Exploring fertility decisions among pregnant HIV-positive women on antiretroviral therapy at a health centre in Balaka, Malawi: A descriptive qualitative.
Identifieur interne : 001B58 ( PubMed/Corpus ); précédent : 001B57; suivant : 001B59Exploring fertility decisions among pregnant HIV-positive women on antiretroviral therapy at a health centre in Balaka, Malawi: A descriptive qualitative.
Auteurs : T. Biseck ; S. Kumwenda ; K. Kalulu ; K. Chidziwisano ; L. KalumbiSource :
- Malawi medical journal : the journal of Medical Association of Malawi [ 1995-7270 ] ; 2015.
English descriptors
- KwdEn :
- Adult, Anti-HIV Agents (therapeutic use), Contraception Behavior, Culture, Decision Making, Family Characteristics, Family Planning Services (utilization), Female, Fertility, HIV Infections (ethnology), HIV Infections (prevention & control), HIV Infections (transmission), Health Knowledge, Attitudes, Practice, Humans, Infectious Disease Transmission, Vertical (prevention & control), Interviews as Topic, Malawi, Pregnancy, Pregnancy Complications, Infectious (epidemiology), Pregnancy Complications, Infectious (prevention & control), Qualitative Research, Reproduction, Sexual Partners, Socioeconomic Factors.
- MESH :
- chemical , therapeutic use : Anti-HIV Agents.
- geographic : Malawi.
- epidemiology : Pregnancy Complications, Infectious.
- ethnology : HIV Infections.
- prevention & control : HIV Infections, Infectious Disease Transmission, Vertical, Pregnancy Complications, Infectious.
- transmission : HIV Infections.
- utilization : Family Planning Services.
- Adult, Contraception Behavior, Culture, Decision Making, Family Characteristics, Female, Fertility, Health Knowledge, Attitudes, Practice, Humans, Interviews as Topic, Pregnancy, Qualitative Research, Reproduction, Sexual Partners, Socioeconomic Factors.
Abstract
The proportions of women of reproductive age living with the human immunodeficiency virus (HIV) vary between different regions of the world, with significantly higher proportions in sub-Saharan Africa. Family planning is one of the major issues that couples and families affected with HIV must confront. We aimed to assess the cultural and social factors associated with childbearing and family planning knowledge, decision-making, and practices among HIV-positive pregnant women attending antenatal clinic at a health centre in Balaka, Malawi.
PubMed: 26955433
Links to Exploration step
pubmed:26955433Le document en format XML
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Kalulu</name><affiliation><nlm:affiliation>Department of Environmental Health, The Polytechnic, University of Malawi, Blantyre, Malawi.</nlm:affiliation></affiliation></author><author><name sortKey="Chidziwisano, K" sort="Chidziwisano, K" uniqKey="Chidziwisano K" first="K" last="Chidziwisano">K. Chidziwisano</name><affiliation><nlm:affiliation>Department of Environmental Health, The Polytechnic, University of Malawi, Blantyre, Malawi.</nlm:affiliation></affiliation></author><author><name sortKey="Kalumbi, L" sort="Kalumbi, L" uniqKey="Kalumbi L" first="L" last="Kalumbi">L. Kalumbi</name><affiliation><nlm:affiliation>Department of Environmental Health, The Polytechnic, University of Malawi, Blantyre, Malawi.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:26955433</idno><idno type="pmid">26955433</idno><idno type="wicri:Area/PubMed/Corpus">001B58</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001B58</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Exploring fertility decisions among pregnant HIV-positive women on antiretroviral therapy at a health centre in Balaka, Malawi: A descriptive qualitative.</title><author><name sortKey="Biseck, T" sort="Biseck, T" uniqKey="Biseck T" first="T" last="Biseck">T. Biseck</name><affiliation><nlm:affiliation>Department of Environmental Health, The Polytechnic, University of Malawi, Blantyre, Malawi.</nlm:affiliation></affiliation></author><author><name sortKey="Kumwenda, S" sort="Kumwenda, S" uniqKey="Kumwenda S" first="S" last="Kumwenda">S. Kumwenda</name><affiliation><nlm:affiliation>School of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi.</nlm:affiliation></affiliation></author><author><name sortKey="Kalulu, K" sort="Kalulu, K" uniqKey="Kalulu K" first="K" last="Kalulu">K. Kalulu</name><affiliation><nlm:affiliation>Department of Environmental Health, The Polytechnic, University of Malawi, Blantyre, Malawi.</nlm:affiliation></affiliation></author><author><name sortKey="Chidziwisano, K" sort="Chidziwisano, K" uniqKey="Chidziwisano K" first="K" last="Chidziwisano">K. Chidziwisano</name><affiliation><nlm:affiliation>Department of Environmental Health, The Polytechnic, University of Malawi, Blantyre, Malawi.</nlm:affiliation></affiliation></author><author><name sortKey="Kalumbi, L" sort="Kalumbi, L" uniqKey="Kalumbi L" first="L" last="Kalumbi">L. Kalumbi</name><affiliation><nlm:affiliation>Department of Environmental Health, The Polytechnic, University of Malawi, Blantyre, Malawi.