tailieunhanh - Reproductive intentions and choices among HIV-infected individuals in Cape Town, South Africa: Lessons for reproductive policy and service provision from a qualitative study

While many HIV-infected individuals do not wish to have children, others desire children despite their infected status. The desire and intent to have children among HIV-infected individuals may increase because of improved quality of life and survival following commencement of anti-retroviral treatment. In developing countries such as South Africa, where the largest number of people living with HIV/AIDS worldwide reside, specific government reproductive health policy and service provision for HIV-infected individuals is underdeveloped. This Brief presents findings from a qualitative study that explored HIV-infected individuals’ reproductive intentions, decision-making, and need for reproductive health services. The study also assessed. | ịị Population Council Women s Health Research Unit Infectious Diseases Epidemiology Unit University of Cape Town UCT School of Public Health Family Medicine Population Council New York City Policy Brief Reproductive intentions and choices among HIV-infected individuals in Cape Town South Africa Lessons for reproductive policy and service provision from a qualitative study Diane Coopera Hillary Brackenc Landon Myerb Virginia Zweigenthala Jane Harries Phyllis Ornera Nontuthuzelo Manjezia and Pumeza Ngubanea BACKGROUND While many HIV-infected individuals do not wish to have children others desire children despite their infected status. The desire and intent to have children among HIV-infected individuals may increase because of improved quality of life and survival following commencement of anti-retroviral treatment. In developing countries such as South Africa where the largest number of people living with HIV AIDS worldwide reside specific government reproductive health policy and service provision for HIV-infected individuals is underdeveloped. This Brief presents findings from a qualitative study that explored HIV-infected individuals reproductive intentions decision-making and need for reproductive health services. The study also assessed the opinions of health service providers policymakers and influential figures within non-governmental organisations NGOs who are likely to play important roles in the shaping and delivery of reproductive health services. We focus on issues that impact reproductive choice and decisionmaking and identify critical policy health service and research related matters to be addressed. METHODS The study was conducted at two health centres in the Cape Town metropolitan area in South Africa from May 2004 to January 2005. In-depth interviews were conducted with 40 HIV-positive women and 20 HIVpositive men. Half of these respondents 20 women and 10 men had been receiving anti-retroviral treatment ART for longer than six months and half were

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