Reproductive rights and options available to women infected with HIV in Ghana: perspectives of service providers from three Ghanaian health facilities
Identifieur interne : 000564 ( Main/Exploration ); précédent : 000563; suivant : 000565Reproductive rights and options available to women infected with HIV in Ghana: perspectives of service providers from three Ghanaian health facilities
Auteurs : Amos Kankponang Laar [Ghana]Source :
- BMC Women's Health [ 1472-6874 ] ; 2013.
Descripteurs français
- KwdFr :
- Connaissances, attitudes et pratiques en santé, Droits des femmes, Droits procréatifs, Femelle, Ghana (épidémiologie), Humains, Infections à VIH (transmission), Personnel de santé (organisation et administration), Relations entre professionnels de santé et patients, Relations interpersonnelles, Santé des femmes, Services de santé génésique (organisation et administration), Transmission verticale de maladie infectieuse (), Éducation du patient comme sujet, Études transversales.
- MESH :
- organisation et administration : Personnel de santé, Services de santé génésique.
- épidémiologie : Ghana, Infections à VIH.
- Connaissances, attitudes et pratiques en santé, Droits des femmes, Droits procréatifs, Femelle, Humains, Relations entre professionnels de santé et patients, Relations interpersonnelles, Santé des femmes, Transmission verticale de maladie infectieuse, Éducation du patient comme sujet, Études transversales.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Cross-Sectional Studies, Female, Ghana (epidemiology), HIV Infections (transmission), Health Knowledge, Attitudes, Practice, Health Personnel (organization & administration), Humans, Infectious Disease Transmission, Vertical (prevention & control), Interpersonal Relations, Patient Education as Topic, Professional-Patient Relations, Reproductive Health Services (organization & administration), Reproductive Rights, Women's Health, Women's Rights.
- MESH :
- geographic , epidemiology : Ghana.
- organization & administration : Health Personnel, Reproductive Health Services.
- prevention & control : Infectious Disease Transmission, Vertical.
- transmission : HIV Infections.
- Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Interpersonal Relations, Patient Education as Topic, Professional-Patient Relations, Reproductive Rights, Women's Health, Women's Rights.
Abstract
Owing to improved management of HIV and its associated opportunistic infections, many HIV-positive persons of reproductive age are choosing to exercise their right of parenthood. This study explored the knowledge of health workers from two Ghanaian districts on the reproductive rights and options available to HIV-positive women who wish to conceive.
Facility-based cross-sectional in design, the study involved the entire population of nurse counselors (32) and medical officers (3) who provide counseling and testing services to clients infected with HIV. Both structured and in-depth interviews were conducted after informed consent.
Two main perspectives were revealed. There was an overwhelmingly high level of approbation by the providers on HIV-positive women’s right to reproduction (94.3%). At the same time, the providers demonstrated a lack of knowledge regarding the various reproductive options available to women infected with HIV. Site of facility, and being younger were associated with practices that violated client’s right to contraceptive counseling (p < 0.05) in each case. Some of the providers openly expressed their inability to give qualified guidance to HIV-positive women on the various reproductive options.
Taken together, these findings suggest that many HIV-positive clients do not receive comprehensive information about their reproductive options. These findings highlight some of the problems that service providers face as HIV counselors. Both service providers and policy makers need to recognize these realities and incorporate reproductive health issues of HIV-persons into the existing guidelines.
Url:
DOI: 10.1186/1472-6874-13-13
PubMed: 23496943
PubMed Central: 3605156
Affiliations:
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Laar</name><affiliation wicri:level="4"><nlm:aff id="I1">Department of Population Family and Reproductive Health, School of Public Health, College of Health Sciences, University of Ghana, Legon, Box LG 13, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Population Family and Reproductive Health, School of Public Health, College of Health Sciences, University of Ghana, Legon, Box LG 13, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation></author></analytic><series><title level="j">BMC Women's Health</title><idno type="eISSN">1472-6874</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cross-Sectional Studies</term><term>Female</term><term>Ghana (epidemiology)</term><term>HIV Infections (transmission)</term><term>Health Knowledge, Attitudes, Practice</term><term>Health Personnel (organization & administration)</term><term>Humans</term><term>Infectious Disease Transmission, Vertical (prevention & control)</term><term>Interpersonal Relations</term><term>Patient Education as Topic</term><term>Professional-Patient Relations</term><term>Reproductive Health Services (organization & administration)</term><term>Reproductive Rights</term><term>Women's Health</term><term>Women's Rights</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Connaissances, attitudes et pratiques en santé</term><term>Droits des femmes</term><term>Droits procréatifs</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Humains</term><term>Infections à VIH (transmission)</term><term>Personnel de santé (organisation et administration)</term><term>Relations entre professionnels de santé et patients</term><term>Relations interpersonnelles</term><term>Santé des femmes</term><term>Services de santé génésique (organisation et administration)</term><term>Transmission verticale de maladie infectieuse ()</term><term>Éducation du patient comme sujet</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Personnel de santé</term><term>Services de santé génésique</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Health Personnel</term><term>Reproductive Health Services</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Infectious Disease Transmission, Vertical</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term><term>Infections à VIH</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cross-Sectional Studies</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Interpersonal Relations</term><term>Patient Education as Topic</term><term>Professional-Patient Relations</term><term>Reproductive Rights</term><term>Women's Health</term><term>Women's Rights</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Connaissances, attitudes et pratiques en santé</term><term>Droits des femmes</term><term>Droits procréatifs</term><term>Femelle</term><term>Humains</term><term>Relations entre professionnels de santé et patients</term><term>Relations interpersonnelles</term><term>Santé des femmes</term><term>Transmission verticale de maladie infectieuse</term><term>Éducation du patient comme sujet</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Owing to improved management of HIV and its associated opportunistic infections, many HIV-positive persons of reproductive age are choosing to exercise their right of parenthood. This study explored the knowledge of health workers from two Ghanaian districts on the reproductive rights and options available to HIV-positive women who wish to conceive.</p></sec><sec><title>Methods</title><p>Facility-based cross-sectional in design, the study involved the entire population of nurse counselors (32) and medical officers (3) who provide counseling and testing services to clients infected with HIV. Both structured and in-depth interviews were conducted after informed consent.</p></sec><sec><title>Results</title><p>Two main perspectives were revealed. There was an overwhelmingly high level of approbation by the providers on HIV-positive women’s right to reproduction (94.3%). At the same time, the providers demonstrated a lack of knowledge regarding the various reproductive options available to women infected with HIV. Site of facility, and being younger were associated with practices that violated client’s right to contraceptive counseling (p < 0.05) in each case. Some of the providers openly expressed their inability to give qualified guidance to HIV-positive women on the various reproductive options.</p></sec><sec><title>Conclusions</title><p>Taken together, these findings suggest that many HIV-positive clients do not receive comprehensive information about their reproductive options. These findings highlight some of the problems that service providers face as HIV counselors. Both service providers and policy makers need to recognize these realities and incorporate reproductive health issues of HIV-persons into the existing guidelines.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Bauni, Ek" uniqKey="Bauni E">EK Bauni</name></author><author><name sortKey="Jarabi, Bo" uniqKey="Jarabi B">BO Jarabi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Anderson, J" uniqKey="Anderson J">J Anderson</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="De Bruyn, M" uniqKey="De Bruyn M">M de Bruyn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Plipat, T" uniqKey="Plipat T">T Plipat</name></author><author><name sortKey="Naiwatanakul, T" uniqKey="Naiwatanakul T">T Naiwatanakul</name></author><author><name sortKey="Rattanasuporn, N" 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