In search of a face: Childbearing decisions among couples living with HIV from rural southern Malawi

Gombachika, Belinda Chimphamba; Fjeld, Heidi

doi:10.2989/16085906.2014.886603

Cited by 4 publications

(4 citation statements)

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“…9 The downward trend had already been observed in previous studies in Botswana (18% in 1993 to 2% in 2002) 10 and (4.8% in 2002 to 3% in 2005). 15 Rates of syphilis infection in our study were lower than those reported in the Francistown study 16 and Botswana sentinel surveillance. 17 This is probably due to the larger study sample used in this present study.…”

Section: Discussioncontrasting

confidence: 71%

Syphilis sero-positivity among pregnant women attending public antenatal clinics: A five-year analysis from 15 public clinics in Gaborone, Botswana

Ganiyu

Mason²,

Mabuza

2016

Southern African Journal of Infectious Diseases

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The prevalence of syphilis in pregnancy varies across the globe and among different age groups within the same country. In sub-Saharan Africa, syphilis prevalence among pregnant women has been found to range from 2.5 to 18% among antenatal clinic attendees, with the highest prevalence in the age group 35-49 years. Also, it is higher in the rural than urban clinics. Objectives: To determine trends in syphilis prevalence using the Venereal Disease Research Laboratory (VDRL) and the Rapid Plasma Reagin (RPR) test among pregnant women attending the public antenatal clinics in Gaborone, Botswana (2004-2008). Study design: Cross-sectional study using routinely collected antenatal data. Results: The overall syphilis prevalence amongst pregnant women in Gaborone, Botswana decreased from 2.96% (95% CI, 2.55-3.37) in 2004 to 1.15% (95% CI, 0.89-1.41) in 2008 (p < 0.001). The age specific prevalence per total number of reactive VDRL/RPR was highest amongst pregnant women aged 26 to 30 years (p < 0.001) and lowest for those aged 16 to 20 years (p < 0.025) during the period 2004-2008. However, there were variations in syphilis prevalence rates within and between the clinics. Conclusion: Syphilis sero-positivity in pregnancy in Gaborone, Botswana has been declining for the last five years, but was more prevalent amongst pregnant women aged 26 to 30 years with the lowest prevalence among those aged 16 to 20 years during the period 2004 to 2008. This decline may be attributed to a number of factors and, in particular, the adoption of the syndromic approach for management of sexually transmitted infections in the country.

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Section: Discussioncontrasting

confidence: 71%

Syphilis sero-positivity among pregnant women attending public antenatal clinics: A five-year analysis from 15 public clinics in Gaborone, Botswana

Ganiyu

Mason²,

Mabuza

2016

Southern African Journal of Infectious Diseases

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“…Another longitudinal study done in Malawi in a different setting found out that pregnancy rates in HIV-infected and HIV-uninfected women were similar [ 6 ]. A qualitative study result from Malawi also showed that couples living with HIV continued giving birth although they were aware of the associated risk [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Family planning use among women living with HIV: knowing HIV positive status helps - results from a national survey

Habte

Namasasu

2015

Reprod Health

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BackgroundWomen living with HIV continues to encounter unintended pregnancies with a concomitant risk of mother-to-child transmission of HIV infection. Preventing unintended pregnancy among HIV-infected women is one of the strategies in the prevention of new HIV infections among children. The aim of this analysis was to assess the practice of family planning (FP) among HIV-infected women and the influence of women’s awareness of HIV positive status in the practice of FP.MethodsThe analysis was made in the Malawi Demographic and Health Survey (DHS) data among 489 non-pregnant, sexually active, fecund women living with HIV. Multiple logistic regression analysis was performed using SPSS software to identify the factors associated with FP use. Adjusted odds ratios (AOR) with 95 % confidence intervals were computed to assess the association of different factors with the practice of family planning.ResultOf the 489 confirmed HIV positive women, 184 (37.6 %) reported that they knew that they were HIV positive. The number of women who reported that they were currently using FP method(s) were 251 (51.2 %). The number of women who reported unmet need for FP method(s) were 107 (21.9 %). In the multiple logistic regression analysis, women’s knowledge of HIV positive status [AOR: 2.32(1.54, 3.50)], secondary and above education [AOR: 2.36(1.16, 4.78)], presence of 3–4 alive children [AOR: 2.60(1.08, 6.28)] and more than 4 alive children [AOR: 3.03(1.18, 7.82)] were significantly associated with current use of FP.ConclusionWomen’s knowledge of their HIV-positive status was found to be a significant predictor of their FP practice. Health managers and clinicians need to improve HIV counselling and testing coverage among women of child-bearing age and address the FP needs of HIV-infected women.

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“…Results suggested that FP use signified female promiscuity and infidelity, indicating a need for gender transformative approaches to work within a male-dominated reproductive decision cultural context [ 35 , 36 ]. A study that compared couples' experiences in a matrilineal and patrilineal community in rural Malawi found that in both communities the husbands' desires were the driving factor for further pregnancies, even when the women were worried about the risks of pregnancy [ 37 ].…”

Section: Resultsmentioning

confidence: 99%

Reproduction and Fertility Beliefs, Perceptions, and Attitudes in People Living with HIV

Mujumdar

Berman

Schafer

2018

AIDS Research and Treatment

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People living with HIV (PLWH) have distinct needs when it comes to reproductive health, specifically regarding fertility, family planning, and pregnancy, and these needs are often complicated by HIV status. While there is ample research that focuses on reproductive health in PLWH through a quantitative lens, there is a lack of research using qualitative methods, namely, the narrative interview model. We searched PubMed and relevant abstracts to identify 72 articles published from 1997 to 2016 that described a qualitative framework for exploring the behaviors and perceptions regarding family planning, abortion, pregnancy, parenthood, fertility, and forced sterility in PLWH. The inclusion criteria initially showed 147 articles, which were further screened to exclude those that did not address fertility and family planning specifically. Our final sample of articles included articles related to qualitative research on reproductive attitudes, beliefs, and behaviors of PLWH. Several of these articles were mixed-methods analyses, but our focus was on the qualitative portion only. Further qualitative works in this area will not only contribute to gaps quantitative research in the field cannot capture by design, but also inform clinical practice, policy, and interventions through systematic, in-depth evaluation.

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In search of a face: Childbearing decisions among couples living with HIV from rural southern Malawi

Cited by 4 publications

References 45 publications

Syphilis sero-positivity among pregnant women attending public antenatal clinics: A five-year analysis from 15 public clinics in Gaborone, Botswana

Syphilis sero-positivity among pregnant women attending public antenatal clinics: A five-year analysis from 15 public clinics in Gaborone, Botswana

Family planning use among women living with HIV: knowing HIV positive status helps - results from a national survey

Reproduction and Fertility Beliefs, Perceptions, and Attitudes in People Living with HIV

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