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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Fertility intentions among HIV-infected, sero-concordant couples in Nyanza province, Kenya
Culture, Health and Sexuality, Volume 15, No. 10, Year 2013
Notification
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Description
Research in sub-Saharan Africa has shown significant diversity in how HIV influences infected couples' fertility intentions. Supporting HIV-infected, sero-concordant couples in sub-Saharan Africa to make informed choices about their fertility options has not received sufficient attention. In-depth interviews were conducted among 23 HIV-positive, sero-concordant married couples in Kenya, to better understand how HIV impacted fertility intentions. HIV compelled many to reconsider fertility plans, sometimes promoting childbearing intentions in some individuals but reducing fertility plans among most, largely due to fears of early death, health concerns, stigma, perinatal HIV transmission and financial difficulties (particularly in men). Preferences for sons and large families influenced some couples' intentions to continue childbearing, although none had discussed their intentions with healthcare providers. Additional support and services for HIV-infected, sero-concordant couples are needed. Family planning counselling should be tailored to the unique concerns of HIV-infected couples, addressing perinatal transmission but also individual, couple-level and socio-cultural fertility expectations. Community-level programmes are needed to reduce stigma and make HIV-infected couples more comfortable in discussing fertility intentions with healthcare providers. © 2013 © 2013 Taylor & Francis.
Authors & Co-Authors
Withers, Mellissa H.
Unknown Affiliation
Dworkin, Shari Lee
Unknown Affiliation
Harrington, Elizabeth K.
Unknown Affiliation
Kwena, Zachary Arochi
Unknown Affiliation
Onono, Maricianah Atieno
Unknown Affiliation
Bukusi, Elizabeth Anne
Unknown Affiliation
Cohen, Craig R.
Unknown Affiliation
Grossman, Daniel A.
Unknown Affiliation
Newmann, Sara J.
Unknown Affiliation
Statistics
Citations: 30
Authors: 9
Affiliations: 7
Identifiers
Doi:
10.1080/13691058.2013.811289
ISSN:
13691058
e-ISSN:
14645351
Research Areas
Health System And Policy
Infectious Diseases
Sexual And Reproductive Health
Study Approach
Qualitative
Study Locations
Kenya
Participants Gender
Male