The results reinforced key quantitative findings and provided socio-cultural and gendered context to the meaning of the behavioural data. To date this is not the situation in PNG. Although people living with HIV are increasingly making active choices to have children as a recent qualitative study of prevention of mother-to-child transmission in PNG has found [ 45 ], it is our informed opinion in this study that the low use of condoms was not reflective of a desire on behalf of HIV-positive women to conceive or of HIV-positive men to father a child.
No women in the qualitative arm of our study reported wanting to have children after being diagnosed with HIV and neither did any men report wanting to have children. This is especially true if the menstruating partner is HIV positive.
International research supports this inference, especially research in serodiscordant couples where it has been shown that the HIV-negative partner has been the principal initiator of unsafe sex [ 3334 ]. Had same-sex anal sex with casual partner.
Canberra, Australia: Office of Development Effectiveness; Today's Best Discounts. Fear and loathing in Papua New Guinea; pp.
Two-year follow-up of sexual behavior among HIV-uninfected household members of adults taking antiretroviral therapy in Uganda: No evidence of disinhibition. And merely because a woman with HIV does not use a condom with her husband does not automatically and unequivocally equate with disempowerment, as suggested by the qualitative interviews.
The qualitative data from this study offers some insights into this particular aspect of the behavioural data and involves intangible issues associated with long-term relationships, intimate communication and love. Afr J Reprod Health. It is widely recognised from within PNG and from international agencies that innovative strategies for the treatment and care of people living with HIV and of HIV prevention are urgently needed to address the complex public health issue that HIV poses in a country with unparalleled geographical, linguistic and cultural diversity [ 3 ].