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 and Morroni, Chelsea ORCID: https://orcid.org/0000-0002-2026-6039 (2020) 'Perspectives about childbearing and pregnancy planning amongst people living with HIV in Gaborone, Botswana'. Culture, Health & Sexuality, Vol 22, Issue 9, pp. 1063-1079.

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Abstract

Despite advances in clinical care, safer conception services are not utilised in many high HIV prevalence countries, including Botswana. We conducted in-depth interviews with ten HIV healthcare providers and ten women living with HIV to develop a deeper understanding of attitudes surrounding childbearing and pregnancy planning. Interviews were analysed using a phenomenological approach. Providers felt it was a human right and normative for women living with HIV to have children but also expressed concerns about women living with HIV having children. Women themselves anticipated stigma from providers regarding childbearing although most described supportive care and had not experienced stigmatising treatment. Although providers believed pregnancies amongst women living with HIV were unplanned, women described discussing pregnancy desires with sexual partners. Despite providers voicing a rights-based approach to childbearing amongst women living with HIV, hesitancy towards pregnancy remains. This is felt by women living with HIV and perceived as stigma, which may make them less likely to seek fertility and safer conception advice. Safer conception interventions are unlikely to be successful if women do not feel comfortable discussing childbearing with providers.

Item Type:	Article
Subjects:	WA Public Health > Health Problems of Special Population Groups > WA 310 Maternal welfare WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries WC Communicable Diseases > Virus Diseases > Acquired Immunodeficiency Syndrome. HIV Infections > WC 503 Acquired immunodeficiency syndrome. HIV infections WP Gynecology > Anatomy. Diseases. Injuries > WP 565 Fertility
Faculty: Department:	Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI):	https://doi.org/10.1080/13691058.2019.1650202
Depositing User:	Rachel Dominguez
Date Deposited:	13 Sep 2019 12:27
Last Modified:	28 Sep 2020 11:44
URI:	https://archive.lstmed.ac.uk/id/eprint/12392

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