Provider attitudes about childbearing and knowledge of safer conception at two HIV clinics in Malawi.
Provider attitudes about childbearing and knowledge of safer conception at two HIV clinics in Malawi.
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提供者对马拉维的两个艾滋病毒诊所的生育和了解更安全的概念的态度。
DOI：
10.1186/s12978-015-0004-0
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发表时间：
2015-03-07
影响因子：
3.4
通讯作者：
Hoffman RM
中科院分区：
文献类型：
--
作者：
Kawale P;Mindry D;Phoya A;Jansen P;Hoffman RM
人们对医疗保健提供者对艾滋病毒感染者生殖选择的态度以及对安全受孕的了解还很有限。我们的研究目标是探讨为艾滋病毒感染者提供生殖和更安全受孕服务的障碍和/或促进因素。 25 名服务提供者在四次焦点小组讨论中接受了采访，内容涉及他们对艾滋病毒感染者生育的态度、生殖健康和艾滋病毒知识以及对安全受孕的看法和知识。医疗服务提供者报告称，他们对于支持艾滋病毒感染者生育孩子持矛盾态度。他们对艾滋病毒感染者生育孩子表示担忧，并在某些情况下表达了由于这些担忧而认为艾滋病毒感染者不应该生育孩子的判断。提供者缺乏关于更安全受孕策略的具体知识，并且对生殖健康、预防母婴传播的功效以及艾滋病毒感染妇女的怀孕风险的了解水平较低。我们环境中的服务提供者对艾滋病毒感染者生育孩子的态度复杂，并且缺乏知识来向客户提供生殖健康和安全受孕方面的适当建议。我们的研究结果强调需要在这一领域进行进一步的研究，以及对提供者进行生殖健康和更安全受孕培训的需要。
There is limited understanding of health care providers’ attitudes towards HIV-infected individuals’ reproductive choices, as well as knowledge about safer conception. Our study objective was to explore provider-level factors that serve as barriers and/or facilitators to the provision of reproductive and safer conception services for men and women living with HIV. Twenty-five providers were interviewed in four focus group discussions about their attitudes regarding childbearing by HIV-infected clients, reproductive health and HIV knowledge, and views and knowledge of safer conception. Providers reported ambivalence about supporting childbearing among their clients with HIV. They raised concerns about HIV-infected individuals having children, and in certain cases expressed judgment that people with HIV should not have children because of these concerns. Providers lack specific knowledge about safer conception strategies and have low level of knowledge of reproductive health, the efficacy of PMTCT, and the risks of pregnancy for HIV-infected women. Providers in our setting have complex attitudes about HIV-infected clients having children and lack knowledge to appropriately counsel clients about reproductive health and safer conception. Our findings highlight need for further research in this area as well as the need for provider training in reproductive health and safer conception.
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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。
影响因子：
4.5
作者：
Harries, Jane;Cooper, Diane;Myer, Landon;Bracken, Hillary;Zweigenthal, Virginia;Orner, Phyllis
通讯作者：
Orner, Phyllis
影响因子：
3.1
作者：
Kwambai TK;Dellicour S;Desai M;Ameh CA;Person B;Achieng F;Mason L;Laserson KF;Ter Kuile FO
通讯作者：
Ter Kuile FO
影响因子：
4.5
作者：
Leshabari, Sebalda C;Blystad, Astrid;Moland, Karen M
通讯作者：
Moland, Karen M
影响因子：
4.9
作者：
Finocchario-Kessler, Sarah;Dariotis, Jacinda K.;Anderson, Jean R.
通讯作者：
Anderson, Jean R.
影响因子：
4.9
作者：
Nobrega, Aglaer A.;Oliveira, Fabiola A. S.;Kerr-Pontes, Ligia R. S.
通讯作者：
Kerr-Pontes, Ligia R. S.