SAHARA J. 2009 Sep;6(2):58-68. doi: 10.1080/17290376.2009.9724931.
Based on a qualitative study conducted in Bulawayo, Zimbabwe, this article examines how the availability of HAART since April 2004 may impact the views and choices of HIV-positive couples on childbearing.
In-depth interviews were conducted with 15 couples where at least one partner was HIV positive. All respondents were of reproductive age and had or were confronting reproductive and sexual decision-making.
HAART seems to have had a profound impact on the subject of childbearing among those who still desire to have children. Where hitherto individuals had only a desire for a child many are now, as a result of the availability of HAART, actively planning to have one. HAART has not only transformed their physical state but it has also transformed mostly what had been desire into intention. The impact, however, has not been uniform. Some respondents still desired to have a child but were not yet convinced about the efficacy of HAART in preventing vertical transmission. Some respondents felt that HAART may have a negative impact on the foetus and as such were against childbearing by HIV-positive people. No respondent indicated that their desire or intention to have a child had been extinguished by the advent of HAART.
Based on the findings of the study, HAART seems to have had a differential but nonetheless significant role in the reproductive plans of HIV-positive couples. The study also notes that there is a need to make available complete and unbiased information on HAART, mother-to-child transmission risk (MTCT) and pregnancy to HIV-positive couples so as to enable them to make informed decisions.
本文基于在津巴布韦布拉瓦约开展的一项定性研究，探讨自 2004 年 4 月以来抗逆转录病毒疗法（HAART）的可及性如何影响 HIV 阳性夫妇的生育观和生育选择。
对 15 对至少一方 HIV 阳性的夫妇进行了深入访谈。所有受访者均处于生育年龄，面临生育和性决策。
HAART 似乎对那些仍希望生育的人来说，对生育问题产生了深远的影响。在过去，有些人只是渴望有一个孩子，而现在，由于 HAART 的可及性，许多人正在积极计划要一个孩子。HAART 不仅改变了他们的身体状况，而且还将大多数愿望转化为意图。然而，这种影响并非一致。一些受访者仍然希望有一个孩子，但他们还没有相信 HAART 在预防垂直传播方面的效果。一些受访者认为 HAART 可能对胎儿有负面影响，因此反对 HIV 阳性者生育。没有受访者表示，HAART 的出现已经消除了他们生育孩子的愿望或意图。
基于研究结果，HAART 似乎在 HIV 阳性夫妇的生育计划中发挥了不同但具有重要意义的作用。研究还指出，需要向 HIV 阳性夫妇提供关于 HAART、母婴传播风险（MTCT）和怀孕的完整和公正的信息，以使他们能够做出知情决策。
