Perspectives about childbearing and pregnancy planning amongst people living with HIV in Gaborone, Botswana

Gutin, Sarah A.; Harper, Gary W.; Bitsang, Christina; Moshashane, Neo; Ramogola‐Masire, Doreen; Harries, Jane; Morroni, Chelsea

doi:10.1080/13691058.2019.1650202

Cited by 10 publications

(13 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, consistent with our research and similar to other settings, WLHIV in this study anticipated stigma and were afraid to discuss fertility desires with healthcare providers because they feared poor treatment and judgmental behaviors from providers because of their desire to have children (25,33,36,54). In addition, some healthcare providers were not initiating fertilityrelated discussions with women because they did not want to encourage childbearing among WLHIV.…”

Section: Power Dynamics Between Wlhiv and Healthcare Providerssupporting

confidence: 69%

“…If the advice that WLHIV should come seeking safer conception counseling is not yielding results, it is time for a new approach. Given the well-established atmosphere of stigma surrounding childbearing amongst WLHIV, and women being fearful to discuss fertility desires with healthcare providers, it falls on healthcare providers to create a welcoming environment where fertility desires and safer conception can be discussed openly (22,33). Therefore, healthcare providers need to routinely initiate conversations about fertility desires and safer conception and reassess these desires over time since fertility desires are not static.…”

Section: Power Dynamics Between Wlhiv and Healthcare Providersmentioning

confidence: 99%

“…This may be a byproduct of many decades of HIV prevention messaging that has stigmatized childbearing among WLHIV, focused on condom use, and discouraged WLHIV from having repeat pregnancies (4, 24,27,[29][30][31][32]. As a result, communication is inhibited because women are often afraid to discuss their childbearing desires and anticipate stigma from healthcare providers (29,33,34). In addition, power imbalances exist between healthcare providers and clients, which makes it difficult for WLHIV to initiate these discussions (35,36).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

“What if They Are Pre-conception? What Should We Do?”: Knowledge, Practices, and Preferences for Safer Conception Among Women Living With HIV and Healthcare Providers in Gaborone, Botswana

Gutin

Harper

Moshashane

et al. 2020

Front. Glob. Womens Health

Self Cite

View full text Add to dashboard Cite

Safer conception interventions that address HIV care, treatment, and prevention for HIV-affected couples are increasingly available in sub-Saharan Africa. Botswana, an HIV endemic country, is yet to offer formal safer conception services although universal test-and-treat approaches mean that increasing numbers of young, sexually active people living with HIV will start treatment and likely desire childbearing. In order to advance the safer conception discussion in Botswana, it is necessary to understand the current safer conception knowledge, practices, and preferences of healthcare providers and women living with HIV (WLHIV). We conducted qualitative in-depth interviews with 10 HIV healthcare providers and 10 WLHIV in Gaborone. Interviews were analyzed using a phenomenological approach. Safer conception knowledge was limited and safer conception discussions were rare. Healthcare provider and WLHIV preferences were at odds, with providers preferring WLHIV to initiate safer conception discussions, and WLHIV desiring providers to initiate safer conception discussions. Quotes from women and providers highlight deeper issues about power dynamics, concerns about stigma among women, and provider fears about promoting pregnancy. Providers emphasized the need for guidelines and training in order to improve the provision of safer conception counseling. These findings point to areas where safer conception in Botswana can be improved. Both WLHIV and providers would benefit from having information about a range of safer conception methods and approaches. In addition, since WLHIV felt hesitant about initiating safer conception conversations and feared stigma, and because putting the onus for starting safer conception discussions on women is a reversal of normal roles and power structures, providers must take the lead and routinely initiate fertility desire and safer conception discussions. Assisting healthcare providers with clear safer conception guidelines and training would improve the provision of accurate safer conception counseling and facilitate reproductive choice.

show abstract

Section: Power Dynamics Between Wlhiv and Healthcare Providerssupporting

confidence: 69%

Section: Power Dynamics Between Wlhiv and Healthcare Providersmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

“What if They Are Pre-conception? What Should We Do?”: Knowledge, Practices, and Preferences for Safer Conception Among Women Living With HIV and Healthcare Providers in Gaborone, Botswana

Gutin

Harper

Moshashane

et al. 2020

Front. Glob. Womens Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Moreover, in several countries worldwide a negative attitude about childbearing is still evident among people living with HIV, encouraging to cease childbearing [ 184 , 185 , 186 ]. This was particularly true in the pre-HAART era, when there was an attitude to stigmatize childbearing [ 187 ]. In recent years, reproductive technologies have been improved and the risk of HIV transmission during pregnancy has been drastically reduced [ 188 ].…”

Section: Impact Of Fertility Concern and Diseases Of The Seminalmentioning

confidence: 99%

HIV and Sexual Dysfunction in Men

Vincentis

Tartaro

Rochira

et al. 2021

JCM

View full text Add to dashboard Cite

Sexual issues tend to go unaddressed in human immunodeficiency virus (HIV) management, although overt sexual dysfunctions are more prevalent in people living with HIV than uninfected people. Erectile dysfunction is the most frequent sexual problem, with a prevalence of 30–50% even in men <40 years of age, but other issues such as loss of libido and ejaculatory disorders should not be overlooked. Peculiar factors related to HIV infection (e.g., fear of virus transmission, changes in body image, HIV-related comorbidities, HIV distress and stigma), alongside classical factors non-related to HIV, should be considered when approaching sexual problems in HIV patients. For this reason, the diagnostic and therapeutic workout of sexual dysfunction in the context of HIV requires a multidisciplinary approach, involving specialists in both infectious diseases and sexual medicine. This narrative review presents an overview of current knowledge on sexual dysfunction in HIV men, deepening the factors driving and taking part in these issues, providing advice for the clinical approach, and underlining the importance of caring for sexual health to improve the quality of life of HIV patients.

show abstract

“…One component of the current unmet need for FP among women living with HIV may be the provider perception that WLHIV cannot use many of the contraceptives available, limiting their informed choice [11]. Moreover, WLHIV are affected by factors such as stigma and discrimination around reproductive decision-making [12][13][14];…”

Section: Introductionmentioning

confidence: 99%

Integration of family planning services into health care for HIV‐positive women in Botswana

Hawkins

Gertz

Badubi

et al. 2020

Intl J Gynecology & Obste

Self Cite

View full text Add to dashboard Cite

show abstract

Perspectives about childbearing and pregnancy planning amongst people living with HIV in Gaborone, Botswana

Cited by 10 publications

References 23 publications

“What if They Are Pre-conception? What Should We Do?”: Knowledge, Practices, and Preferences for Safer Conception Among Women Living With HIV and Healthcare Providers in Gaborone, Botswana

“What if They Are Pre-conception? What Should We Do?”: Knowledge, Practices, and Preferences for Safer Conception Among Women Living With HIV and Healthcare Providers in Gaborone, Botswana

HIV and Sexual Dysfunction in Men

Integration of family planning services into health care for HIV‐positive women in Botswana

Contact Info

Product

Resources

About