TY - JOUR
T1 - “If I don’t have children, they will know that I’m sick”
T2 - fertility desires of women and men living with HIV in Iringa, Tanzania
AU - Saleem, Haneefa T.
AU - Surkan, Pamela J.
AU - Kerrigan, Deanna
AU - Kennedy, Caitlin E.
N1 - Funding Information:
This work was supported by the U.S. Department of Education under a Fulbright-Hays Doctoral Dissertation Research Abroad Award. We thank our research participants and field interviewers (Joseph Mfangavo, Ritha Masamu, Eliezer Hokororo, and Isack Lwechungura). This work was supported by the U.S. Department of Education under a Fulbright-Hays Doctoral Dissertation Research Abroad Award.
Publisher Copyright:
© 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2019/7/3
Y1 - 2019/7/3
N2 - 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.
AB - 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.
KW - HIV
KW - Tanzania
KW - fertility desires
KW - qualitative research
KW - safer conception
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U2 - 10.1080/09540121.2019.1576844
DO - 10.1080/09540121.2019.1576844
M3 - Article
C2 - 30712359
AN - SCOPUS:85061055858
SN - 0954-0121
VL - 31
SP - 908
EP - 911
JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
IS - 7
ER -