title: Promoting reproductive options for HIV-affected couples in sub-Saharan Africa.
abstract: HIV-affected couples face unique challenges that require access to information and reproductive services to prevent HIV transmission to the uninfected partner and offspring while allowing couples to fulfil their reproductive goals. In regions of high HIV prevalence in sub-Saharan Africa, HIV-affected couples require multipurpose prevention technologies (MPTs) to enhance their reproductive healthcare options beyond contraception and prevention of HIV/sexually transmitted infections (STIs) to include assistance in childbearing. The unique characteristics of the condom and its accepted use in conjunction with safer conception interventions allow HIV-serodiscordant couples an opportunity to maintain reproductive health, prevent HIV/STI transmission, and achieve their reproductive goals while timing conception. Re-thinking the traditional view of the condom and incorporating a broader reproductive health perspective of HIV-affected couples into MPT methodologies will impact demand, acceptability and uptake of these future technologies.
authors.affiliation: Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.
authors.forename: O
authors.initials: O
authors.lastname: Mmeje
authors.forename: C R
authors.initials: CR
authors.lastname: Cohen
authors.forename: A
authors.initials: A
authors.lastname: Murage
authors.forename: J
authors.initials: J
authors.lastname: Ong'ech
authors.forename: J
authors.initials: J
authors.lastname: Kiarie
authors.forename: S
authors.initials: S
authors.lastname: van der Poel
mesh_terms: D017954:Africa South of the Sahara; D017280:Condoms; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D006293:Health Promotion; D006297:Health Services Accessibility; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D060728:Reproductive Health
keywords: Assisted reproductive services; HIV prevention; HIV-serodiscordant couples; multipurpose prevention technology; safer conception