IngentaConnect Differences in perceptions on sexual and reproductive health betw...

Authors: Nostlinger, Christiana Maria¹; Gordillo, Victoria²; Borms, Ruth; Murphy, Cynthia³; Bogner, Johannes⁴; Csepe, Peter⁵; Colebunders, Robert¹

Source: Psychology, Health and Medicine, Volume 13, Number 5, October 2008 , pp. 516-528(13)

Publisher: Routledge, part of the Taylor & Francis Group

Abstract:

The sexual and reproductive health (SRH)-related needs of people living with HIV/AIDS (PLHA) have not been sufficiently recognised in research and clinical care. Fifteen study sites in 13 European countries participated in this qualitative study to assess differences in perceptions between service providers (SP) and PLHA on SRH-related problems and needs of PLHA. Factors influencing SRH were determined to collect evidence on how to improve service provision. Qualitative data were obtained using an interpretative ethnographical approach. Data were analysed inductively on country level; a cross country data matrix was developed to facilitate the contextual analysis. Thirty-seven FGD discussions were organised with a total of 254 participants. A short survey was distributed to assess demographic characteristics. Results revealed insufficient information and lack of behavioural skills regarding SRH issues among PLHA. Intra- and interpersonal, provider-related, and social factors were found to influence the SRH behaviours of PLHA. Although from patients' perception SRH is a prioritised issue, it rarely comes up during routine HIV clinical care. SP need adequate counseling training to tackle SRH-related issues. A better integration between HIV care programs and SRH care settings is needed to improve effective service provision.

Keywords: HIV/AIDS; sexual and reproductive health; service provision; prevention; elicitation research

Document Type: Research article

DOI: 10.1080/13548500701842941

Affiliations: 1: Prins Leopold Institute of Tropical Medicine, Clinical Sciences, Antwerp, Belgium 2: Department of Psychology, Complutense University, Madrid, Spain 3: Pennine Acute Hospitals, NHS Trust, Manchester, UK 4: Department of Infectious Diseases, Ludwig-Maximilians-University, Munich, Germany 5: Department of Public Health, Semmelweis University, Budapest, Hungary

The full text electronic article is available for purchase. You will be able to download the full text electronic article after payment.

$45.09 plus tax

Differences in perceptions on sexual and reproductive health between service providers and people living with HIV: A qualitative elicitation study