High Pregnancy Intentions and Missed Opportunities for Patient–Provider Communication About Fertility in a South African Cohort of HIV-Positive Women on Antiretroviral Therapy

2011 ◽  
Vol 16 (1) ◽  
pp. 69-78 ◽  
Author(s):  
Sheree R. Schwartz ◽  
Shruti H. Mehta ◽  
Taha E. Taha ◽  
Helen V. Rees ◽  
Francois Venter ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
South African ◽  
Hiv Positive ◽  
Provider Communication ◽  
Pregnancy Intentions ◽  
Missed Opportunities ◽  
Hiv Positive Women ◽  
Patient Provider Communication

scholarly journals Patient-provider communication with HIV-positive women about abnormal Pap test results

2016 ◽  
Vol 57 (1) ◽  
pp. 19-39 ◽  
Author(s):  
Lisa T. Wigfall ◽  
Shalanda A. Bynum ◽  
Daniela B. Friedman ◽  
Heather M. Brandt ◽  
Donna L. Richter ◽  
...  
Keyword(s):  
Pap Test ◽  
Hiv Positive ◽  
Provider Communication ◽  
Test Results ◽  
Hiv Positive Women ◽  
Patient Provider Communication

scholarly journals Patient–provider communication and reproductive health among HIV-positive women in Rio de Janeiro, Brazil

2010 ◽  
Vol 81 (3) ◽  
pp. 476-482 ◽  
Author(s):  
Monica Malta ◽  
Catherine S. Todd ◽  
Mark A. Stibich ◽  
Thais Garcia ◽  
Diego Pacheco ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Rio De Janeiro ◽  
Hiv Positive ◽  
Provider Communication ◽  
Hiv Positive Women ◽  
Patient Provider Communication

scholarly journals Spatiotemporal modelling and mapping of cervical cancer incidence among HIV positive women in South Africa: a nationwide study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Dhokotera Tafadzwa ◽  
Riou Julien ◽  
Bartels Lina ◽  
Rohner Eliane ◽  
Chammartin Frederique ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Cervical Cancer ◽  
South African ◽  
Access To Health Care ◽  
Health Facilities ◽  
Hiv Positive ◽  
The South ◽  
Hiv Positive Women ◽  
Access To Health

Abstract Background Disparities in invasive cervical cancer (ICC) incidence exist globally, particularly in HIV positive women who are at elevated risk compared to HIV negative women. We aimed to determine the spatial, temporal, and spatiotemporal incidence of ICC and the potential risk factors among HIV positive women in South Africa. Methods We included ICC cases in women diagnosed with HIV from the South African HIV cancer match study during 2004–2014. We used the Thembisa model, a mathematical model of the South African HIV epidemic to estimate women diagnosed with HIV per municipality, age group and calendar year. We fitted Bayesian hierarchical models, using a reparameterization of the Besag-York-Mollié to capture spatial autocorrelation, to estimate the spatiotemporal distribution of ICC incidence among women diagnosed with HIV. We also examined the association of deprivation, access to health (using the number of health facilities per municipality) and urbanicity with ICC incidence. We corrected our estimates to account for ICC case underascertainment, missing data and data errors. Results We included 17,821 ICC cases and demonstrated a decreasing trend in ICC incidence, from 306 to 312 in 2004 and from 160 to 191 in 2014 per 100,000 person-years across all municipalities and corrections. The spatial relative rate (RR) ranged from 0.27 to 4.43 in the model without any covariates. In the model adjusting for covariates, the most affluent municipalities had a RR of 3.18 (95% Credible Interval 1.82, 5.57) compared to the least affluent ones, and municipalities with better access to health care had a RR of 1.52 (1.03, 2.27) compared to municipalities with worse access to health. Conclusions The results show an increased incidence of cervical cancer in affluent municipalities and in those with more health facilities. This is likely driven by better access to health care in more affluent areas. More efforts should be made to ensure equitable access to health services, including mitigating physical barriers, such as transportation to health centres and strengthening of screening programmes.

scholarly journals Adherence to antiretroviral therapy during pregnancy and the first year postpartum among HIV-positive women in Ukraine

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Heather Bailey ◽  
◽  
Claire Thorne ◽  
Ruslan Malyuta ◽  
Claire L Townsend ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Hiv Positive ◽  
First Year ◽  
Hiv Positive Women

scholarly journals Cervical cancer risk and impact of Pap-based screening in HIV-positive women on antiretroviral therapy in Johannesburg, South Africa

