My intention was a child but I was very afraid: fertility intentions and HIV risk perceptions among HIV-serodiscordant couples experiencing pregnancy in Kenya.
We sought to understand fertility intentions and HIV risk considerations among Kenyan HIV-serodiscordant couples who became pregnant during a prospective study. We conducted individual in-depth interviews (n = 36) and focus group discussions (n = 4) and performed qualitative data analysis and interpretation using an inductive approach. Although most of the couples were aware of the risk of horizontal and vertical HIV transmission, almost all couples reported that they had intended to become pregnant and that the desire for children superseded HIV risk considerations. Motivations for pregnancy were numerous and complex: satisfying desired family size, desire for biological children, maintaining stability of the union, and sociocultural pressures. Couples desired strategies to reduce HIV risk during conception, but expressed hesitation toward assisted reproductive technologies as unnatural. HIV prevention programs should therefore address conception desires and counsel about coordinated periconception risk-reduction strategies.
a Institute of Tropical Medicine and Infectious Diseases , Jomo Kenyatta University , Juja , Kenya.
Kenneth
K
Ngure
Jared M
JM
Baeten
Nelly
N
Mugo
Kathryn
K
Curran
Sophie
S
Vusha
Renee
R
Heffron
Connie
C
Celum
Bettina
B
Shell-Duncan
D000328:Adult; D005191:Family Characteristics; D005260:Female; D005306:Fertilization; D017144:Focus Groups; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D018023:HIV Seronegativity; D006679:HIV Seropositivity / Q000523:psychology / Q000635:transmission*; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D033182:Intention; D007630:Kenya; D008297:Male; D008875:Middle Aged; D011247:Pregnancy; D011446:Prospective Studies; D036301:Qualitative Research; D040242:Risk Reduction Behavior; D012737:Sex Factors; D055815:Young Adult
HIV; Kenya; fertility; serodiscordant couples