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. Author manuscript; available in PMC: 2016 Jan 1.
Published in final edited form as: AIDS Care. 2014 Sep 9;27(1):25–30. doi: 10.1080/09540121.2014.951311

Table 3.

Not just clinical care: Social and relationship dynamics shaping reproductive desires

Client Perspectives:
  • 1

    I know that I am HIV positive, yes, but I can still have a child, I can still live a normal life. (male, 23, urban)

  • 2

    I do have children; their father is no longer around, so if I would be married I will need a child from marriage. (female, 34, urban)

  • 3

    I can say that it is her, the person who never had children ever since she has been a person. And now she is the person who desires to get a child, even if it is [only] one. (male, 55, urban)

  • 4

    I think that they [providers] might have that question or wondering, “Why do you want to have children because you are sick.” And then I would have to explain that now that I am married and the child that we do share is a girl, now we have got to try for a boy, so that everything balances in the family. (female, 32, rural)

Provider perspectives:
  • 5

    A lot of the women here already have children […] it’s difficult as people can’t come to the clinic because they don’t have enough money and at the same time because they have a new partner who wants a child. (female, doctor, rural)

  • 6

    … a lot of, mainly, women worry about wanting to start a family, pressure from their partner. They hear they are positive, fears of having positive children, wanting to know what [ARV] medication you shouldn’t have when you’re pregnant. (female, doctor, rural)

  • 7

    I need more [training] because now I deal with HIV only and people don’t come with HIV problems only. They have families and children and I can’t help them if they have problems in their families. (female, counselor, rural)