Oosterhoff Pauline, Anh Nguyen Thu, Hanh Ngo Thuy, Yen Pham Ngoc, Wright Pamela, Hardon Anita
Medical Committee Netherlands-Vietnam, Hanoi, Vietnam.
Cult Health Sex. 2008 May;10(4):403-16. doi: 10.1080/13691050801915192.
Health services around the world offer many guidelines for HIV-positive women who are pregnant or who want to become pregnant, and for women with HIV infected partners. These guidelines are addressed to women and, increasingly, also to men, but pay little or no attention to the role of other members of the family in fertility decisions. This study looked at factors influencing decisions about fertility in families with an HIV-positive member. In Vietnam, the whole family takes a crucial role in deciding whether a woman should become pregnant and whether she will keep her child. This decision is taken in the context not only of the close family but also under the influence of ancestors and the weight given to them within the culture. Key in this regard is the need for parents and grandparents to have male offspring. Health workers share these ideas about preferred family composition and support men and women in the quest for male offspring. Policies and guidelines should take into account these additional family factors and goals as a basis for the design of appropriate programmes to reduce HIV transmission.
世界各地的卫生服务机构为感染艾滋病毒的孕妇或想要怀孕的妇女以及伴侣感染艾滋病毒的妇女提供了许多指导方针。这些指导方针针对的是女性，而且越来越多地也针对男性，但很少或根本没有关注家庭其他成员在生育决策中的作用。本研究探讨了影响有艾滋病毒阳性成员的家庭生育决策的因素。在越南，整个家庭在决定一名妇女是否应该怀孕以及是否会留住她的孩子方面起着至关重要的作用。这一决定不仅是在亲密家庭的背景下做出的，而且还受到祖先以及文化中给予他们的重视程度的影响。在这方面的关键是父母和祖父母需要有男性后代。卫生工作者认同这些关于理想家庭构成的观点，并在追求男性后代方面支持男性和女性。政策和指导方针应考虑到这些额外的家庭因素和目标，以此作为设计适当方案以减少艾滋病毒传播的基础。
