Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Preconception care for people living with HIV: recommendations for advancing implementation

TitlePreconception care for people living with HIV: recommendations for advancing implementation
Publication TypeJournal Article
Year of Publication2013
AuthorsSteiner, RJ, Dariotis, JK, Anderson, JR, Finocchario-Kessler, S
Volume27 Suppl 1
Date PublishedOct
ISBN Number1473-5571 (Electronic)0269-9370 (Linking)
Accession Number24088677
Keywords*HIV Infections, Female, Humans, Preconception Care/*methods/*organization & administration, Sexual and Reproductive Health

Globally, research has documented high fertility desires and intentions among HIV-positive women. Improving implementation of preconception care (PCC) for people living with HIV is critical, given estimates that the majority of HIV-positive women who want future biological children have not received reproductive counseling, largely due to a lack of provider-initiated conversations. This article offers initial recommendations and outlines key considerations for a research agenda to advance PCC implementation efforts in both high-resource and low-resource settings. We consider who should provide PCC; where it can be effectively delivered; when it should be offered; and two potential implementation models depending on available resources. We conclude with a call for PCC-specific implementation science and research translation to help people living with HIV achieve their reproductive goals.