The motivation to have a child may be tricky. There can be identified numerous influencing factors, particularly among individuals living with HIV. The people who have previously experienced an STD have different attitudes towards having a child. The researchers sought to understand factors influencing fertility decision-making for HIV-infected men and women in Lilongwe, Malawi.

Researchers conducted Thirteen focus groups among HIV-infected individuals enrolled in antiretroviral treatment services. They provided all the necessary information to mark the influencing factors that play their role in the decision making and motivation to have a child.

Participants identified a hierarchy of influences in fertility decisions, including the importance of childbearing, patriarchal impact, family influences, and concern regarding HIV transmission.

Addressing fertility conversations beyond the confines of a relationship may be necessary, 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 to overcome misconceptions and assist individuals in balancing what may be competing influences. The findings of this study will be beneficial for family counseling and clinical settings.