Influences in fertility decisions among HIV-infected individuals in Lilongwe, Malawi: a qualitative study. Issue 3 (16th June 2016)

• Record Type: Journal Article
• Authors: Haddad, Lisa B; Hoagland, Alexandra B; Andes, Karen L; Samala, Bernadette; Feldacker, Caryl; Chikaphupha, Kingsley; Tweya, Hannock; Chiwoko, Jane; Kachale, Fannie; Jamieson, Denise J; Phiri, Sam
• Is Part Of: Journal of family planning and reproductive health care. Volume 43:Issue 3(2017)
• Page Start: 210
• Page End: 215
• Publication Date: 2016-06-16
• Subjects: fertility -- HIV -- Family planning -- Malawi; Birth control -- Periodicals; Contraception -- Periodicals; Reproductive health -- Periodicals; 613.905
• DOI: 10.1136/jfprhc-2015-101395
• Languages: English
• ISSNs: 1471-1893

Abstract

Abstract : Background: The motivation to have a child may be complex with numerous influencing factors, particularly among individuals living with HIV. This study sought to understand factors influencing fertility decision-making for HIV-infected men and women in Lilongwe, Malawi. Methods: Thirteen focus groups were conducted among HIV-infected individuals enrolled in antiretroviral treatment services. Results: Participants identified a hierarchy of influences in fertility decisions including the importance of childbearing, patriarchal influence, family influences and concern regarding HIV transmission. Conclusions: Addressing fertility conversations beyond the confines of a relationship may be important, as family plays a significant role in fertility choices. Childbearing remains a fundamental desire among many individuals with HIV; however, concerns regarding transmission risk need to be addressed with efforts made to overcome misconception and assist individuals in balancing what may be competing influences.