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. 2019 Jun 18;16(1):85.
doi: 10.1186/s12978-019-0751-4.

Perceptions of pregnancy occurring among HIV-serodiscordant couples in Kenya

Grace Kimemia  1 , Kenneth Ngure  2 , Jared M Baeten  3   4   5 , Connie Celum  3   4   5 , Kristin Dew  6 , Njambi Njuguna  7 , Nelly Mugo  8 , Renee Heffron  9   10
Affiliations

Perceptions of pregnancy occurring among HIV-serodiscordant couples in Kenya

Grace Kimemia et al. Reprod Health. .

Abstract

Background: Among HIV serodiscordant couples, most conception involves condomless sex and may confer a period with increased HIV transmission risk if HIV viral load is not suppressed and other precautions are not used. Safer conception strategies enable HIV serodiscordant couples to attain their pregnancy goals while markedly reducing this risk. We explored the perceptions and beliefs held by HIV serodiscordant couples and health care providers concerning pregnancy among HIV serodiscordant couples in Kenya and gathered their thoughts about how these might influence use of safer conception methods.

Methods: We conducted 20 Key Informant Interviews (KIIs) with health care providers offering safer conception counseling and 21 In-Depth Interviews (IDIs) and 4 Focus Group Discussions (FGDs) with members of HIV serodiscordant couples with immediate pregnancy goals in Thika, Kenya. Data were analyzed using an inductive approach that identified two emergent themes: perceptions towards pregnancy among HIV serodiscordant couples and access to safer conception services.

Results: The perceptions held by the community towards couples in HIV serodiscordant relationships having children were largely negative. The participants were aware of the increased HIV transmission risk to the HIV uninfected partners while trying to become pregnant. In the community, having biological children was cherished yet the majority of the couples shied away from accessing safer conception services offered at health facilities due to stigma and lack of knowledge of the existence of such services. Some providers had limited knowledge on safer conception strategies and services and consequently discouraged HIV serodiscordant couples from natural conception.

Conclusions: Negative perceptions towards HIV serodiscordant couples becoming pregnant has hindered access to safer conception services. Therefore, there is need to create a supportive environment for HIV serodiscordant couples with fertility intentions that normalizes their desire to have children and informs the community about the availability of safer conception services.

Keywords: HIV prevention; Pregnancy; perceptions; safer conception.

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Conflict of interest statement

The authors declare that they have no competing interests.

References

    1. National AIDS and STI Control Programme (NASCOP) Kenya. Kenya AIDS Indicator Survey 2012: Final Report. Nairobi; 2014 June 2014.
    1. Pintye J, Ngure K, Curran K, Vusha S, Mugo N, Celum C, et al. Fertility Decision-Making Among Kenyan HIV-Serodiscordant Couples Who Recently Conceived: Implications for Safer Conception Planning. AIDS Patient Care STDS. 2015;29(9):510–516. doi: 10.1089/apc.2015.0063. - DOI - PMC - PubMed
    1. Matthews LT, Baeten JM, Celum C, Bangsberg DR. Periconception pre-exposure prophylaxis to prevent HIV transmission: benefits, risks, and challenges to implementation. AIDS. 2010;24(13):1975–1982. doi: 10.1097/QAD.0b013e32833bedeb. - DOI - PMC - PubMed
    1. Baeten JM, Heffron R, Kidoguchi L, Mugo NR, Katabira E, Bukusi EA, et al. Integrated delivery of antiretroviral treatment and pre-exposure prophylaxis to HIV-1-serodiscordant couples: A prospective implementation study in Kenya and Uganda. PLoS Med. 2016;13(8):e1002099. doi: 10.1371/journal.pmed.1002099. - DOI - PMC - PubMed
    1. Cohen MS, Gay CL. Treatment to prevent transmission of HIV-1. Clin Infect Dis. 2010;50(Suppl 3):S85–S95. doi: 10.1086/651478. - DOI - PMC - PubMed

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