Women Living with HIV in South Africa and Their Concerns About Fertility
Women Living with HIV in South Africa and Their Concerns About Fertility
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DOI：
10.1007/s10461-009-9545-y
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发表时间：
2009-06-01
影响因子：
4.4
通讯作者：
Farlane, Lindiwe
中科院分区：
文献类型：
--
作者：
Nduna, Mzikazi;Farlane, Lindiwe
提供高效抗逆转录病毒疗法（HAART）所带来的健康和生活质量方面的好处值得赞扬，但社会环境继续对妇女是否要孩子的决定构成挑战。本文定性地探讨了妇女对感染艾滋病毒、接受HAART治疗和怀孕的问题和关注。从南非东开普省和豪登省招募育龄妇女。通过参与性讲习班、焦点小组和一对一访谈收集了有关妇女生育愿望和怀孕计划的信息。出现了三个主要主题。感染艾滋病毒的妇女需要了解艾滋病毒对怀孕结果的影响，反之亦然。年轻、失去孩子、没有持续使用避孕措施或没有患过重病的妇女有积极的生育愿望。卫生保健工作者对怀孕的矛盾态度影响了妇女的生育愿望。尽管表达了怀孕意图，但公正的孕前沟通应成为艾滋病毒治疗和护理服务的一部分。
Health and quality of life benefits accrued from the availability of highly active antiretroviral therapy (HAART) are commendable, but the social milieu continues to pose challenges for women's decision making around having children. This paper qualitatively explored women's questions and concerns around living with HIV, being on HAART and pregnancy. Women of reproductive age were recruited from Eastern Cape and Gauteng Provinces, South Africa. Information on women's fertility desires and pregnancy planning was collected through participatory workshop, focus groups, and one-on-one interviews. Three main themes emerged. Women living with HIV require information on the impact of HIV on pregnancy outcomes and vice versa. Women who are young, lost a child, not consistently using contraception or who have not been seriously ill have positive reproductive aspirations. Ambivalent attitudes of health care workers towards pregnancy impacts women's fertility aspirations. Unbiased pre-conceptual communication should form part of HIV treatment and care services, despite expressed pregnancy intentions.