Safer Conception for Couples Affected by HIV: Structural and Cultural Considerations in the Delivery of Safer Conception Care in Uganda.

Document Type

Article

Publication Date

8-2017

Identifier

DOI: 10.1007/s10461-017-1816-4

Abstract

In countries with high HIV prevalence and high fertility desires, the rights of HIV-affected couples to have children are a pressing issue. Conception among people living with HIV carries risks for both horizontal and vertical HIV transmission. In Uganda ~100,000 HIV-infected women become pregnant annually. Providers face a number of challenges to preventing HIV transmission, reducing unplanned pregnancies, and ensuring safer conception. We report findings from interviews with 27 HIV-affected couples (54 individuals) in Uganda. We explored key cultural and structural factors shaping couples' childbearing decisions. Our data reveal a complex intersection of gender norms, familial expectations, relationship dynamics, and HIV stigma influencing their decisions. Participants provided insights regarding provider bias, stigma, and the gendering of reproductive healthcare. To reduce horizontal transmission HIV and family planning clinics must address men's and women's concerns regarding childbearing with specific attention to cultural and structural challenges.

Journal Title

AIDS and behavior

Volume

21

Issue

8

First Page

2488

Last Page

2496

MeSH Keywords

Adult; Decision Making; Delivery of Health Care; Female; Fertility; Fertilization; Gender Identity; HIV Infections; Humans; Infectious Disease Transmission, Vertical; Interpersonal Relations; Male; Middle Aged; Pregnancy; Qualitative Research; Reproduction; Reproductive Behavior; Sexual Behavior; Sexual Partners; Social Norms; Social Stigma; Uganda; Young Adult

Keywords

Couples; HIV/AIDS; Reproductive care; Safer conception; Uganda

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