title: The right to choose parenthood among HIV-infected women and men.
abstract: As life expectancy for HIV-infected persons improves, studies in sub-Saharan Africa show that a considerable proportion of HIV-positive women and men desire to have children. Integrating sexual and reproductive health care into HIV services has until now emphasized the right of women to make informed choices about their reproductive lives and the right of self-determination to reproduce, but this is often equated with avoidance of pregnancy. Here, we explore guidance and attention to safer conception for HIV-infected women and men. We find this right lacking. Current sexual and reproductive health guidelines are not proactive in supporting HIV-positive people desiring children, and are particularly silent about the fertility needs of HIV-infected men and uninfected men in discordant partnerships. Public health policymakers and providers need to engage the HIV-infected and uninfected to determine both the demand for and how best to address the need for safer conception services.
authors.affiliation: HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, Columbia University, 1051 Riverside Drive, Unit 15, New York, NY 10032, USA. jem57@columbia.edu
authors.forename: Joanne E
authors.initials: JE
authors.lastname: Mantell
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Smit
authors.forename: Zena A
authors.initials: ZA
authors.lastname: Stein
mesh_terms: D017954:Africa South of the Sahara; D003267:Contraception / Q000379:methods; D005260:Female; D015658:HIV Infections / Q000523:psychology / Q000635:transmission*; D007722:Health Knowledge, Attitudes, Practice; D006291:Health Policy; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D008297:Male; D034121:Reproductive Health Services / Q000941:ethics / Q000331:legislation & jurisprudence*; D046269:Reproductive Rights / Q000331:legislation & jurisprudence*; D012725:Sexual Behavior