Client and Provider Experiences in Uganda Suggest Demand for and Highlight the Importance of Addressing HIV Stigma and Gender Norms Within Safer Conception Care

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dc.contributor.authorYoung, Cynthia R.
dc.contributor.authorGill, Elizabeth
dc.contributor.authorBwana, Mwebesa
dc.contributor.authorMuyindike, Winnie
dc.contributor.authorHock, Rebecca S.
dc.contributor.authorPratt, Madeline C.
dc.contributor.authorOwembabazi, Moran
dc.contributor.authorTukwasibwe, ยท Deogratius
dc.contributor.authorNajjuma, Alice
dc.contributor.authorKalyebara, Paul
dc.contributor.authorNatukunda, Silvia
dc.contributor.authorKaida, Angela
dc.contributor.authorMatthews, Lynn T.
dc.date.accessioned2022-05-07T19:31:10Z
dc.date.available2022-05-07T19:31:10Z
dc.date.issued2022
dc.description.abstractSafer conception counseling supports HIV-serodifferent couples to meet reproductive goals while minimizing HIV transmission risk, but has not been integrated into routine HIV care. We piloted a novel safer conception program in an established public-sector HIV clinic in Uganda to inform future implementation. In-depth interviews and counseling observations explored experiences of program clients and healthcare providers to assess program acceptability, appropriateness, and feasibility. Fifteen index clients (8 women, 7 men), 10 pregnancy partners, and 10 providers completed interviews; 15 participants were living with HIV. Ten observations were conducted. We identified four emergent themes: (1) High demand for safer conception services integrated within routine HIV care, (2) Evolving messages of antiretroviral treatment as prevention contribute to confusion about HIV prevention options, (3) Gender and sexual relationship power inequities shape safer conception care, and (4) HIV-related stigma impacts safer conception care uptake. These findings confirm the need for safer conception care and suggest important implementation considerations.en_US
dc.identifier.citationYoung, C. R., Gill, E., Bwana, M., Muyindike, W., Hock, R. S., Pratt, M. C., ... & Matthews, L. T. (2022). Client and Provider Experiences in Uganda Suggest Demand for and Highlight the Importance of Addressing HIV Stigma and Gender Norms Within Safer Conception Care. AIDS and Behavior, 26(1), 76-87. https://doi.org/10.1007/s10461-021-03343-4en_US
dc.identifier.urihttps://doi.org/10.1007/s10461-021-03343-4
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/3200
dc.language.isoenen_US
dc.publisherAIDS and Behavioren_US
dc.subjectHIV preventionen_US
dc.subjectSafer conceptionen_US
dc.subjectSexual and reproductive healthen_US
dc.subjectHIV-serodifferent couplesen_US
dc.subjectUgandaen_US
dc.titleClient and Provider Experiences in Uganda Suggest Demand for and Highlight the Importance of Addressing HIV Stigma and Gender Norms Within Safer Conception Careen_US
dc.typeArticleen_US
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