Decision-Making on Contraceptive Use among Women Living with Human Immunodeficiency Virus in Malaysia: A Qualitative Inquiry.

IF 1.4 Q4 PRIMARY HEALTH CARE Korean Journal of Family Medicine Pub Date : 2024-01-01 Epub Date: 2023-10-18 DOI:10.4082/kjfm.23.0088
Surianti Sukeri, Zaharah Sulaiman, Noor Aman Hamid, Siti Aishah Ibrahim
{"title":"Decision-Making on Contraceptive Use among Women Living with Human Immunodeficiency Virus in Malaysia: A Qualitative Inquiry.","authors":"Surianti Sukeri, Zaharah Sulaiman, Noor Aman Hamid, Siti Aishah Ibrahim","doi":"10.4082/kjfm.23.0088","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Malaysia is the first country in the Western Pacific Region to receive the validation certificate for the elimination of mother-to-child transmission of human immunodeficiency virus (HIV). The validation report recommends making sexual and reproductive health and rights of women living with HIV a priority. This article explores and assesses the sexual and reproductive health, rights, and access to healthcare services of Malaysia's women living with HIV (WLHIV).</p><p><strong>Methods: </strong>A qualitative secondary analysis conducted on 73 WLHIV from all over Malaysia comprised 11 in-depth interviews and 16 focus group discussions. Data were extracted from the original interview transcripts that emerged from the following questions: (1) \"What are your experiences as a woman living with HIV in relation to your sexual and reproductive health and rights?\" (2) \"What are your experiences in accessing contraception?\" (3) \"What are your day-to-day experiences as a woman living with HIV?\" Data were analyzed using thematic analysis.</p><p><strong>Results: </strong>Four themes emerged from the study findings: \"lack of negotiation,\" \"idealism in pregnancy,\" \"coping with restrictions,\" and \"past and future fears.\" The four themes are grounded in religion, a patriarchal culture, meaning and expectations of motherhood, taking risks and going against medical advice to pursue fertility desires, fear of HIV transmission, and the side effects of contraceptive use.</p><p><strong>Conclusion: </strong>The complexities involved in decision-making regarding contraceptive use revealed how WLHIV may have unresolved reproductive health needs inconsistent with healthcare providers' focus on HIV management and prevention. Suggestions are made for improving the sexual and reproductive health and rights of WLHIV in Malaysia, which include establishing a reproductive health counseling program.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"27-36"},"PeriodicalIF":1.4000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10822730/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Korean Journal of Family Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4082/kjfm.23.0088","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/10/18 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"PRIMARY HEALTH CARE","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Malaysia is the first country in the Western Pacific Region to receive the validation certificate for the elimination of mother-to-child transmission of human immunodeficiency virus (HIV). The validation report recommends making sexual and reproductive health and rights of women living with HIV a priority. This article explores and assesses the sexual and reproductive health, rights, and access to healthcare services of Malaysia's women living with HIV (WLHIV).

Methods: A qualitative secondary analysis conducted on 73 WLHIV from all over Malaysia comprised 11 in-depth interviews and 16 focus group discussions. Data were extracted from the original interview transcripts that emerged from the following questions: (1) "What are your experiences as a woman living with HIV in relation to your sexual and reproductive health and rights?" (2) "What are your experiences in accessing contraception?" (3) "What are your day-to-day experiences as a woman living with HIV?" Data were analyzed using thematic analysis.

Results: Four themes emerged from the study findings: "lack of negotiation," "idealism in pregnancy," "coping with restrictions," and "past and future fears." The four themes are grounded in religion, a patriarchal culture, meaning and expectations of motherhood, taking risks and going against medical advice to pursue fertility desires, fear of HIV transmission, and the side effects of contraceptive use.

Conclusion: The complexities involved in decision-making regarding contraceptive use revealed how WLHIV may have unresolved reproductive health needs inconsistent with healthcare providers' focus on HIV management and prevention. Suggestions are made for improving the sexual and reproductive health and rights of WLHIV in Malaysia, which include establishing a reproductive health counseling program.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
马来西亚人类免疫缺陷病毒感染妇女使用避孕药具的决策:定性调查。
背景:马来西亚是西太平洋地区第一个获得消除艾滋病毒母婴传播验证证书的国家。验证报告建议将艾滋病毒感染妇女的性健康和生殖健康以及权利列为优先事项。本文探讨并评估了马来西亚艾滋病毒感染者的性健康和生殖健康、权利以及获得医疗服务的机会。方法:对来自马来西亚各地的73名艾滋病毒感染者进行定性二次分析,包括11次深入访谈和16次焦点小组讨论。数据是从以下问题产生的原始采访记录中提取的:(1)“你作为一名感染艾滋病毒的女性的经历与你的性健康和生殖健康及权利有关吗?”。结果:研究发现了四个主题:“缺乏协商”、“怀孕的理想主义”、“应对限制”和“过去和未来的恐惧”。这四个主题基于宗教、父权文化、母亲的意义和期望、冒险和违背医疗建议追求生育欲望、对艾滋病毒传播的恐惧、,以及使用避孕药具的副作用。结论:避孕决策的复杂性揭示了WLHIV可能有未解决的生殖健康需求,这与医疗保健提供者对HIV管理和预防的关注不一致。提出了改善马来西亚WLHIV性健康和生殖健康及权利的建议,其中包括建立生殖健康咨询计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Korean Journal of Family Medicine
Korean Journal of Family Medicine PRIMARY HEALTH CARE-
CiteScore
4.00
自引率
4.30%
发文量
51
审稿时长
53 weeks
期刊最新文献
Investigation of the Prevalence and Treatment of Atopic Dermatitis in South Korea Using a Large National Dataset. Low Bone Mineral Density Is Associated with High-Frequency Hearing Impairment in Women Over 50: An Observational Study in Korea. Effect of Electronic Cigarettes on the Change of Fagerstrom Test for Nicotine Dependence Scores during 1-Year Follow-up. Unhealthy Alcohol Use: Screening and Behavioral Counseling Interventions. Usefulness of Glycated Albumin Levels in Predicting the Maternal or Neonatal Complications of Gestational Diabetes Mellitus during Late Pregnancy in South Korea: A Retrospective Study.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1