Perspectives of Brazilian people living with HIV/AIDS on reproductive desire: access and barriers to treatment
A. Rossi1,2, E. Amaral2, M.Y. Makuch3, R. Burgos1
1Ministry of Health, STD, AIDS and Viral Hepatitis Department, Brasília, Brazil, 2State University of Campinas, Gynecology and Obstetrics, Campinas, Brazil, 3Center for Maternal-Infant Health of Campinas, Campinas, Brazil
Background: The objective was to describe the experiences of HIV-positive Brazilian women and men with reproductive desire, regarding counseling, access and barriers encountered to services.
Methods: A qualitative case study was conducted. Purposeful sampling was used to select services for HIV/AIDS care in all five regions of the country. Semi-structured interviews were conducted with both male and female users of these services. Thematic content analysis was performed.
Results: Twenty six women and 21 with men were interviewed. The desire to have children was considered, by most participants, as something natural in life, irrespective of whether or not they had a steady partner. The duration of their relationship, number of children, having HIV-positive children and their own serostatus were factors that did not appear to affect their desire to conceive. Not having children with their current partner appeared to be associated with reproductive intentions. Non-socialization of the reproductive desire was frequent, including health professionals, and this attitude was associated with fear of discrimination and prejudice. During regular consultations, the discussion of the reproductive desire, in more than half of the cases, had been initiated by the participants and adequate referrals and counseling were rarely provided. Information on risk reduction and assisted reproductive techniques was rarely provided, and appropriate referrals to attend this demand were seldom given.
Conclusions: In most cases, seropositivity did not affect the reproductive desire among people living with HIV interviewed, irrespective of whether they had a steady partner. Not having children with their current partner was an important factor increasing their intent to have a child. Fear of discrimination did prevent them to socialize their desire.
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