title: The Gender Context of HIV Risk and Pregnancy Goals in Western Kenya.
abstract: BACKGROUND
  Intentional childbearing may place heterosexual couples at risk of HIV infection in resource-limited settings with high HIV prevalence areas where society places great value on having children.
  
  
  OBJECTIVE
  To explore cognitive, cultural, and spatial mapping of sexual and reproductive health domains and services in western Kenya among men and women.
  
  
  METHODS
  Community-based formative qualitative study design.
  
  
  METHODS
  Five administrative/geographical divisions of Nyando District, western Kenya.
  
  
  METHODS
  Adult men 18 years and older and women who were of reproductive-potential ages (15 to 49 years for females) (n=90).
  
  
  RESULTS
  Men and women have disparate goals for number of children and engage in gendered patterns of protective method use (contraceptives used by women often in secret, condoms by men but rarely).
  
  
  CONCLUSIONS
  HIV infection was still seen as stigmatizing. These study results are relevant to design of effective integrated delivery for reproductive and HIV services in high-burden sub-Saharan African countries.
authors.affiliation: New York University College of Nursing, New York, NY.
authors.forename: Ann E
authors.initials: AE
authors.lastname: Kurth
authors.affiliation: University of Nairobi, Nairobi, Kenya.
authors.forename: Irene
authors.initials: I
authors.lastname: Inwani
authors.affiliation: University of Nairobi, Nairobi, Kenya.
authors.forename: Anne
authors.initials: A
authors.lastname: Wangombe
authors.affiliation: University of Nairobi, Nairobi, Kenya.
authors.forename: Ruth
authors.initials: R
authors.lastname: Nduati
authors.affiliation: University of Nairobi, Nairobi, Kenya.
authors.forename: Mercy
authors.initials: M
authors.lastname: Owuor
authors.affiliation: University of Nairobi, Nairobi, Kenya.
authors.forename: Francis
authors.initials: F
authors.lastname: Njiri
authors.affiliation: University of Nairobi, Nairobi, Kenya.
authors.forename: Pamela
authors.initials: P
authors.lastname: Akinyi
authors.affiliation: National AIDS & STI Control Programme (NASCOP), Nairobi, Kenya.
authors.forename: Peter
authors.initials: P
authors.lastname: Cherutich
authors.affiliation: University of Nairobi, Nairobi, Kenya.
authors.forename: Alfred
authors.initials: A
authors.lastname: Osoti
authors.affiliation: University of Nairobi, Nairobi, Kenya.
authors.forename: John
authors.initials: J
authors.lastname: Kinuthia
authors.affiliation: New York University College of Nursing, New York, NY.
authors.forename: Nok
authors.initials: N
authors.lastname: Chhun
authors.affiliation: University of Nairobi, Nairobi, Kenya.
authors.forename: James
authors.initials: J
authors.lastname: Kiarie
keywords: cultural domain analysis; free listing and pile sorting; human immunodeficiency virus type 1; pregnancy; service mapping