Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa.
Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa.
复制标题
政策制定者和医疗保健提供者对南非艾滋病毒感染者生殖决策的观点。
DOI：
10.1186/1471-2458-7-282
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发表时间：
2007-10-05
影响因子：
4.5
通讯作者：
Orner, Phyllis
中科院分区：
文献类型：
--
作者：
Harries, Jane;Cooper, Diane;Myer, Landon;Bracken, Hillary;Zweigenthal, Virginia;Orner, Phyllis
全世界越来越关注艾滋病毒感染者面临的生殖决定。发达国家和发展中国家的研究表明，许多感染艾滋病毒的妇女尽管了解自己的艾滋病毒感染状况，但仍然渴望孩子。尽管人们越来越关注资源匮乏环境中艾滋病毒感染者的医疗保健需求，但很少关注生殖选择和意图。卫生保健提供者在决定获得生殖健康服务方面发挥着至关重要的作用，并且在向感染艾滋病毒的妇女提供服务方面，他们的影响力可能会得到加强。我们研究了医疗保健政策制定者和提供者对艾滋病毒感染者生殖决策的态度。我们对位于南非开普敦的两家公共部门医疗机构的 14 名医疗保健提供者进行了深入访谈。此外，还对公共部门决策者和管理人员以及艾滋病毒/艾滋病和生殖健康非政府组织的管理人员进行了 12 次深度访谈。使用扎根理论方法对数据进行分析。提供者和政策制定者以不同的方式处理与艾滋病毒感染和生育相关的问题。生物医学方面的考虑对于提供者处理艾滋病毒感染和生殖决策的方法至关重要，而政策制定者则更广泛地处理这些问题，认识到提供生殖保健服务的结构性限制以及艾滋病毒感染者“选择”的可能性。研究结果凸显了政策制定者和提供者对于艾滋病毒感染者做出的生殖决定的不同观点。显然需要制定更明确的政策，承认艾滋病毒感染者的生殖权利和选择。
Worldwide there is growing attention paid to the reproductive decisions faced by HIV-infected individuals. Studies in both developed and developing countries have suggested that many HIV-infected women continue to desire children despite knowledge of their HIV status. Despite the increasing attention to the health care needs of HIV-infected individuals in low resource settings, little attention has been given to reproductive choice and intentions. Health care providers play a crucial role in determining access to reproductive health services and their influence is likely to be heightened in delivering services to HIV-infected women. We examined the attitudes of health care policy makers and providers towards reproductive decision-making among HIV-infected individuals. In-depth interviews were conducted with 14 health care providers at two public sector health care facilities located in Cape Town, South Africa. In addition, 12 in-depth interviews with public sector policy makers and managers, and managers within HIV/AIDS and reproductive health NGOs were conducted. Data were analyzed using a grounded theory approach. Providers and policy makers approached the issues related to being HIV-infected and child bearing differently. Biomedical considerations were paramount in providers' approaches to HIV infection and reproductive decision-making, whereas, policy makers approached the issues more broadly recognizing the structural constraints that inform the provision of reproductive health care services and the possibility of "choice" for HIV-infected individuals. The findings highlight the diversity of perspectives among policy makers and providers regarding the reproductive decisions taken by HIV-infected people. There is a clear need for more explicit policies recognizing the reproductive rights and choices of HIV-infected individuals.
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影响因子：
--
作者：
Wood, Kate;Jewkes, Rachel
通讯作者：
Jewkes, Rachel
DOI：
10.1111/j.1471-0528.2005.00697.x
发表时间：
2005-09-01
影响因子：
5.8
作者：
Jewkes, RK;Gumede, T;Rees, H
通讯作者：
Rees, H
影响因子：
--
作者：
Feldman, R;Maposhere, C
通讯作者：
Maposhere, C
影响因子：
4.4
作者：
Nakayiwa, Sylvia;Abang, Betty;Bunnell, Rebecca
通讯作者：
Bunnell, Rebecca
DOI：
10.2307/2673717
发表时间：
2001-07-01
期刊：
FAMILY PLANNING PERSPECTIVES
影响因子：
--
作者：
Chen, JL;Phillips, KA;Miu, A
通讯作者：
Miu, A