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Behavioural research examining contraceptive practices and fertility intentions of women living with HIV

Thesis (MPhil)--University of Stellenbosch, 2010.

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Main Author: Magadzire, Bvudzai Priscilla
Other Authors: Davis, Burt
Format: Thesis
Language:English
Published: Stellenbosch : University of Stellenbosch 2010
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access_status_str Open Access
author Magadzire, Bvudzai Priscilla
author2 Davis, Burt
author_browse Davis, Burt
Magadzire, Bvudzai Priscilla
author_facet Davis, Burt
Magadzire, Bvudzai Priscilla
author_sort Magadzire, Bvudzai Priscilla
collection Thesis
dc_rights_str_mv University of Stellenbosch
description Thesis (MPhil)--University of Stellenbosch, 2010.
format Thesis
id oai:scholar.sun.ac.za:10019.1/4247
institution Stellenbosch University (South Africa)
language English
last_indexed 2026-06-10T12:41:52.972Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2010
publishDateRange 2010
publishDateSort 2010
publisher Stellenbosch : University of Stellenbosch
publisherStr Stellenbosch : University of Stellenbosch
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/4247 Behavioural research examining contraceptive practices and fertility intentions of women living with HIV Magadzire, Bvudzai Priscilla Davis, Burt University of Stellenbosch. Faculty of Economic and Management Sciences. Dept. of Industrial Psychology. Africa Centre for HIV/AIDS Management. HIV positive women -- South Africa -- Khayelitsha Fertility decision-making -- South Africa -- Khayelitsha Contraceptives use -- South Africa -- Khayelitsha Behavioural research Dissertations -- Industrial psychology Theses -- Industrial psychology Dissertations -- Industrial psychology Assignments -- HIV/AIDS management Theses -- HIV/AIDS management Assignments -- HIV/AIDS management African centre for HIV/AIDS management Thesis (MPhil)--University of Stellenbosch, 2010. ENGLISH ABSTRACT: This study examines whether an HIV positive status will influence fertility decision-making and contraceptive practices of women in living with HIV (WLHIV) or if improved antiretroviral therapy (ART) and regular HIV care can also make a contribution to their choices. The study was qualitative and it utilized a document analysis, a focus group discussion and interviews held in Khayelitsha, South Africa. A total of 30 women living with HIV aged between 18-45 years formed part of the study. Additional interviews were conducted with the health care worker and the Support Group Coordinator. Data was analysed through the identification of emerging themes and grouping of similar data. The responses given by the participants provided an understanding of the thought processes around contraceptive use and fertility decision-making for WLHIV. Evidently, contraceptive practices and fertility intention change over time (due to knowledge change of plans, partner or family opposition, side effects, or changes to their economic or educational situation among other reasons). Although the study population (n=30) was too small to make definite conclusions, the findings seem to tell of a transition towards the realisation of the rights of WLHIV. In spite of the many challenges that are faced by WLHIV, there seems to be a fairly conducive environment (both in terms of policy and resources) to enable WLHIV to fulfil their fertility intentions. However, there is need for programme planners to enhance ways of putting policy into practice. Finally, it would be useful to invest further into research to obtain a broader list of WLHIV’s experiences, their rationale for making certain decisions regarding their reproductive health choices and the level of importance assigned to each reason. This was beyond the scope of this study. AFRIKAANSE OPSOMMING: Hierdie studie ondersoek of 'n HIV positiewe status vrugbaarheidsbesluitneming en voorbehoedpraktyke van vroue wat met HIV leef sal beïnvloed en of verbeterde antiretrovirale terapie (ART) en gereelde HIV sorg ook 'n bydrae sal maak tot hul keuses. Die studie was kwalitatief en dit het gebruik gemaak van dokumentanalise, 'n fokusgroepbespreking en onderhoude wat in Khayelitsha, Suid-Afrika, gevoer is. In totaal het 30 vroue wat met HIV leef (WLHIV), tussen die ouderdomme van 18-45 jaar deel uitgemaak van die studie. Bykomende onderhoude is met gesondheidsorgwerkers en die Koördineerder van 'n ondersteuningsgroep gevoer. Data is geanaliseer deur middel van die identifikasie van temas wat na vore gekom het en die groepering van soortgelyke data. Die deelnemers se antwoorde verskaf 'n begrip van die denkprosesse rondom die gebruik van voorbehoeding en die vrugbaarheidsbesluitneming van WLHIV. Dit blyk dat voorbehoedpraktyke en vrugbaarheidsbegeertes verander met verloop van tyd (weens, onder meer, kennis verandering van planne, opposisie van 'n lewensmaat of familie, newe effekte of verandering aan hul ekonomiese of opvoedkundige situasie). Alhoewel die studie populasie (n=30) te klein was om definitiewe gevolgtrekkings te maak, blyk dit dat die bevindinge dui op 'n transisie in die realisering van die regte van WLHIV. Ten spyte van die vele uitdagings wat WLHIV in die gesig staar, blyk dit dat daar 'n redelik gunstige omgewing (in terme van beide beleid en hulpbronne) is om WLHIV in staat te stel om hul vrugbaarheidsbegeertes te vervul. Tog is dit nodig dat programbeplanners die manier waarop beleide in praktyk omgesit word, verbeter. Uiteindelik sal dit handig wees om verder in navorsing te belê om 'n wyer lys van WLHIV se ondervindings te kry, sowel as hul redes vir sekere besluite rakende hul voorplantingsgesondheid en die vlak van belangrikheid wat aan elke rede geheg word. Hierdie is buite die bestek van hierdie studie. Masters 2010-02-22T12:37:52Z 2010-08-13T15:00:37Z 2010-02-22T12:37:52Z 2010-08-13T15:00:37Z 2010-03 Thesis http://hdl.handle.net/10019.1/4247 en University of Stellenbosch 37 p. application/pdf Stellenbosch : University of Stellenbosch
spellingShingle HIV positive women -- South Africa -- Khayelitsha
Fertility decision-making -- South Africa -- Khayelitsha
Contraceptives use -- South Africa -- Khayelitsha
Behavioural research
Dissertations -- Industrial psychology
Theses -- Industrial psychology
Dissertations -- Industrial psychology
Assignments -- HIV/AIDS management
Theses -- HIV/AIDS management
Assignments -- HIV/AIDS management
African centre for HIV/AIDS management
Magadzire, Bvudzai Priscilla
Behavioural research examining contraceptive practices and fertility intentions of women living with HIV
title Behavioural research examining contraceptive practices and fertility intentions of women living with HIV
title_full Behavioural research examining contraceptive practices and fertility intentions of women living with HIV
title_fullStr Behavioural research examining contraceptive practices and fertility intentions of women living with HIV
title_full_unstemmed Behavioural research examining contraceptive practices and fertility intentions of women living with HIV
title_short Behavioural research examining contraceptive practices and fertility intentions of women living with HIV
title_sort behavioural research examining contraceptive practices and fertility intentions of women living with hiv
topic HIV positive women -- South Africa -- Khayelitsha
Fertility decision-making -- South Africa -- Khayelitsha
Contraceptives use -- South Africa -- Khayelitsha
Behavioural research
Dissertations -- Industrial psychology
Theses -- Industrial psychology
Dissertations -- Industrial psychology
Assignments -- HIV/AIDS management
Theses -- HIV/AIDS management
Assignments -- HIV/AIDS management
African centre for HIV/AIDS management
url http://hdl.handle.net/10019.1/4247
work_keys_str_mv AT magadzirebvudzaipriscilla behaviouralresearchexaminingcontraceptivepracticesandfertilityintentionsofwomenlivingwithhiv