Evidence map›Paper›PMID 34152530›Full record

ArticleAIDS and behavior2022

Client and Provider Experiences in Uganda Suggest Demand for and Highlight the Importance of Addressing HIV Stigma and Gender Norms Within Safer Conception Care.

Cynthia R Young, Elizabeth Gill, Mwebesa Bwana, Winnie Muyindike, Rebecca S Hock, Madeline C Pratt, Moran Owembabazi, Deogratius Tukwasibwe, Alice Najjuma, Paul Kalyebara and 3 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in AIDS and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. "Sexual and reproductive health matters · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 3 countries.

Cynthia R Young *Division of Infectious Diseases, University of Kentucky, Lexington, KY, USA.
Elizabeth Gill *School of Medicine, University of Alabama At Birmingham, Birmingham, AL, USA.
Mwebesa BwanaDepartment of Internal Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Winnie MuyindikeDepartment of Internal Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Rebecca S HockDivision of Global Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Madeline C PrattDivision of Infectious Diseases, University of Alabama At Birmingham, Birmingham, AL, USA.
Moran OwembabaziGlobal Health Collaborative, Mbarara University of Science and Technology, Mbarara, Uganda.
Deogratius TukwasibweGlobal Health Collaborative, Mbarara University of Science and Technology, Mbarara, Uganda.
Alice NajjumaMbarara Regional Referral Hospital, Mbarara, Uganda.
Paul KalyebaraDepartment of Obstetrics and Gynaecology, Mbarara University of Science and Technology, Mbarara, Uganda.
Silvia NatukundaDivision of Global Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Angela KaidaFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
Lynn T MatthewsDivision of Infectious Diseases, University of Alabama At Birmingham, Birmingham, AL, USA. lynnmatthews@uabmc.edu.ORCID http://orcid.org/0000-0001-6167-6328
Mbarara University of Science and Technology · UGUniversity of Alabama at Birmingham · USHarvard University · USMbarara National Referral Hospital · UGSimon Fraser University · CAUniversity of Kentucky · US

Funding

PROGRAM FOR AIDS CLINICAL RESEARCH TRAINING (PACRT)T32AI007433 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI MARK J SIEDNER · 1992 to 2026
$11.4M
NIAID NIH HHS T32 AI007433
6 · The paper itself

Abstract

Safer conception counseling supports HIV-serodifferent couples to meet reproductive goals while minimizing HIV transmission risk, but has not been integrated into routine HIV care. We piloted a novel safer conception program in an established public-sector HIV clinic in Uganda to inform future implementation. In-depth interviews and counseling observations explored experiences of program clients and healthcare providers to assess program acceptability, appropriateness, and feasibility. Fifteen index clients (8 women, 7 men), 10 pregnancy partners, and 10 providers completed interviews; 15 participants were living with HIV. Ten observations were conducted. We identified four emergent themes: (1) High demand for safer conception services integrated within routine HIV care, (2) Evolving messages of antiretroviral treatment as prevention contribute to confusion about HIV prevention options, (3) Gender and sexual relationship power inequities shape safer conception care, and (4) HIV-related stigma impacts safer conception care uptake. These findings confirm the need for safer conception care and suggest important implementation considerations.

Indexed as

HIV InfectionsSexual PartnersCounselingFemaleFertilizationHumansMalePregnancySocial StigmaUgandaHIV preventionHIV-serodifferent couplesSafer conceptionSexual and reproductive healthUganda

Identifiers

PMID34152530
PMCPMC8688584
OpenAlexW3176522207

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.