HIV Care Providers’ Communication with Patients About Safer Conception for People Living with HIV in Tanzania
Bibliographic Data
| ID | 19544992 |
|---|---|
| Authors | Saleem Saleem (Johns Hopkins University), Surkan Surkan (Johns Hopkins University), Kerrigan Kerrigan (Johns Hopkins University), Kennedy Kennedy (Johns Hopkins University) |
| Year | 2016 |
| Volume | 42 |
| Issue | 4 |
| Pages | 179 |
| Publication date | 2016-01-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | International Perspectives on Sexual and Reproductive Health (JOURNAL) |
| Journal identifiers | ISSN: 1944-0391 • E-ISSN: 1944-0405 |
| Publisher | Guttmacher Institute (PUBLISHER • US) |
| DOI | 10.1363/42e2916 |
| PMID | 28825897 |
| OpenAlex | W2606923862 |
| Language | EN |
| Citations received | 7 |
CONTEXT: People living with HIV may desire children, but often lack information about safer conception and pregnancy and face barriers to obtaining high-quality reproductive health services. To inform clinical guidance that supports HIV-affected couples wanting to conceive, it is important to better understand communication between patients and providers about childbearing and safer-conception guidelines for people living with HIV. METHODS: In-depth interviews were conducted with 30 providers of HIV-related services in seven health facilities in Iringa, Tanzania, and with 60 HIV-positive women and men attending study facilities. The study followed an iterative research process and used thematic content analysis. RESULTS: Providers reported that they had received limited training on childbearing and safer conception for HIV-positive people, and that clinical guidance in Tanzania on the subject is poor. Although many providers mentioned that people living with HIV have the right to bear children, some HIV-positive patients reported having been discouraged by providers from having more children. Only a few HIV-positive patients reported having learned about safer-conception strategies for HIV-affected couples through discussions with health providers. CONCLUSIONS: Guidance on safer-conception and safe-pregnancy counseling for women and men living with HIV in Tanzania needs to be updated. It is critical that providers be trained in safe pregnancy and safer conception for HIV-affected couples, and that HIV and sexual and reproductive health services be integrated, so that HIV-positive patients and their partners are able to plan their pregnancies and to receive the care they need to manage their health and their pregnancies
Environmental health · Family medicine · Health care · Health facility · Health services · Population · Qualitative research · Reproductive health · SAFER · Tanzania · Thematic analysis · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Nursing · Reproductive Health and Technologies
Relationship, partner factors and stigma are associated with safer conception information, motivation, and behavioral skills among women living with HIV in Botswana
Untapped Potential for Safer Conception Messaging to Transform PrEP Rollout and Promote Service Engagement Among Serodiscordant Couples
Client and Provider Experiences in Uganda Suggest Demand for and Highlight the Importance of Addressing HIV Stigma and Gender Norms Within Safer Conception Care
Perceptions About the Relationship Between HIV, Antiretroviral Therapy (ART), and Fecundity in Sub-Saharan Africa
“If I don’t have children, they will know that I’m sick”
Perspectives about childbearing and pregnancy planning amongst people living with HIV in Gaborone, Botswana
The perceptions and experiences of facility managers in the implementation of safer conception services in public health care facilities
| Citations per year | 1 |
|---|---|
| Citation span | 2019 - 2026 (8) |
| Highly cited | No |