The Couple and HIV/AIDS in Sub-Saharan Africa. Telling the Partner, Sexual Activity and Childbearing
AbstractIn Africa, where HIV/AIDS is widespread and HIV is mainly spread by heterosexual intercourse and from mother to child during pregnancy, childbirth or breastfeeding, the couple is the primary site of sexual HIV transmission. When a woman is infected with HIV, the decision to have a child involves the risk of vertical transmission. This article, based on a review of African studies of the subject and results of research programmes conducted in Abidjan between 1997 and 2001, examines changes in sexual and reproductive behaviour in the face of the AIDS threat. After a preliminary overview of trends in the general population, the article focuses on women who have learned during pregnancy that they are HIV-positive, through a mother-to-baby HIV-transmission prevention programme. It discusses how they manage the risk of sexual and vertical transmission of the virus, in their couple and their reproductive decisions. The difficulty these women have in divulging their HIV infection to their partners and then negotiating the adoption of new practices proves to be a major obstacle to behavioural change. The success of future prevention programmes will depend on their ability to take the relationship between man and woman in the couple into account.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoArticle provided by Institut National d'Études Démographiques (INED) in its journal Population (english edition).
Volume (Year): 60 (2005)
Issue (Month): 3 ()
Contact details of provider:
Web page: http://www.cairn.info/revue-population-english.htm
You can help add them by filling out this form.
reading list or among the top items on IDEAS.Access and download statisticsgeneral information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Jean-Baptiste de Vathaire).
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.