The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception · 2018
Men's and women's roles in decision making about abortion in the context of HIV.
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Chibango Vimbai, Maharaj Pranitha
Аннотация
OBJECTIVE: Mother-to-child transmission of HIV is a matter of global concern but is particularly serious in Zimbabwe. A number of strategies have been identified to limit the risk of mother-to-child transmission, including abortion. The aim of the current study was to assess men's and women's roles in decision making about abortion in a setting with a high prevalence of HIV.
METHODS: Qualitative research based on eight focus group discussions was conducted among adult men and women in Gokwe North District, Zimbabwe.
RESULTS: Both men and women expressed strong, negative attitudes towards abortion. Often, HIV-infected women considered carrying their pregnancy to term so as to fulfil societal and cultural expectations of childbirth after marriage. Termination of pregnancy by HIV-infected women was discouraged due to the availability of highly active antiretroviral drugs. Fear of giving birth to a sick and HIV-infected child, however, remained high. Also, the restricted legal environment appeared to complicate HIV-positive women's decisions to abort. Male involvement in decision making about abortion was relatively limited; if women opted for termination of pregnancy they were likely to do so secretly without obtaining their partner's consent.
CONCLUSIONS: In the context of HIV, it is important for prevention programmes to target both men and women in order to reduce the risk of mother-to-child transmission.
METHODS: Qualitative research based on eight focus group discussions was conducted among adult men and women in Gokwe North District, Zimbabwe.
RESULTS: Both men and women expressed strong, negative attitudes towards abortion. Often, HIV-infected women considered carrying their pregnancy to term so as to fulfil societal and cultural expectations of childbirth after marriage. Termination of pregnancy by HIV-infected women was discouraged due to the availability of highly active antiretroviral drugs. Fear of giving birth to a sick and HIV-infected child, however, remained high. Also, the restricted legal environment appeared to complicate HIV-positive women's decisions to abort. Male involvement in decision making about abortion was relatively limited; if women opted for termination of pregnancy they were likely to do so secretly without obtaining their partner's consent.
CONCLUSIONS: In the context of HIV, it is important for prevention programmes to target both men and women in order to reduce the risk of mother-to-child transmission.