Provider attitudes about childbearing and knowledge of safer conception at two HIV clinics in Malawi

Reproductive Health
Paul KawaleRisa M Hoffman

Abstract

There is limited understanding of health care providers' attitudes towards HIV-infected individuals' reproductive choices, as well as knowledge about safer conception. Our study objective was to explore provider-level factors that serve as barriers and/or facilitators to the provision of reproductive and safer conception services for men and women living with HIV. Twenty-five providers were interviewed in four focus group discussions about their attitudes regarding childbearing by HIV-infected clients, reproductive health and HIV knowledge, and views and knowledge of safer conception. Providers reported ambivalence about supporting childbearing among their clients with HIV. They raised concerns about HIV-infected individuals having children, and in certain cases expressed judgment that people with HIV should not have children because of these concerns. Providers lack specific knowledge about safer conception strategies and have low level of knowledge of reproductive health, the efficacy of PMTCT, and the risks of pregnancy for HIV-infected women. Providers in our setting have complex attitudes about HIV-infected clients having children and lack knowledge to appropriately counsel clients about reproductive health and safer conce...Continue Reading

References

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Citations

Jun 17, 2016·BJOG : an International Journal of Obstetrics and Gynaecology·V BlackS R Schwartz
Dec 8, 2016·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Joelle BrownOkeoma Mmeje
Jun 28, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Estelle McLeanUNKNOWN ALPHA Network
Jan 1, 2015·Journal of the International AIDS Society·Manjulaa NarasimhanMarlène Bras
Oct 16, 2019·AIDS and Behavior·Sarah GarverSara Yeatman
Feb 9, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Riley J SteinerSheree R Schwartz
Apr 4, 2019·Journal of Reproductive and Infant Psychology·Audrey M Pottinger, Kamali Carroll
Jun 20, 2019·Reproductive Health·Grace KimemiaRenee Heffron
May 29, 2018·AIDS Research and Treatment·Vaidehi MujumdarKatherine R Schafer
Apr 4, 2021·Journal of Clinical Medicine·Sara De VincentisDaniele Santi

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Methods Mentioned

BETA
contraception

Software Mentioned

ti
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