title: Role of healthcare in childbearing decision-making of WLHA in Nigeria: Application of PEN-3 cultural model.
abstract: Healthcare experiences among women living with HIV/AIDS (WLHA), determine their utilisation of sexual and reproductive health services, which ultimately influences their decisions on childbearing. This study aimed to understand the importance of healthcare support in the childbearing decision-making processes of WLHA, and its impact on eliminating new paediatric HIV infections. We conducted in-depth interviews between July and August 2012 with 15 WLHA receiving clinical HIV care at a teaching hospital in Lagos. Using PEN-3 cultural model, as a guide we explored perceptions of healthcare support pre- and post-partum. Findings indicate that faith in God for the delivery of a healthy child is significant during the pre-partum period, while the advice of healthcare workers concerning childbearing and access to available healthcare services carry more weight post-partum. Our findings have important implications for HIV treatment and care programmes geared towards WLHA considering childbearing, and ultimately the UN Global plan to eliminate mother-to-child transmission of HIV, as we move towards the 2030 agenda for sustainable development.
authors: a Pharmaceutical Health Services Research Department , University of Maryland School of Pharmacy , Baltimore , MD , USA.
authors: Y A
authors: YA
authors: Sofolahan-Oladeinde
authors: b Department of Kinesiology and Community Health , University of Illinois Urbana Champaign , Champaign , IL , USA.
authors: J I
authors: JI
authors: Iwelunmor
authors: c Department of Health Promotion, Education, and Behavior , University of South Carolina , Columbia , SC , USA.
authors: D F
authors: DF
authors: Conserve
authors: d Department of Obstetrics and Gynecology , Lagos State University College of Medicine , Lagos , Nigeria.
authors: A
authors: A
authors: Gbadegesin
authors: e College of Public Health and Social Justice at Saint Louis University , Saint Louis , MO , USA.
authors: C O
authors: CO
authors: Airhihenbuwa
mesh_terms: D000293:Adolescent; D000328:Adult; D003469:Culture; D003657:Decision Making; D005260:Female; D015658:HIV Infections / Q000635:transmission*; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D007407:Interviews as Topic; D008962:Models, Theoretical; D009549:Nigeria; D011247:Pregnancy; D036301:Qualitative Research; D055815:Young Adult
keywords: FAITH; PEN-3 cultural model; Women living with HIV; childbearing decisions; paediatric HIV prevention