Family Planning Among HIV Positive and Negative Prevention of Mother to Child Transmission (PMTCT) Clients in a Resource Poor Setting in South Africa
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The purpose of this study was to investigate family planning needs, knowledge of HIV transmission and HIV disclosure in a cohort sample that had undergone PMTCT in a resource poor setting. Five public clinics implementing PMTCT from Qaukeni Local Service Area, O.R. Tambo District in the Eastern Cape. The sample at postnatal care consisted of 758 women with known HIV status. From 116 HIV positive women 76.3% and from 642 HIV negative women 85.2% got counseling on safe sex during pregnancy but only 65.8% and 62.3% of the women respectively practiced safe sex during pregnancy, which did not differ by HIV status. Postnatally, almost all women received counseling on family planning, yet use of contraceptives and condoms were low. Among HIV positive women PMTCT knowledge and younger age of the mother were associated with pregnancy desire, and among HIV negative women HIV disclosure to the partner, younger age of the mother and having a lower number of children were associated with pregnancy desire. High pregnancy desires (yet lower than for HIV negative women); low contraceptive and condom use were found among HIV positive women. HIV prevention and family planning must acknowledge the reproductive desires of HIV positive women and men.
KeywordsFamily planning HIV positive and negative women PMTCT Resource poor settings South Africa
This study was funded by the Ford Foundation.
- Baek, C., & Rutenberg, N. (2005). Addressing the family planning needs of HIV-positive PMTCT clients: Baseline findings from an operations research study. Horizons Research Update, Washington, D.C.: Population Council.Google Scholar
- Department of Health (1998). Demographic and Health Survey South Africa: Chapter 4. Contraception and fertility preferences. Pretoria: Department of Health.Google Scholar
- Eastern Cape Department of Health (2006). PMTCT quarterly statistics. Bisho: Department of Health.Google Scholar
- Gilling-Smith, C., Nicopoullos, J. D. M., Semprini, A. E., & Frodsham, L. C. G. (2006). HIV and reproductive care—a review of current practice. British Journal of Obstetrics & Gynecology, 113, 869–878.Google Scholar
- Heard, I., Sitta, R., Lert, F., & the VESPA Study Group (2007). Reproductive choice in men and women living with HIV: Evidence from a large representative sample of outpatients attending French hospitals (ANRS-EN12-VESPA Study). AIDS, 21(Suppl 1), S77–S82.Google Scholar
- Nebié, Y., Meda, N., Leroy, V., Mandelbrot, L., Yaro, S., Sombié, I., Cartoux, M., Tiendrébeogo, S., Dao, B., Ouangré, A., Nacro, B., Fao, P., Ky-Zerbo, O., Van de Perre, P., & Dabis, F. (2001). Sexual and reproductive life of women informed of their HIV seropositivity: A prospective cohort study in Burkina Faso. Journal of the Acquired Immune Deficiency Syndrome, 28(4), 367–372.Google Scholar
- Peltzer, K., Skinner, D., Mfecane, S., Shisana, O., Nqeketo, A., & Mosala, T. (2005). Factors influencing the utilization of prevention of mother-to-child-transmission (PMTCT) services by pregnant women in the Eastern Cape, South Africa. Health SA Gesondheid, 10(1), 26–41.Google Scholar
- Rutenberg, N., Baek, C., Kalibala, S., & Rosen, J. (2003) Evaluation of United Nations-supported pilot projects for the Prevention of Mother-To-Child Transmission of HIV. New York: UNICEF.Google Scholar
- Shisana, O., Rehle, T., Simbayi, L. C., Parker, W., Zuma, K., Bhana, A., et al. (2005). South African national HIV prevalence, HIV incidence, behaviour and communication survey. Cape Town: Human Sciences Research Council Press.Google Scholar
- Van Benthem, B. H., de Vincenzi, I., Delmas, M. C., Larsen, C., van den Hoek, A., & Prins, M. (2000). Pregnancies before and after HIV diagnosis in a European cohort HIV-infected women. European Study on the Natural History of HIV Infection in Women. Journal of the Acquired Immune Deficiency Syndrome, 14, 2171–2178.Google Scholar
- WHO (World Health Organization)/UNFPA (United Nations Population Fund)/UNAIDS (Joint United Nations Programme on HIV/AIDS)/IPPF (International Planned Parenthood Federation (2005) Sexual and reproductive health and HIV/AIDS: A framework for priority linkages. Geneva: WHO.Google Scholar