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Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa
BACKGROUND: Worldwide there is growing attention paid to the reproductive decisions faced by HIV-infected individuals. Studies in both developed and developing countries have suggested that many HIV-infected women continue to desire children despite knowledge of their HIV status. Despite the increas...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2007
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2098761/ https://www.ncbi.nlm.nih.gov/pubmed/17919335 http://dx.doi.org/10.1186/1471-2458-7-282 |
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author | Harries, Jane Cooper, Diane Myer, Landon Bracken, Hillary Zweigenthal, Virginia Orner, Phyllis |
author_facet | Harries, Jane Cooper, Diane Myer, Landon Bracken, Hillary Zweigenthal, Virginia Orner, Phyllis |
author_sort | Harries, Jane |
collection | PubMed |
description | BACKGROUND: Worldwide there is growing attention paid to the reproductive decisions faced by HIV-infected individuals. Studies in both developed and developing countries have suggested that many HIV-infected women continue to desire children despite knowledge of their HIV status. Despite the increasing attention to the health care needs of HIV-infected individuals in low resource settings, little attention has been given to reproductive choice and intentions. Health care providers play a crucial role in determining access to reproductive health services and their influence is likely to be heightened in delivering services to HIV-infected women. We examined the attitudes of health care policy makers and providers towards reproductive decision-making among HIV-infected individuals. METHODS: In-depth interviews were conducted with 14 health care providers at two public sector health care facilities located in Cape Town, South Africa. In addition, 12 in-depth interviews with public sector policy makers and managers, and managers within HIV/AIDS and reproductive health NGOs were conducted. Data were analyzed using a grounded theory approach. RESULTS: Providers and policy makers approached the issues related to being HIV-infected and child bearing differently. Biomedical considerations were paramount in providers' approaches to HIV infection and reproductive decision-making, whereas, policy makers approached the issues more broadly recognizing the structural constraints that inform the provision of reproductive health care services and the possibility of "choice" for HIV-infected individuals. CONCLUSION: The findings highlight the diversity of perspectives among policy makers and providers regarding the reproductive decisions taken by HIV-infected people. There is a clear need for more explicit policies recognizing the reproductive rights and choices of HIV-infected individuals. |
format | Text |
id | pubmed-2098761 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2007 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-20987612007-11-29 Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa Harries, Jane Cooper, Diane Myer, Landon Bracken, Hillary Zweigenthal, Virginia Orner, Phyllis BMC Public Health Research Article BACKGROUND: Worldwide there is growing attention paid to the reproductive decisions faced by HIV-infected individuals. Studies in both developed and developing countries have suggested that many HIV-infected women continue to desire children despite knowledge of their HIV status. Despite the increasing attention to the health care needs of HIV-infected individuals in low resource settings, little attention has been given to reproductive choice and intentions. Health care providers play a crucial role in determining access to reproductive health services and their influence is likely to be heightened in delivering services to HIV-infected women. We examined the attitudes of health care policy makers and providers towards reproductive decision-making among HIV-infected individuals. METHODS: In-depth interviews were conducted with 14 health care providers at two public sector health care facilities located in Cape Town, South Africa. In addition, 12 in-depth interviews with public sector policy makers and managers, and managers within HIV/AIDS and reproductive health NGOs were conducted. Data were analyzed using a grounded theory approach. RESULTS: Providers and policy makers approached the issues related to being HIV-infected and child bearing differently. Biomedical considerations were paramount in providers' approaches to HIV infection and reproductive decision-making, whereas, policy makers approached the issues more broadly recognizing the structural constraints that inform the provision of reproductive health care services and the possibility of "choice" for HIV-infected individuals. CONCLUSION: The findings highlight the diversity of perspectives among policy makers and providers regarding the reproductive decisions taken by HIV-infected people. There is a clear need for more explicit policies recognizing the reproductive rights and choices of HIV-infected individuals. BioMed Central 2007-10-05 /pmc/articles/PMC2098761/ /pubmed/17919335 http://dx.doi.org/10.1186/1471-2458-7-282 Text en Copyright © 2007 Harries et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Harries, Jane Cooper, Diane Myer, Landon Bracken, Hillary Zweigenthal, Virginia Orner, Phyllis Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa |
title | Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa |
title_full | Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa |
title_fullStr | Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa |
title_full_unstemmed | Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa |
title_short | Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa |
title_sort | policy maker and health care provider perspectives on reproductive decision-making amongst hiv-infected individuals in south africa |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2098761/ https://www.ncbi.nlm.nih.gov/pubmed/17919335 http://dx.doi.org/10.1186/1471-2458-7-282 |
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