Health care provider perspectives on pregnancy and parenting in HIV-positive individuals in South Africa

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dc.contributor.authorMoodley, Jennifer
dc.contributor.authorCooper, Diane
dc.contributor.authorMantell, Joanne E
dc.contributor.authorStern, Erin
dc.coverage.spatialSouth Africaen_ZA
dc.date.accessioned2015-01-23T13:48:18Z
dc.date.available2015-01-23T13:48:18Z
dc.date.issued2014-09-12
dc.date.updated2015-01-15T17:53:39Z
dc.description.abstractBackground: Within the health system, limited attention is given to supporting the fertility and parenting desires on HIV-positive people. In this study, we explore health care providers’ knowledge and perspectives on safer conception and alternate parenting strategies for HIV-positive people. Methods Between November 2007 and January 2008, in-depth interviews were conducted with 28 health care workers involved in providing HIV and/or antiretroviral services at public sector clinics in Cape Town, South Africa. Views on sexual and reproductive health services, pregnancy, childbearing and parenting in HIV-positive men and women were explored using a semi-structured interview guide. Data were analyzed using a thematic approach. Results: Providers recognized the sexual and reproductive rights of HIV-positive individuals, but struggled with the tension between supporting these rights and concerns about spreading infection. Limited knowledge of safer conception methods constrained their ability to counsel and support clients in realizing fertility desires. Providers believed that parenting alternatives that do not maintain biological and cultural linkage are unlikely to be acceptable options. Conclusions: Health care provider training and support is critical to providing comprehensive sexual and reproductive health care and meeting the fertility desires of HIV-positive people.en_ZA
dc.identifier.apacitationMoodley, J., Cooper, D., Mantell, J. E., & Stern, E. (2014). Health care provider perspectives on pregnancy and parenting in HIV-positive individuals in South Africa. <i>BMC Health Services Research</i>, http://hdl.handle.net/11427/12290en_ZA
dc.identifier.chicagocitationMoodley, Jennifer, Diane Cooper, Joanne E Mantell, and Erin Stern "Health care provider perspectives on pregnancy and parenting in HIV-positive individuals in South Africa." <i>BMC Health Services Research</i> (2014) http://hdl.handle.net/11427/12290en_ZA
dc.identifier.citationMoodley, Jennifer; Cooper, Diane; Mantell, Joanne E. and Stern, Erin. (2014) Health care provider perspectives on pregnancy and parenting in HIV-positive individuals in South Africa. BMC Health Services Research. 14(1):384-392.en_ZA
dc.identifier.issn1472-6963en_ZA
dc.identifier.ris TY - Journal Article AU - Moodley, Jennifer AU - Cooper, Diane AU - Mantell, Joanne E AU - Stern, Erin AB - Background: Within the health system, limited attention is given to supporting the fertility and parenting desires on HIV-positive people. In this study, we explore health care providers’ knowledge and perspectives on safer conception and alternate parenting strategies for HIV-positive people. Methods Between November 2007 and January 2008, in-depth interviews were conducted with 28 health care workers involved in providing HIV and/or antiretroviral services at public sector clinics in Cape Town, South Africa. Views on sexual and reproductive health services, pregnancy, childbearing and parenting in HIV-positive men and women were explored using a semi-structured interview guide. Data were analyzed using a thematic approach. Results: Providers recognized the sexual and reproductive rights of HIV-positive individuals, but struggled with the tension between supporting these rights and concerns about spreading infection. Limited knowledge of safer conception methods constrained their ability to counsel and support clients in realizing fertility desires. Providers believed that parenting alternatives that do not maintain biological and cultural linkage are unlikely to be acceptable options. Conclusions: Health care provider training and support is critical to providing comprehensive sexual and reproductive health care and meeting the fertility desires of HIV-positive people. DA - 2014-09-12 DB - OpenUCT DO - 10.1186/1472-6963-14-384 DP - University of Cape Town J1 - BMC Health Services Research LK - https://open.uct.ac.za PB - University of Cape Town PY - 2014 SM - 1472-6963 T1 - Health care provider perspectives on pregnancy and parenting in HIV-positive individuals in South Africa TI - Health care provider perspectives on pregnancy and parenting in HIV-positive individuals in South Africa UR - http://hdl.handle.net/11427/12290 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/12290
dc.identifier.urihttp://dx.doi.org/10.1186/1472-6963-14-384
dc.identifier.vancouvercitationMoodley J, Cooper D, Mantell JE, Stern E. Health care provider perspectives on pregnancy and parenting in HIV-positive individuals in South Africa. BMC Health Services Research. 2014; http://hdl.handle.net/11427/12290.en_ZA
dc.languageengen_ZA
dc.language.rfc3066en
dc.publisherBioMed Centralen_ZA
dc.publisher.departmentWomen's Health Research Uniten_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution 4.0 International (CC BY 4.0)*
dc.rights.holderMoodley et al.; licensee BioMed Central Ltd.
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_ZA
dc.sourceBMC Health Services Researchen_ZA
dc.source.urihttp://www.biomedcentral.com/bmchealthservres/
dc.subject.otherHIV-positiveen_ZA
dc.subject.otherProvidersen_ZA
dc.subject.otherFertility intentionsen_ZA
dc.subject.otherSafer conceptionen_ZA
dc.subject.otherAdoptionen_ZA
dc.subject.otherParentingen_ZA
dc.titleHealth care provider perspectives on pregnancy and parenting in HIV-positive individuals in South Africaen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetype
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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