Beyeza-Kashesya, JollyKaharuza, FrankMirembe, FlorenceNeema, StellaEkstrom, Anna MiaKulane, Asli2022-01-232022-01-232009Beyeza-Kashesya, J., Kaharuza, F., Mirembe, F., Neema, S., Ekstrom, A. M., & Kulane, A. S. (2009). The dilemma of safe sex and having children: challenges facing HIV sero-discordant couples in Uganda. African health sciences, 9(1), 2-12.https://www.ajol.info/index.php/ahs/article/view/7096https://nru.uncst.go.ug/xmlui/handle/123456789/1443Sixty percent of new HIV infections in Uganda occur in stable relationships between HIV discordant couples. Given the importance of fertility in Uganda, we hypothesized that unsafe sexual practices may be used to found a family/replace a dead child. Thus, we explored sexual practices to understand to what extent these are influenced by the desire to have children and the implications for HIV transmission among discordant couples. Methods: A cross-sectional survey of 114 HIV discordant couples in Kampala, and in-depth interviews with 15 purposively selected couples. Quantitative data were analyzed using STATA. Multivariate logistic regression analysis done to identify factors associated with consistent condom use. Thematic content analysis of qualitative data was done using NVIVO 2.enHIV Sero-discordanceCondom useDesire for childrenArticle