2017 ◽  
Vol 141 (3) ◽  
pp. 488-496 ◽  
Author(s):  
Eliane Rohner ◽  
Mazvita Sengayi ◽  
Bridgette Goeieman ◽  
Pamela Michelow ◽  
Cynthia Firnhaber ◽  
...  
Keyword(s):  
South Africa ◽  
Cervical Cancer ◽  
Antiretroviral Therapy ◽  
Cancer Risk ◽  
Hiv Positive ◽  
Cervical Cancer Risk ◽  
Hiv Positive Women

Long-term effect of highly active antiretroviral therapy on cervical lesions in HIV-positive women

AIDS ◽  
2003 ◽  
Vol 17 (14) ◽  
pp. 2136-2138 ◽  
Author(s):  
Caterina Uberti-Foppa ◽  
Davide Ferrari ◽  
Sara Lodini ◽  
Salvatore Reina ◽  
Franco Ameglio ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Highly Active Antiretroviral Therapy ◽  
Term Effect ◽  
Hiv Positive ◽  
Cervical Lesions ◽  
Highly Active ◽  
Hiv Positive Women ◽  
Long Term Effect

scholarly journals Maternal and infant health is protected by antiretroviral drug strategies that preserve breastfeeding by HIV-positive women

2012 ◽  
Vol 13 (1) ◽  
Author(s):  
Louise Kuhn
Keyword(s):  
South African ◽  
Infant Formula ◽  
Infant Health ◽  
Antiretroviral Drugs ◽  
Hiv Positive ◽  
Infant Survival ◽  
Department Of Health ◽  
Hiv Positive Women ◽  
Antiretroviral Drug ◽  
Maternal And Infant Health

The South African Department of Health is justified in withdrawing support for free infant formula. By so doing, it recognises that any intervention that might detract from breast feeding poses a serious threat to infant survival. Since evidence is now strong that antiretroviral drugs used during lactation prevent transmission of infection from a seropositive mother, strategies that promote breastfeeding can now be recommended for enhancing the health of mothers and infants.

Fertility desire and associated factors among ART user reproductive-age women in public health facility in Gondar city administration Northwest Ethiopia

2020 ◽  
Author(s):  
Eyob Araya Gebrekidan ◽  
Alehegn Bishaw Geremew ◽  
Telake Azale Bisetegn
Keyword(s):  
Health Care ◽  
Antiretroviral Therapy ◽  
Associated Factors ◽  
Reproductive Age ◽  
Family Influence ◽  
Hiv Positive ◽  
Fertility Desire ◽  
Binary Logistic Regression Model ◽  
Reproductive Age Women ◽  
Hiv Positive Women

Abstract Background: Antiretroviral therapy scales up globally and in Ethiopia, as a result, AIDS-related mortality has reduced, but the number of new HIV infections increasing. Antiretroviral therapy in Ethiopia gives a chance of living longer for reproductive-age women. Prevention of pregnancy among HIV positive women is the second WHO prongs of HIV transmission with respecting women’s reproductive rights. Antiretroviral therapy uses improve the health of HIV positive women using and women's fertility desire increasing. Therefore this study aimed to assess the fertility desire and associated factors among ART user reproductive-age women. Methods: A facility-based cross-sectional study design conducted from November 2-30/2018. The calculated sample size was 400 and study participants were selected by using systematic random sampling. A pre-tested structured questionnaire was used to collect data. A binary logistic regression model was employed and adjusted odds ratio with a 95% confidence interval used to consider statistically significant Results: A total of 397 clients were participated in the study, giving a response rate of 99.3%. The proportion of fertility desire in this study was 55.2 %(95% CI, 50.4%- 60.2%). A duration of marriage < 4 year [AOR=6.9(95 CI: 1.65, 28.81)], and 5–9 years duration of marriage [AOR= 13.8 (95% CI: 2.39, 80.39)] higher as compared to 15 years and above, family influence 3.4 times more likely to have fertility desire than have no family influence [AOR= 3.4 (95% CI: 1.06, 11.25)], partner desire 4.3 times more likely have had fertility desires as compared to with counterpart [AOR= 4.3 (95% CI: 1.93,9.41)], and discussion with health care provider 66 % less likely to have fertility desire as compared with counterpart [AOR = 0.34 (95% CI: 0.39, 3.31)]. Conclusion: In this study, we have identified a high proportion of fertility desire among ART user reproductive-age women. The duration of marital status, partner influence, family influence, and discussion of health care were associated with fertility desire. Family-oriented counseling, partner involvement on reproductive health services should be encouraged to support the rights of all women to safely achieve their fertility. Keywords: Fertility desire, reproductive age, women on ART.

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