Dept. of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan, United States of America.
Women's Health Research Unit, School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
PLoS One. 2020 Dec 1;15(12):e0242992. doi: 10.1371/journal.pone.0242992. eCollection 2020.
Various safer conception methods to limit HIV transmission risks can be offered in resource-constrained settings. However, implementation of safer conception services remains limited in many countries, including Botswana. Understanding perceptions about safer conception methods and the benefits and challenges to use can help with the development of policies, interventions, and service delivery models. Forty-five women living with HIV in the greater Gaborone, Botswana area participated in focus group discussions. Themes were analyzed using interpretive phenomenology. Despite low knowledge of specific safer conception methods that can be used to prevent transmission of HIV when trying to achieve pregnancy, there was noted interest in pre-exposure prophylaxis and vaginal insemination. Challenges to greater uptake were noted including a lack of knowledge about a range of SC methods, limited partner support and communication, provider stigma, health systems barriers, current policies, and the cultural acceptability of methods. Interventions will need to address these challenges and be responsive to the needs and reflect the realities of WLHIV who desire pregnancy in order for safer conception uptake to become a common practice.
在资源有限的情况下，可以提供各种更安全的受孕方法来限制 HIV 传播风险。然而，在许多国家，包括博茨瓦纳，更安全的受孕服务的实施仍然有限。了解对更安全受孕方法的看法，以及使用这些方法的好处和挑战，可以帮助制定政策、干预措施和服务提供模式。在博茨瓦纳的大哈博罗内地区，45 名感染艾滋病毒的妇女参加了焦点小组讨论。使用解释现象学分析主题。尽管对在试图怀孕时可以用来预防 HIV 传播的具体更安全受孕方法的了解程度较低，但对暴露前预防和阴道内授精表示出了极大的兴趣。注意到更大程度采用的挑战包括对多种 SC 方法缺乏了解、伴侣支持和沟通有限、提供者的耻辱感、卫生系统障碍、现行政策以及方法的文化可接受性。干预措施需要解决这些挑战，并针对希望怀孕的 WLHIV 的需求和现实情况做出回应，以便更安全的受孕方法成为一种常见的做法。
