The reproductive needs and rights of people living with HIV in Argentina: Health service users' and providers' perspectives

Gogna, Mónica; Pecheny, Mario; Ibarlucía, Inés; Manzelli, Hernán; Lopez, S.

doi:10.1016/j.socscimed.2009.06.002

Cited by 46 publications

(90 citation statements)

References 19 publications

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“…Various studies have attempted to evaluate the impact of the diagnosis of HIV infection on women, particularly in relation to their reproductive decisions 11,12,13,14,15 . In Brazil, several surveys have been documented on sexual behavior in the general population, using different methodologies 8,16,17 .…”

Section: Introductionmentioning

confidence: 99%

Sexual and reproductive health of women living with HIV in Southern Brazil

et al. 2013

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This cross-sectional study focused on the sexual and reproductive health of women living with HIV, by age group, in the city of Porto Alegre, Rio Grande do Sul State, Brazil. The sample consisted of 691 women. Differences were observed in number of pregnancies and number of children. History of illicit drug use was more frequent in the 18-34-year age group, and exchanging sex for money was more frequent among women 18-29 years of age. This sample of women living with HIV treated in specialized public services in Southern Brazil showed a socioeconomic profile and sexual behavior that did not match the pattern typically identified in the process of "feminization" of the epidemic (with a majority of poor women with low schooling and a limited number of sexual partners). The study provides evidence of factors characterizing women's vulnerability to HIV infection, differing by age and raising specific demands for healthcare services.

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Section: Introductionmentioning

confidence: 99%

Sexual and reproductive health of women living with HIV in Southern Brazil

et al. 2013

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“…Despite the importance of planning pregnancies in the context of HIV infection, many remain unplanned [7,8]. A study conducted in Argentina reported that 55% of HIVpositive women had at least one pregnancy after their HIV diagnosis and that more than half of those pregnancies were accidental [7].…”

Section: Introductionmentioning

confidence: 99%

High prevalence of unintended pregnancies in HIV‐positive women of reproductive age in Ontario, Canada: a retrospective study

et al. 2011

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There is speculation, but there are few data, on the high rates of unintended pregnancies in HIV-positive women. We investigated rates and correlates of unintended pregnancies among HIV-positive women of reproductive age. MethodsA cross-sectional study was conducted with recruitment stratified to match the geographical distribution of HIV-positive women of reproductive age (18-52 years) living in Ontario, Canada. Women, recruited from 38 sites between October 2007 and April 2009, were invited to complete a 189-item self-administered survey. This analysis focused on questions relating to pregnancy and whether the last pregnancy was intended. Logistic regression models were fitted to calculate unadjusted and adjusted odds ratios of correlates of unintended pregnancies occurring after HIV diagnosis. Happiness with unintended pregnancies was also assessed. ResultsThe median age at the time of the survey of the 416 participating HIV-positive women who were previously pregnant (53% before and 47% after HIV diagnosis) was 38 years [interquartile range (IQR) 33-44 years] and their last pregnancy was a median of 8 years (IQR 3-14 years) prior to the survey (n 5 283). Fifty-nine per cent were born outside Canada and 47% were of African ethnicity. Of the 416, 56% [95% confidence interval (CI) 51-61%] identified that their last pregnancy was unintended (57% before and 54% after HIV diagnosis). In the multivariable model, significant correlates of unintended pregnancy after HIV diagnosis were: marital status (P 5 0.01) and never having given birth (P 5 0.01). Women were less happy if their pregnancy was unintended (Po0.01). ConclusionsThe prevalence of unintended pregnancy was high in this cohort. Pregnancy planning programmes are needed for this population to decrease fetal and maternal complications and reduce vertical and horizontal transmission.

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“…8,9 Stigma and discrimination on the part of providers and the community, as well as power imbalances between providers and clients have led to missed opportunities to fulfill sexual and reproductive health desires as well as to egregious violations of rights. [10][11][12][13][14][15][16] In concentrated epidemic settings, like Vietnamwhere HIV programs and policies focus on prevention among injecting drug users, female sex workers and men who have sex with men -little attention has been given to the sexual and reproductive health needs of people living with HIV. The Vietnam Ministry of Health estimates that between 250,000 and 300,000 people currently have HIV.…”

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confidence: 99%

Women living with HIV in Vietnam: desire for children, use of sexual and reproductive health services, and advice from providers

Messersmith

Semrau

Anh

et al. 2012

Reproductive Health Matters

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In Vietnam, despite the possibility of living healthy sexual lives and bearing children due to the increasing availability of antiretroviral therapy and prevention of mother-to-child transmission services, HIV programming has given little attention to the sexual and reproductive health of people living with HIV. Our study explored factors influencing sexual and reproductive health decision-making, needs, rights and access to services for women living with HIV in Hai Phong and Ho Chi Minh City. Nearly half of the women were sexually active at the time of the study and 15% reported wanting a child or another child. Only 14% of women who did not want a child used contraceptive services in the last six months. More than 40% of women reported being advised, primarily by health care providers and family members, to abstain from sex, and more than 13% who were pregnant at the time of the study said that they had been advised to have an abortion. As with all women, women living with HIV must be informed of their sexual and reproductive rights and must have access to medically sound counseling and services to facilitate informed reproductive health decision-making. Sexual and reproductive health services are urgently needed for this population.

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The reproductive needs and rights of people living with HIV in Argentina: Health service users' and providers' perspectives

Cited by 46 publications

References 19 publications

Sexual and reproductive health of women living with HIV in Southern Brazil

Sexual and reproductive health of women living with HIV in Southern Brazil

High prevalence of unintended pregnancies in HIV‐positive women of reproductive age in Ontario, Canada: a retrospective study

Women living with HIV in Vietnam: desire for children, use of sexual and reproductive health services, and advice from providers

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