Document Type

Article

Publication Date

3-1-2016

Identifier

DOI: 10.29063/ajrh2016/v20i1.4; PMCID: PMC5297376

Abstract

Many people living with HIV desire childbearing, but low cost safer conception methods (SCM) such as timed unprotected intercourse (TUI) and manual self-insemination (MSI) are rarely used. We examined awareness and attitudes towards SCM, and the correlates of these constructs among 400 HIV clients with fertility intentions in Uganda. Measures included awareness, self-efficacy, and motivation regarding SCM, as well as demographics, health management, partner and provider characteristics. Just over half knew that MSI (53%) and TUI (51%) reduced transmission risk during conception, and 15% knew of sperm washing and pre-exposure prophylaxis. In separate regression models for SCM awareness, motivation, and self-efficacy, nearly all independent correlates were related to the partner, including perceived willingness to use SCM, knowledge of respondent's HIV status, HIV-seropositivity, marriage and equality in decision making within the relationship. These findings suggest the importance of partners in promoting SCM use and partner inclusion in safer conception counselling.

Journal Title

African journal of reproductive health

Volume

20

Issue

1

First Page

40

Last Page

51

MeSH Keywords

Adult; Decision Making; Female; Fertility; HIV Infections; Health Knowledge, Attitudes, Practice; Humans; Insemination, Artificial; Intention; Male; Motivation; Self Efficacy; Sexual Partners; Uganda

Keywords

Childbirth; AIDS

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