“I did not know about all these”: Perceptions regarding safer conception methods by women living with HIV in Gaborone, Botswana

Gutin, Sarah A., Harper, Gary W., Moshashane, Neo, Ramontshonyana, Kehumile, Mompe, Atlang, Fleming, Paul J., Harries, Jane, Ramogola-Masire, Doreen and Morroni, Chelsea ORCID: https://orcid.org/0000-0002-2026-6039 (2020) '“I did not know about all these”: Perceptions regarding safer conception methods by women living with HIV in Gaborone, Botswana'. PLoS ONE, Vol 15, Issue 12, e0242992.

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Abstract

Various safer conception methods to limit HIV transmission risks can be offered in resource constrained settings. However, implementation of safer conception services remains limited in many countries, including Botswana. Understanding perceptions about safer conception methods and the benefits and challenges to use can help with the development of policies, interventions, and service delivery models. Forty-five women living with HIV in the greater
Gaborone, Botswana area participated in focus group discussions. Themes were analyzed using interpretive phenomenology. Despite low knowledge of specific safer conception
methods that can be used to prevent transmission of HIV when trying to achieve pregnancy, there was noted interest in pre-exposure prophylaxis and vaginal insemination. Challenges to greater uptake were noted including a lack of knowledge about a range of SC methods, limited partner support and communication, provider stigma, health systems barriers, current policies, and the cultural acceptability of methods. Interventions will need to address
these challenges and be responsive to the needs and reflect the realities of WLHIV who desire pregnancy in order for safer conception uptake to become a common practice.

Item Type:	Article
Subjects:	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 > Contraception > WP 630 Contraception
Faculty: Department:	Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI):	https://doi.org/10.1371/journal.pone.0242992
Depositing User:	Rachel Dominguez
Date Deposited:	12 Jan 2021 11:23
Last Modified:	12 Jan 2021 11:23
URI:	https://archive.lstmed.ac.uk/id/eprint/16622

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