Health care provider perspectives on pregnancy and parenting in HIV-positive individuals in South Africa

BMC Health Services Research

Erin Stern²  Joanne E Mantell¹  Diane Cooper²  Jennifer Moodley² 

[1] HIV Center for Clinical and Behavioral Studies, Division of Gender, Health and Sexuality, New York State Psychiatric Institute and Columbia University, New York, NY, USA;Women’s Health Research Unit, School of Public Health & Family Medicine, University of Cape Town, Anzio Road, Observatory, Cape Town 7925, South Africa

关键词: South Africa;    Parenting;    Adoption;    Safer conception;    Fertility intentions;    Providers;    HIV-positive;   

Others  :  1126497
DOI  :  10.1186/1472-6963-14-384

 received in 2013-09-09, accepted in 2014-09-10,  发布年份 2014

【 摘 要 】

Background

Within 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.

Methods

Between 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.

Results

Providers 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.

Conclusions

Health care provider training and support is critical to providing comprehensive sexual and reproductive health care and meeting the fertility desires of HIV-positive people.

【 授权许可】

   
2014 Moodley et al.; licensee BioMed Central Ltd.

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