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Preconception care for people living with HIV: recommendations for advancing implementation
Riley J Steiner1, Jacinda K Dariotis, Jean R Anderson
1aDepartment of Population, Family, and Reproductive Health, The Johns Hopkins Bloomberg School of Public Health bDivision of Gynecologic Specialties, The Johns Hopkins Medical Institutions, Baltimore, Maryland cDepartment of Family Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Many women living with HIV desire children but lack reproductive counseling. Improving preconception care (PCC) is vital to help HIV-positive individuals achieve their reproductive goals.
Area of Science:
- Public Health
- Reproductive Health
- Implementation Science
Background:
- High fertility desires exist among women living with HIV globally.
- Most HIV-positive women wanting children do not receive reproductive counseling.
- Lack of provider-initiated conversations hinders preconception care (PCC) access.
Purpose of the Study:
- To provide recommendations for improving preconception care (PCC) implementation for people living with HIV.
- To outline considerations for a research agenda to advance PCC.
- To address reproductive goals of people living with HIV.
Main Methods:
- Review of existing research on fertility desires and PCC for people with HIV.
- Consideration of key implementation factors: providers, delivery settings, timing, and resource-dependent models.
- Development of initial recommendations and research agenda outline.
Main Results:
- The majority of HIV-positive women desiring children have not received essential reproductive counseling.
- PCC implementation requires addressing provider roles, delivery locations, and optimal timing.
- Two potential implementation models are proposed based on resource availability.
Conclusions:
- Effective preconception care (PCC) is crucial for people living with HIV to achieve reproductive goals.
- Further implementation science and research translation are needed for PCC.
- Addressing provider-initiated conversations is key to improving PCC access.
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