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Malawi medical journal : the journal of Medical Association of Malawi</title><idno type="eISSN">1995-7270</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Anti-HIV Agents (therapeutic use)</term><term>Contraception Behavior</term><term>Culture</term><term>Decision Making</term><term>Family Characteristics</term><term>Family Planning Services (utilization)</term><term>Female</term><term>Fertility</term><term>HIV Infections (ethnology)</term><term>HIV Infections (prevention & control)</term><term>HIV Infections (transmission)</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Infectious Disease Transmission, Vertical (prevention & control)</term><term>Interviews as Topic</term><term>Malawi</term><term>Pregnancy</term><term>Pregnancy Complications, Infectious (epidemiology)</term><term>Pregnancy Complications, Infectious (prevention & control)</term><term>Qualitative Research</term><term>Reproduction</term><term>Sexual Partners</term><term>Socioeconomic Factors</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-HIV Agents</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Malawi</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Pregnancy Complications, Infectious</term></keywords><keywords scheme="MESH" qualifier="ethnology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>HIV Infections</term><term>Infectious Disease Transmission, Vertical</term><term>Pregnancy Complications, Infectious</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Family Planning Services</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Contraception Behavior</term><term>Culture</term><term>Decision Making</term><term>Family Characteristics</term><term>Female</term><term>Fertility</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Interviews as Topic</term><term>Pregnancy</term><term>Qualitative Research</term><term>Reproduction</term><term>Sexual Partners</term><term>Socioeconomic Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The proportions of women of reproductive age living with the human immunodeficiency virus (HIV) vary between different regions of the world, with significantly higher proportions in sub-Saharan Africa. Family planning is one of the major issues that couples and families affected with HIV must confront. We aimed to assess the cultural and social factors associated with childbearing and family planning knowledge, decision-making, and practices among HIV-positive pregnant women attending antenatal clinic at a health centre in Balaka, Malawi.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26955433</PMID><DateCreated><Year>2016</Year><Month>03</Month><Day>09</Day></DateCreated><DateCompleted><Year>2016</Year><Month>08</Month><Day>08</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1995-7270</ISSN><JournalIssue CitedMedium="Internet"><Volume>27</Volume><Issue>4</Issue><PubDate><Year>2015</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Malawi medical journal : the journal of Medical Association of Malawi</Title><ISOAbbreviation>Malawi Med J</ISOAbbreviation></Journal><ArticleTitle>Exploring fertility decisions among pregnant HIV-positive women on antiretroviral therapy at a health centre in Balaka, Malawi: A descriptive qualitative.</ArticleTitle><Pagination><MedlinePgn>128-34</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The proportions of women of reproductive age living with the human immunodeficiency virus (HIV) vary between different regions of the world, with significantly higher proportions in sub-Saharan Africa. Family planning is one of the major issues that couples and families affected with HIV must confront. We aimed to assess the cultural and social factors associated with childbearing and family planning knowledge, decision-making, and practices among HIV-positive pregnant women attending antenatal clinic at a health centre in Balaka, Malawi.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This was a qualitative descriptive study carried out at Kalembo Health Centre in Balaka. A purposive sampling technique was used to select pregnant women enroled in the antiretroviral therapy (ART) programme. A sample size of thirty-five women was decided upon after data saturation. Qualitative inquiry was used during data collection. Data were analysed using systematic text condensation, while numbers and percentages were generated using Microsoft Excel.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Out of 35 participants, 20 were aged between 25 and 34 years, and 18 had been married at least three times. All 35 women wished to have their own biological child. Factors, reported by participants, that promote childbearing included: the desire to please their husbands, fear of losing their husbands to others if they did not bear children, the knowledge that ART would help prevent their children from acquiring the virus, the desire to prove to others that they can also bear children, and a lack of family planning leading to unplanned pregnancies.