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Influences in fertility decisions among HIV-infected individuals in Lilongwe, Malawi: a qualitative study.

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Haddad LB, Hoagland AB, Andes KL, Samala B, Feldacker C, Chikaphupha K, Tweya H, Chiwoko J, Kachale F, Jamieson DJ, Phiri S,


Haddad LB, Hoagland AB, Andes KL, Samala B, Feldacker C, Chikaphupha K, Tweya H, Chiwoko J, Kachale F, Jamieson DJ, Phiri S, (click to view)

Haddad LB, Hoagland AB, Andes KL, Samala B, Feldacker C, Chikaphupha K, Tweya H, Chiwoko J, Kachale F, Jamieson DJ, Phiri S,

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The journal of family planning and reproductive health care / Faculty of Family Planning & Reproductive Health Care, Royal College of Obstetricians & Gynaecologists 2016 6 16() pii 10.1136/jfprhc-2015-101395

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.

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