title: Fertility intent and contraceptive decision-making among HIV positive and negative antenatal clinic attendees in Durban, South Africa.
abstract: We explored contraceptive decision-making among South African antenatal clinic attendees, fertility intent post-HIV diagnosis, and women's experiences at government health facilities. Data are from in-depth interviews with HIV negative and HIV positive women. We interviewed women in Zulu; interviews were recorded, transcribed, and translated. We conducted qualitative analyses of interviews. Women were the dominant decisionmakers about contraceptive use, whether they involved their partners or not. A majority of women obtained a contraceptive method at a government facility; however, several women were unable to attain sterilizations. Women were presented with limited contraceptive options and were not always able to access services.
authors.affiliation: Department of Maternal and Child Health, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7445, USA. hmarlow@email.unc.edu
authors.forename: Heather M
authors.initials: HM
authors.lastname: Marlow
authors.forename: Suzanne
authors.initials: S
authors.lastname: Maman
authors.forename: Allison K
authors.initials: AK
authors.lastname: Groves
authors.forename: Dhayendre
authors.initials: D
authors.lastname: Moodley
mesh_terms: D000293:Adolescent; D000328:Adult; D003267:Contraception / Q000706:statistics & numerical data*; D003268:Contraception Behavior; D003657:Decision Making; D005260:Female; D005298:Fertility; D015658:HIV Infections / Q000175:diagnosis / Q000523:psychology*; D018023:HIV Seronegativity; D006679:HIV Seropositivity; D015497:HIV-1; D006297:Health Services Accessibility; D006801:Humans; D033182:Intention; D007407:Interviews as Topic; D011247:Pregnancy; D036301:Qualitative Research; D034121:Reproductive Health Services / Q000458:organization & administration; D012959:Socioeconomic Factors; D013019:South Africa; D055815:Young Adult