[Study of establishment of reproductive decision-making indicator system for families affected by HIV]

Objective: To establish a reproductive decision-making indicator system for families affected by HIV, and provide theoretical evidence for the scientifical assessment of their reproductive risk and development of precise intervention strategies. Methods: An indicator framework was developed through literature review and expert panel discussions. Fuzzy analytic hierarchy process was employed for expert consultation to determine the weights of indicators in the reproductive decision-making system for families affected by HIV. Results: A total of 13 experts participated in this study. A decision-making assessment system was established, comprising 4 criterion-level indicators and 19 index-level indicators. At the criteria level, the weights of self-status, medical staff capability, medical institutional status, and family status indicators were 0.279, 0.255, 0.235 and 0.230, respectively. At the index level, the top three indicators with combined weights were the capability of providing reproduction guidance,preconception/pregnancy/postpartum consultation and guidance, and the provision of AIDS counseling service, with weights of 0.066, 0.066, and 0.065, respectively. Conclusion: The reproductive decision-making indicator system established in this study can be used in the assessment of the reproductive risk for families affected by HIV to provide reference for precise interventions and public health decision-making.