UN Integrated Regional Information Networks 本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 South Africa: Reproductive Rights of HIV Positive People Under Discussion
Few services are available for people living with HIV who want to conceive safely.
HIV-positive Phindile Madonsela always used a condom with her partner, but one day it broke. When it had happened before, she had gone to the local clinic and obtained emergency contraception, also known as the morning-after pill, but this time she did not go because she feared the disapproving attitude of the nurses. Later she discovered she was pregnant.
Madonsela, a volunteer HIV/AIDS educator for AIDS lobby group, the Treatment Action Campaign (TAC), had mixed feelings. "I promote condoms, so I felt very bad about being pregnant," she told PlusNews. "But I said to people, 'I'm positive, and I still have the right to have a baby.'"
She received no advice from counsellors or health workers but consulted her church elders and her mother. "My mother was very angry with me that I was pregnant - she didn't realise I could have a negative baby."
From her work with the TAC, Madonsela knew that if she took Nevirapine, an antiretroviral (ARV) drug available from the public health sector, during labour and also gave it to her baby soon after birth, she could significantly reduce the chances of infecting her child with HIV, and formula feeding instead of breastfeeding would further reduce the risk. Her little girl, now 2 years old, is healthy.
According to the Guttmacher Institute, a sexual and reproductive health nongovernmental organisation (NGO), research in both the developed and developing world suggests that HIV status does not significantly dampen people's desire to have children. As more and more HIV-infected South Africans access life-prolonging antiretroviral (ARV) treatment, the question of whether or not to have a child, and how to do so as safely as possible, is bound to become more common.
There is no official framework to guide health workers on advising HIV-positive people about their reproductive rights and options. Dr Anna Amos, head of women's health in the health department, said guidelines were being developed and a policy document was likely to be released some time in 2007.
"I think there's a realisation that there's a need, but at the moment it's very haphazard," said Dr Vivienne Black of the Reproductive Health and HIV Research Unit (RHRU) at the University of the Witwatersrand.
The disapproval of friends and family, and even some health workers, may deter those less well-informed than Madonsela from learning more about their options. "Most people think if you're positive you don't have the right to be in a relationship, or to have a baby," she said.
作者:admin@医学,生命科学 2011-04-02 05:14