Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa

 

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dc.contributor.author Harries, Jane en_ZA
dc.contributor.author Cooper, Diane en_ZA
dc.contributor.author Myer, Landon en_ZA
dc.contributor.author Bracken, Hillary en_ZA
dc.contributor.author Zweigenthal, Virginia en_ZA
dc.contributor.author Orner, Phyllis en_ZA
dc.date.accessioned 2015-10-12T10:54:42Z
dc.date.available 2015-10-12T10:54:42Z
dc.date.issued 2007 en_ZA
dc.identifier.citation Harries, J., Cooper, D., Myer, L., Bracken, H., Zweigenthal, V., & Orner, P. (2007). Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa. BMC public health, 7(1), 282. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/14181
dc.identifier.uri http://dx.doi.org/10.1186/1471-2458-7-282
dc.description.abstract 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. en_ZA
dc.language.iso eng en_ZA
dc.publisher BioMed Central Ltd en_ZA
dc.rights This is an Open Access article distributed under the terms of the Creative Commons Attribution License en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_ZA
dc.source BMC Public Health en_ZA
dc.source.uri http://www.biomedcentral.com/bmcpublichealth/ en_ZA
dc.subject.other Health Systems en_ZA
dc.subject.other Policy Research en_ZA
dc.subject.other Reproductive Health en_ZA
dc.title Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa en_ZA
dc.type Journal Article en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Women's Health Research Unit en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Harries, J., Cooper, D., Myer, L., Bracken, H., Zweigenthal, V., & Orner, P. (2007). Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa. <i>BMC Public Health</i>, http://hdl.handle.net/11427/14181 en_ZA
dc.identifier.chicagocitation Harries, Jane, Diane Cooper, Landon Myer, Hillary Bracken, Virginia Zweigenthal, and Phyllis Orner "Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa." <i>BMC Public Health</i> (2007) http://hdl.handle.net/11427/14181 en_ZA
dc.identifier.vancouvercitation Harries J, Cooper D, Myer L, Bracken H, Zweigenthal V, Orner P. Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa. BMC Public Health. 2007; http://hdl.handle.net/11427/14181. en_ZA
dc.identifier.ris TY - Journal Article AU - Harries, Jane AU - Cooper, Diane AU - Myer, Landon AU - Bracken, Hillary AU - Zweigenthal, Virginia AU - Orner, Phyllis AB - 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. DA - 2007 DB - OpenUCT DO - 10.1186/1471-2458-7-282 DP - University of Cape Town J1 - BMC Public Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2007 T1 - Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa TI - Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa UR - http://hdl.handle.net/11427/14181 ER - en_ZA


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