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

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dc.contributor.authorHarries, Janeen_ZA
dc.contributor.authorCooper, Dianeen_ZA
dc.contributor.authorMyer, Landonen_ZA
dc.contributor.authorBracken, Hillaryen_ZA
dc.contributor.authorZweigenthal, Virginiaen_ZA
dc.contributor.authorOrner, Phyllisen_ZA
dc.date.accessioned2015-10-12T10:54:42Z
dc.date.available2015-10-12T10:54:42Z
dc.date.issued2007en_ZA
dc.description.abstractBACKGROUND: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.identifier.apacitationHarries, 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/11427/14181en_ZA
dc.identifier.chicagocitationHarries, 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/11427/14181en_ZA
dc.identifier.citationHarries, 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.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
dc.identifier.urihttp://hdl.handle.net/11427/14181
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2458-7-282
dc.identifier.vancouvercitationHarries 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.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentWomen's Health Research Uniten_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceBMC Public Healthen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcpublichealth/en_ZA
dc.subject.otherHealth Systemsen_ZA
dc.subject.otherPolicy Researchen_ZA
dc.subject.otherReproductive Healthen_ZA
dc.titlePolicy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africaen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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