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The factors that lead to pregnancies among women on ART in Balaka ranged from assured safety of the child from HIV, lack of contraception, to other factors related to their partners. The authors recognize and support the freedom for women to become pregnant and bear children, and, in the context of HIV infection, fertility and reproductive services should include a comprehensive approach towards addressing issues of HIV and AIDS and childbearing among infected women.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Biseck</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Environmental Health, The Polytechnic, University of Malawi, Blantyre, Malawi.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kumwenda</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>School of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kalulu</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Environmental Health, The Polytechnic, University of Malawi, Blantyre, Malawi.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chidziwisano</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Environmental Health, The Polytechnic, University of Malawi, Blantyre, Malawi.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kalumbi</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Environmental Health, The Polytechnic, University of Malawi, Blantyre, Malawi.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Malawi</Country><MedlineTA>Malawi Med J</MedlineTA><NlmUniqueID>9500170</NlmUniqueID><ISSNLinking>1995-7262</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D019380">Anti-HIV Agents</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Scand J Public Health. 2012 Dec;40(8):795-805</RefSource><PMID Version="1">23221918</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS Care. 2008 Oct;20(9):1111-8</RefSource><PMID Version="1">18608074</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Soc Sci Med. 2007 Jul;65(2):274-83</RefSource><PMID Version="1">17451852</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>JAMA. 1989 Mar 3;261(9):1289-94</RefSource><PMID Version="1">2915455</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am Sociol Rev. 2011 Dec 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Version="1">19523591</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS Care. 2006 Oct;18(7):772-6</RefSource><PMID Version="1">16971287</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Natl Black Nurses Assoc. 2012 Jul;23(1):21-8</RefSource><PMID Version="1">23061166</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>East Afr Med J. 2008 Jan;85(1):46-50</RefSource><PMID Version="1">18543527</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019380" MajorTopicYN="N">Anti-HIV Agents</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003268" MajorTopicYN="N">Contraception Behavior</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003469" MajorTopicYN="N">Culture</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003657" MajorTopicYN="Y">Decision Making</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005191" MajorTopicYN="N">Family Characteristics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005193" MajorTopicYN="N">Family Planning Services</DescriptorName><QualifierName UI="Q000656" MajorTopicYN="N">utilization</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005298" MajorTopicYN="Y">Fertility</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000208" MajorTopicYN="N">ethnology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="Y">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018445" MajorTopicYN="N">Infectious Disease Transmission, Vertical</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007407" MajorTopicYN="N">Interviews as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008295" MajorTopicYN="N" Type="Geographic">Malawi</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011247" MajorTopicYN="N">Pregnancy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011251" MajorTopicYN="N">Pregnancy Complications, Infectious</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D036301" MajorTopicYN="N">Qualitative Research</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012098" MajorTopicYN="N">Reproduction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012747" MajorTopicYN="N">Sexual Partners</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC4761703</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>3</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>3</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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