, Blami; Ouangré, Amadou; Nacro, Boubacar; Fao, Paulin; Ky-Zerbo, Odette; Perre, Philippe Van de; Dabis, François

doi:10.1097/00126334-200112010-00010

Cited by 123 publications

(84 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…32 Finally, it is difficult for a pregnant woman who knows she has HIV to have protected intercourse with her spouse if he is unaware of her serostatus. Condom use with regular partners is very low after antenatal HIV testing, 33 , and only increases when the partner has been notified of his wife's HIVpositive status 27 or has been tested himself. 34 A recent study in Abidjan has shown that, for all these reasons, HIV-positive women tended to inform their partner of their HIV status before opting for formula feeding for the baby, and when sexual activity was resumed.…”

Section: -25mentioning

confidence: 99%

“…39,40 In settings without couple VCT, the break-up of the relationship among HIV-positive women has also been documented, but was not related to notification of the partner. 33,42 It is possible that these break-ups do not result from a negative reaction of the partner, but rather occur because the woman prefers to separate rather than face the difficulties of a conjugal relationship coping with HIV infection.…”

Section: Couple-centred Approaches To Hiv Counselling and Testingmentioning

confidence: 99%

See 1 more Smart Citation

Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa

Loû¹,

Orne-Gliemann²

2008

Reproductive Health Matters

101

View full text Add to dashboard Cite

In Africa, a large proportion of HIV infections occur within stable relationships, either because of prior infection of one of the partners or because of infidelity. In five African countries at least two-thirds of couples with at least one HIV-positive partner were HIV serodiscordant; in half of them, the woman was the HIV-positive partner. Hence, there is an urgent need to define strategies to prevent HIV transmission within couple relationships. HIV counselling and testing have largely been organised on an individual and sex-specific basis, for pregnant women in programmes for prevention of mother-to-child transmission of HIV and in STI consultations and recently male circumcision for men. A couple-centred approach to HIV counselling and testing would facilitate communication about HIV status and adoption of preventive behaviours within couples. This paper reviews what is known about HIV serodiscordance in heterosexual couples in sub-Saharan Africa and what has been published about couple-centred initiatives for HIV counselling and testing since the early 1990s. Despite positive outcomes, couple-oriented programmes have not been implemented on a large scale. In order to stimulate and strengthen HIV prevention efforts, increased attention is required to promote prevention and testing and counselling for couples in stable relationships.

show abstract

Section: -25mentioning

confidence: 99%

Section: Couple-centred Approaches To Hiv Counselling and Testingmentioning

confidence: 99%

Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa

Loû¹,

Orne-Gliemann²

2008

Reproductive Health Matters

101

View full text Add to dashboard Cite

show abstract

“…Malgré le risque de transmission maternofoetale qui demeure élevé dans les pays d'Afrique sub-saharienne, et en dépit des conseils de prévention qui sont délivrées aux femmes séropositives, leur fécondité reste élevée après le diagnostic [42][43][44]. Ainsi, en Côte d'Ivoire, le désir d'enfant demeure important après le dépistage chez la majorité des femmes, à l'exception de celles qui estiment avoir eu suffisamment d'enfants [13].…”

Section: Le Désir D'enfant : Entre Statut Social Et Gestion Du Risqueunclassified

Couple et sexualité des femmes d'Afrique sub-saharienne vivant avec le VIH/sida en France

Pourette

2008

Med Sci (Paris)

View full text Add to dashboard Cite

RésuméEn France, l'épidémie de sida concerne une part croissante de femmes originaires d'Afrique sub-saharienne. À partir d'entretiens réalisés auprès de 32 femmes, cet article analyse l'impact du diagnostic sur les relations de couple, la sexualité et les projets reproductifs. Les femmes interviewées ayant des parcours biographiques et migratoires diversifiés, les répercussions de l'annonce de la séropositivité sont variées. Pour les jeunes femmes en couple, la découverte de la séropositivité peut être suivie d'une rupture conjugale et d'une démarche migratoire. Les recompositions conjugales sont alors principalement orientées par le devoir de protection du partenaire et de l'enfant à venir. Certaines font cependant l'expérience de situations de domination, notamment lorsque le nouveau partenaire est séronégatif. Les femmes plus âgées, ayant effectué une migration ancienne, vivent en couple séroconcordant, mais elles rencontrent des difficultés pour négocier l'utilisation du préservatif avec leur conjoint afin d'éviter une surcontamination. Article disponible sur le site

show abstract

“…Cultural factors were especially important in the desire to have children for PLHIV from sub-Saharan African countries (Nattabi et al, 2009). Craft et al(2007) reported that HIVpositive women who experienced high levels of personalized stigma were less likely to disclose their status to their partners and also more likely to desire having children (Oladapo et al, 2005;Phaweni et al, 2010) The sexual and reproductive desires of PLHIV are not perceived as significantly different from those who are not infected (Nebie et al, 2001). Additionally, the same human rights apply to those infected and not infected (Currie and de Waal, 2005).…”

Section: Introductionmentioning

confidence: 99%

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

Zyl

Visser

2015

Reproductive BioMedicine Online

View full text Add to dashboard Cite

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

show abstract

Sexual and Reproductive Life of Women Informed of Their HIV Seropositivity: A Prospective Cohort Study in Burkina Faso

Cited by 123 publications

References 20 publications

Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa

Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa

Couple et sexualité des femmes d'Afrique sub-saharienne vivant avec le VIH/sida en France

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

Contact Info

Product

Resources

About