Enough Children: Reproduction, Risk and “Unmet Need” among People Receiving Antiretroviral Treatment in Western Uganda
), Arif Alibhai(2), Walter Kipp(3), Joseph Konde-Lule(4), Tom Rubaale(5),
(1)
(2)
(3)
(4)
(5)
Corresponding Author
Abstract
In this paper, we use survey (n=87) and interview (n=30) data to investigate orientations towards future childbearing among people receiving antiretroviral treatment and their family members in western Uganda. We investigate how reproductive options are perceived, by those receiving treatment and those closest to them, and consider what these perceptions suggest about the existence of an “unmet need” for birth control for women with HIV. While most people say they do not wish to have more children while on treatment, this intention coexists with contradictory desires for the benefits and happiness that more children might bring. We argue that the factors influencing birth desires and outcomes are so complex and contradictory that it is virtually impossible to predict demand or uptake of birth control as more and more people with AIDS in Africa gain the ability to access antiretroviral treatments (Afr J Reprod Health 2012; 16[1]:133-144).
Résumé
Assez d’enfants: Reproduction, risque et besoin « non satisfait » chez les gens qui suivent un traitement antirétroviral en Ouganda de l’Ouest : Dans cet article, nous nous servons des données d’enquête (n=87) et d’interview pour étudier des orientations futures envers la maternité chez les gens qui suivent un traitement antirétroviral et chez les membres de leurs membres de leurs familles en Ouganda de l’ouest. Nous étudions comment les gens qui suivent le traitement et leurs plus proches aperçoivent les options reproductives et nous considérons ce que suggèrent ces perceptions par rapport à l’existence d’un « besoin non satisfait » pour la limitation des naissances chez les femmes séropositives. Alors que la plupart des femmes disent qu’elles ne veulent pas avoir d’autres enfants pendant le traitement, cette intention coexiste avec les désirs contradictoires pour les bénéfices et la joie que peut apporter d’autres enfants. Nous soutenons que les facteurs qui influent sur les désirs pour la maternité et les conséquences sont si complexes et contradictoires qu’il est pratiquement impossible de prédire ou d’accepter la limitation des naissances au fur et à mesure que les gens séropositifs en Afrique deviennent capables d’avoir accès aux traitements antirétroviraux (Afr J Reprod Health 2012; 16[1]:133-144).
Keywords: HAART, AIDS, fertility, contraception, Uganda, unmet need
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