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Many programs for HIV-positive women lack services to support safe conception, frequently consider women only or primarily in terms of reproduction, and can unethically deny HIV-positive women reproductive health services.
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Effective and accessible safer conception counseling (SCC) is needed to help serodiscordant couples safely conceive.
The SA HIV Clinicians Society recently (2011) published safer conception guidelines for fertile HIV-positive individuals and couples [ 20].
(Professional Nurse) None of the providers reported receiving training on safer conception methods.
In addition, access and adherence to ART is also critical for safer conception (28).
Here, we limit analysis to participants' attitudes about pregnancy, safer conception and alternative parenting strategies.
The majority of providers saw value in providing guidance on safer conception methods.
Providers also worried about the costs of safer conception to the health system.
Participants expressed openness to healthcare worker advice for safer conception and modified risk behavior post-conception, suggesting the feasibility of safer conception interventions which may target both men and women and include serodiscordance counseling and promotion of contraception.
Providers reported that few patients had enquired about safer conception methods and some mentioned that clients might view safer conception as "not natural", a cultural taboo, and perhaps would take a while before it would become acceptable to them.
The crucial male role in pregnancy decisions suggests the importance of targeting men in safer conception interventions.
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