A Qualitative Assessment of Decisions Affecting Contraceptive Utilization and Fertility Intentions among HIV-Positive Women in Soweto,South Africa |
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| Authors: | Fatima Laher Catherine S Todd Mark A Stibich Rebecca Phofa Xoliswa Behane Lerato Mohapi Glenda Gray |
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| Institution: | 1.Perinatal HIV Research Unit,University of the Witwatersrand,Johannesburg, Soweto,South Africa;2.Department of Obstetrics and Gynaecology,Columbia University,New York,USA;3.Division of International Health and Cross-Cultural Medicine,University of California,San Diego, La Jolla,USA |
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| Abstract: | The HIV epidemic in sub-Saharan Africa disproportionately affects women of reproductive age. The increasing provision of Highly Active Anti-Retroviral Therapy (HAART) with improved prognosis and maternal-fetal outcomes calls for an understanding of fertility planning for HIV-positive women. We describe the effect of HIV and HAART on pregnancy desires and contraceptive use among HIV-positive women in Soweto, South Africa. Focus group discussions and in-depth interviews were conducted with 42 HIV-positive women of reproductive age. Analysis was performed using ATLAS-ti (ATLAS-ti Center, Berlin). Emergent themes were impact of HIV diagnosis on pregnancy intentions; factors affecting contraceptive uptake including real and normative side effects, body image, and perceived vaginal wetness; and the mitigating influence of partnership on both pregnancy intentions and contraceptive use. Routine counseling about pregnancy desires and contraception should be offered to HIV-positive women. |
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