"If I don't have children, they will know that I'm sick": fertility desires of women and men living with HIV in Iringa, Tanzania

As safer conception services are expanded and integrated into HIV care systems, these services will need to address cultural, social, economic and medical concerns of women and men living with HIV. We conducted interviews with 30 HIV-positive women, 30 HIV-positive men, and 30 healthcare providers t...

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Bibliographic Details
Published in:AIDS care 2019-07, Vol.31 (7), p.908-911
Main Authors: Saleem, Haneefa T., Surkan, Pamela J., Kerrigan, Deanna, Kennedy, Caitlin E.
Format: Article
Language:English
Subjects:
Adult
AIDS/HIV
Anti-HIV Agents - therapeutic use
Antiretroviral drugs
Child
Children
Counseling
Disease control
Disease transmission
Family Characteristics
Family size
Female
Fertility
fertility desires
Fertilization
Health care
Health care industry
Health Knowledge, Attitudes, Practice
Health Personnel - psychology
Health risks
Health services
HIV
HIV Infections - drug therapy
HIV Infections - psychology
Human immunodeficiency virus
Humans
Infant mortality
Infants
Infectious Disease Transmission, Vertical - prevention & control
Interviews as Topic
Male
Maternal and infant welfare
Medicine
Men
Middle Aged
Motivation
Pregnancy
Qualitative Research
safer conception
Sexual Partners - psychology
Social Stigma
Stigma
Tanzania
Women
Young Adult
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Summary:As safer conception services are expanded and integrated into HIV care systems, these services will need to address cultural, social, economic and medical concerns of women and men living with HIV. We conducted interviews with 30 HIV-positive women, 30 HIV-positive men, and 30 healthcare providers that examined factors specific to the experience of living with HIV that influence fertility desires in Iringa, Tanzania. HIV-related factors fell under five themes: knowing one could prevent mother-to-child transmission; reaching an ideal family size in the context of HIV-related infant mortality; concealing one's HIV status; being able to provide for children; and managing HIV disease progression. Integration of safer conception counseling that includes locally-tailored messaging around desired family size, health risks, stigma and financial considerations into safer conception services will help people living with HIV reach their reproductive goals, while reducing the risks of HIV transmission.
ISSN:0954-0121
1360-0451
DOI:10.1080/09540121.2019.1576844