ArticleBMC health services research2014
Health care provider perspectives on pregnancy and parenting in HIV-positive individuals in South Africa.
Article in BMC health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of the Current Status of Safer Conception Strategies for HIV Affected Heterosexual Couples in Sub-Saharan Africa.AIDS and behavior · 2018Pooled it
- Study protocol of "Our Choice": a randomized controlled trial of the integration of safer conception counseling to transform HIV family planning services in Uganda.Implementation science : IS · 2018Trial
- Pregnancy intent among a sample of recently diagnosed HIV-positive women and men practicing unprotected sex in Cape Town, South Africa.Journal of acquired immune deficiency syndromes (1999) · 2014Trial
- Article
- A narrative review of challenges related to healthcare worker rights, roles and responsibilities in the provision of sexual and reproductive services in health facilities.BMJ global health · 2023Review
- Knowledge and correlates of use of safer conception methods among HIV-infected women attending HIV care in Uganda.Reproductive health · 2019Article
- Changes in Providers' Self-Efficacy and Intentions to Provide Safer Conception Counseling Over 24 Months.AIDS and behavior · 2018Observational
- Reproduction and Fertility Beliefs, Perceptions, and Attitudes in People Living with HIV.AIDS research and treatment · 2018Review
- Stigma gets in my way: Factors affecting client-provider communication regarding childbearing among people living with HIV in Uganda.PloS one · 2018Article
- Supporting HIV prevention and reproductive goals in an HIV-endemic setting: taking safer conception services from policy to practice in South Africa.Journal of the International AIDS Society · 2017Article
- Emtonjeni-A Structural Intervention to Integrate Sexual and Reproductive Health into Public Sector HIV Care in Cape Town, South Africa: Results of a Phase II Study.AIDS and behavior · 2017Article
- An Approach to Developing a Prediction Model of Fertility Intent Among HIV-Positive Women and Men in Cape Town, South Africa: A Case Study.AIDS and behavior · 2017Article
- Unintended pregnancy, contraceptive use, and childbearing desires among HIV-infected and HIV-uninfected women in Botswana: across-sectional study.BMC public health · 2016Article
- Sexual and reproductive health needs of HIV-positive people in Tehran, Iran: a mixed-method descriptive study.International journal of health policy and management · 2015Article
- The HIV epidemic and sexual and reproductive health policy integration: views of South African policymakers.BMC public health · 2015Article
- A discussion of key values to inform the design and delivery of services for HIV-affected women and couples attempting pregnancy in resource-constrained settings.Journal of the International AIDS Society · 2015Article
- Sexual and reproductive health and human rights of women living with HIV.Journal of the International AIDS Society · 2015Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundWithin the health system, limited attention is given to supporting the fertility and parenting desires on HIV-positive people. In this study, we explore health care providers' knowledge and perspectives on safer conception and alternate parenting strategies for HIV-positive people.
methodsBetween November 2007 and January 2008, in-depth interviews were conducted with 28 health care workers involved in providing HIV and/or antiretroviral services at public sector clinics in Cape Town, South Africa. Views on sexual and reproductive health services, pregnancy, childbearing and parenting in HIV-positive men and women were explored using a semi-structured interview guide. Data were analyzed using a thematic approach.
resultsProviders recognized the sexual and reproductive rights of HIV-positive individuals, but struggled with the tension between supporting these rights and concerns about spreading infection. Limited knowledge of safer conception methods constrained their ability to counsel and support clients in realizing fertility desires. Providers believed that parenting alternatives that do not maintain biological and cultural linkage are unlikely to be acceptable options.
conclusionsHealth care provider training and support is critical to providing comprehensive sexual and reproductive health care and meeting the fertility desires of HIV-positive people.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.