Rossi Andrea da Silveira, Amaral Eliana, Makuch Maria Y
Brazilian Ministry of Health, AIDS, STD, and Hepatitis Department, Brasilia, Brazil.
AIDS Care. 2011 Oct;23(10):1329-35. doi: 10.1080/09540121.2011.564113. Epub 2011 Jun 21.
To evaluate the perspective of professionals in university and public assisted reproductive technology (ART) and HIV/AIDS services in Brazil, on the demand of people living with HIV wishing to conceive.
Mixed qualitative and quantitative, descriptive, cross-sectional and case study.
The quantitative component was based on telephone interviews to women's health and HIV/AIDS program managers at state and municipal level. For the qualitative case study, semi-structured interviews were conducted with health professionals of ART and HIV/AIDS services.
Only one university ART service provided care for seropositive couples, but 64% of the HIV/AIDS services at state level and 73% of municipal HIV/AIDS services offered reproductive counseling focused on preventing pregnancy. Difficulty in discussing desire to conceive, lack of political decision and of human and financial resources were the main reasons given by service managers for not offering the opportunity for HIV couples. Lack of appropriate referrals and of updated knowledge on reproductive options were constrains according to the interviews.
Desire to reproduce among people living with HIV is poorly addressed in public services in Brazil.
评估巴西大学及公共辅助生殖技术（ART）和艾滋病毒/艾滋病服务领域专业人员对希望怀孕的艾滋病毒感染者需求的看法。
定性与定量相结合、描述性、横断面和案例研究。
定量部分基于对州和市一级妇女健康及艾滋病毒/艾滋病项目管理人员的电话访谈。对于定性案例研究，对ART和艾滋病毒/艾滋病服务的卫生专业人员进行了半结构化访谈。
只有一家大学ART服务机构为血清学阳性夫妇提供护理，但64%的州级艾滋病毒/艾滋病服务机构和73%的市级艾滋病毒/艾滋病服务机构提供了以预防怀孕为重点的生殖咨询。服务管理人员给出的不向艾滋病毒感染夫妇提供机会的主要原因是，讨论怀孕意愿存在困难、缺乏政治决策以及人力和财力资源。访谈显示，缺乏适当的转诊渠道和关于生殖选择的最新知识是制约因素。
巴西公共服务中对艾滋病毒感染者的生育意愿关注不足。
