'I still desire to have a child': a qualitative analysis of intersectional HIV- and childlessness-related stigma in rural southwestern Uganda

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dc.contributor.authorPratt, Madeline C
dc.contributor.authorOwembabazi, Moran
dc.contributor.authorMuyindike, Winnie
dc.contributor.authorKaida, Angela
dc.contributor.authorMarrazzo, Jeanne M
dc.contributor.authorBangsberg, David R
dc.contributor.authorBwana, Mwebesa B
dc.contributor.authorPsaros, Christina
dc.contributor.authorTuran, Janet
dc.contributor.authorAtukunda, Esther C
dc.contributor.authorMatthews, Lynn T.
dc.date.accessioned2023-08-29T09:03:12Z
dc.date.available2023-08-29T09:03:12Z
dc.date.issued2023-02
dc.description.abstractAbstract This study explored the intersecting forms of stigma experienced by HIV-serodifferent couples with unmet reproductive goals in rural Uganda. The parent mixed-methods study, which included 131 HIV-exposed women with plans for pregnancy, offered comprehensive HIV prevention counselling and care over a nine-month period. In-depth interviews were conducted with 37 women and seven male partners to explore care experiences and the use of safer conception strategies. This secondary analysis explored how challenges conceiving informed pregnancy plans and HIV prevention behaviours. The following themes were developed (1) partnership conflicts arise from HIV- and infertility-related forms of stigma, contributing to gender-based violence, partnership dissolution and the pursuit of new partners; (2) cultural and gender norms pressure men and women to conceive and maintain partnerships, which is complicated by the stigma directed towards serodifferent couples; (3) frustration with low partner participation in safer conception strategies led to the decreased use of these methods of HIV prevention; (4) health care provider support promotes continued hope of conception and helps overcome stigma. In HIV-affected partnerships, these intersecting forms of stigma may impact HIV prevention. Seeking to fulfil their reproductive needs, partners may increase HIV transmission opportunities as they engage in condomless sex with additional partners and decrease adherence to prevention strategies. Future research programmes should consider the integration of fertility counselling with reproductive and sexual health care.en_US
dc.identifier.citationPratt, Madeline C., Moran Owembabazi, Winnie Muyindike, et al. ''I Still Desire to have a Child': A Qualitative Analysis of Intersectional HIV- and Childlessness-Related Stigma in Rural Southwestern Uganda', Culture, Health & Sexuality, vol. 25/no. 2, (2023), pp. 143-158.en_US
dc.identifier.issnISSN 1369-1058
dc.identifier.issnEISSN 1464-5351
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/9157
dc.language.isoenen_US
dc.publisherTaylor & Francisen_US
dc.subjectsafer conception; HIV prevention; fertility; stigma; PrEPen_US
dc.title'I still desire to have a child': a qualitative analysis of intersectional HIV- and childlessness-related stigma in rural southwestern Ugandaen_US
dc.typeArticleen_US
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