Developing a Safer Conception Intervention for Men Living with HIV in South Africa

Hazar Khidir, Christina Psaros, Letitia Greener, Kasey O’Neil, Mxolisi Mathenjwa, F. N. Mosery, Lizzie Moore, Abigail Harrison, David R. Bangsberg, Jennifer A. Smit, Steven A. Safren, Lynn T. Matthews

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Within sexual partnerships, men make many decisions about sexual behavior, reproductive goals, and HIV prevention. There are increasing calls to involve men in reproductive health and HIV prevention. This paper describes the process of creating and evaluating the acceptability of a safer conception intervention for men living with HIV who want to have children with partners at risk for acquiring HIV in KwaZulu-Natal, South Africa. Based on formative work conducted with men and women living with HIV, their partners, and providers, we developed an intervention based on principles of cognitive-behavioral therapy to support men in the adoption of HIV risk-reduction behaviors such as HIV-serostatus disclosure and uptake of and adherence to antiretroviral therapy. Structured group discussions were used to explore intervention acceptability and feasibility. Our work demonstrates that men are eager for reproductive health services, but face unique barriers to accessing them.

Original languageEnglish (US)
Pages (from-to)1725-1735
Number of pages11
JournalAIDS and Behavior
Volume22
Issue number6
DOIs
StatePublished - Jun 1 2018

Keywords

  • Behavior change
  • HIV prevention
  • HIV-serodiscordant couples
  • Intervention development
  • MLWH
  • Qualitative research
  • Reproductive health
  • Safer conception
  • South Africa

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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  • Cite this

    Khidir, H., Psaros, C., Greener, L., O’Neil, K., Mathenjwa, M., Mosery, F. N., Moore, L., Harrison, A., Bangsberg, D. R., Smit, J. A., Safren, S. A., & Matthews, L. T. (2018). Developing a Safer Conception Intervention for Men Living with HIV in South Africa. AIDS and Behavior, 22(6), 1725-1735. https://doi.org/10.1007/s10461-017-1719-4