Promoting Reproductive Options for HIV-affected Couples in Sub-Saharan Africa

Overview

Journal BJOG

Specialty Gynecology & Obstetrics

Date 2014 Oct 23

PMID 25335844

Citations 7

Authors

O Mmeje

C R Cohen

A Murage

J Ongech

J Kiarie

S van der Poel

Affiliations

Soon will be listed here.

Abstract

HIV-affected couples face unique challenges that require access to information and reproductive services to prevent HIV transmission to the uninfected partner and offspring while allowing couples to fulfil their reproductive goals. In regions of high HIV prevalence in sub-Saharan Africa, HIV-affected couples require multipurpose prevention technologies (MPTs) to enhance their reproductive healthcare options beyond contraception and prevention of HIV/sexually transmitted infections (STIs) to include assistance in childbearing. The unique characteristics of the condom and its accepted use in conjunction with safer conception interventions allow HIV-serodiscordant couples an opportunity to maintain reproductive health, prevent HIV/STI transmission, and achieve their reproductive goals while timing conception. Re-thinking the traditional view of the condom and incorporating a broader reproductive health perspective of HIV-affected couples into MPT methodologies will impact demand, acceptability and uptake of these future technologies.

Citing Articles

Fertility desires of antiretroviral therapy-attending HIV-positive women and its associated factors in Harari region, Ethiopia.

Assefa S, Dheresa M, Lami M, Berhanu B, Mohammed H, Sertsu A Int Health. 2023; 16(2):174-181.

PMID: 37128936 PMC: 10911533. DOI: 10.1093/inthealth/ihad030.

Experiences With Safer Conception Services for HIV-Serodiscordant Couples at a Referral Hospital in Nairobi, Kenya.

Kaggiah A, Kimemia G, Moraa H, Muiruri P, Kinuthia J, Roxby A Front Reprod Health. 2022; 3:693429.

PMID: 36304040 PMC: 9580674. DOI: 10.3389/frph.2021.693429.

Prevalence and factors associated with fertility desires/intentions among individuals in HIV-serodiscordant relationships: a systematic review of empirical studies.

Martins A, Alves S, Chaves C, Canavarro M, Pereira M J Int AIDS Soc. 2019; 22(5):e25241.

PMID: 31099170 PMC: 6523008. DOI: 10.1002/jia2.25241.

Empowering HIV-infected women in low-resource settings: A pilot study evaluating a patient-centered HIV prevention strategy for reproduction in Kisumu, Kenya.

Mmeje O, Njoroge B, Wekesa P, Murage A, Ondondo R, van der Poel S PLoS One. 2019; 14(3):e0212656.

PMID: 30840672 PMC: 6402674. DOI: 10.1371/journal.pone.0212656.

A Systematic Review of the Current Status of Safer Conception Strategies for HIV Affected Heterosexual Couples in Sub-Saharan Africa.

Joseph Davey D, West S, Umutoni V, Taleghani S, Klausner H, Farley E AIDS Behav. 2018; 22(9):2916-2946.

PMID: 29869184 PMC: 6466619. DOI: 10.1007/s10461-018-2170-x.

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