Understanding childbearing decision among women living with HIV/Aids in Yangon, Myanmar
Issued Date
2024
Copyright Date
2017
Resource Type
Language
eng
File Type
application/pdf
No. of Pages/File Size
viv, 152 leaves : ill.
Access Rights
open access
Rights
ผลงานนี้เป็นลิขสิทธิ์ของมหาวิทยาลัยมหิดล ขอสงวนไว้สำหรับเพื่อการศึกษาเท่านั้น ต้องอ้างอิงแหล่งที่มา ห้ามดัดแปลงเนื้อหา และห้ามนำไปใช้เพื่อการค้า
Rights Holder(s)
Mahidol University
Bibliographic Citation
Thesis (M.A. (Health Social Science))--Mahidol University, 2017
Suggested Citation
Khaing, Pyae Sone, 1985- Understanding childbearing decision among women living with HIV/Aids in Yangon, Myanmar. Thesis (M.A. (Health Social Science))--Mahidol University, 2017. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/92403
Title
Understanding childbearing decision among women living with HIV/Aids in Yangon, Myanmar
Author(s)
Abstract
The study aimed to identify the existing sociocultural contexts related with childbearing decision in terms of stigma, gender relation, notion of motherhood and healthcare service among WLHA and to analyse how they influence childbearing decision of WLHA. Qualitative case study design was used with in-depth interviews of fifteen WLHA, key informant interviews with two local women, one social worker, two husbands/partners of WLHA and two healthcare providers as well as participant observation and document review. Interviews were digitally recorded, transcribed and translated into English. Content analysis was done by using critical medical anthropology theory. The study highlighted the individual social context, social stigma, gender norm, gender-power relationship, peer communication and accessibility to healthcare services shaped the reproductive behavior, childbearing decision and local practices related with childbearing decision among WLHA. Six WLHA got unintended pregnancies, while other six WLHA intentionally got pregnancies and three WLHA got HIV diagnosis after getting pregnancies. Experience of social stigma made WLHA difficult to disclose their HIV status, difficult to discuss with healthcare providers resulted in poor family planning and condom use and got unintended pregnancy. Close communication with peer WLHA and perceived stigma of inferiortiy made some WLHA to take pregnancy intentionally. Gender norms trained WLHA as childbearing was mandatory. Economically and socially dependent state also made WLHA lack of power to assert their true reproductive desire and got unintended pregnancies. Despite of having concerns about perinatal transmission of HIV, WLHA finally decided for childbearing with the projections of positive social status, power and desire to enjoy normal woman life. Thus, this study highlighted many important gaps in healthcare services such as missed opportunity for reduction of unintended pregancny, perinatal transmission of HIV, transmission of HIV among sero-discordant partners. It pointed out the importance of male partner involvement , peer social network and attitudes of healthcare providers towards WLHA. These findings would assist policy makers in identifying the most appropriate, culturally-oriented, innovative interventions suitable at specific levels. The study would also inform healthcare providers about how sociocultural values and practices affect childbearing decision among WLHA; thus, they could work closely with communities and fill the unmet needs of WLHA in Myanmar.
Description
Health Social Science (Mahidol University 2017)
Degree Name
Master of Arts
Degree Level
Master's degree
Degree Department
Faculty of Social Sciences and Humanities
Degree Discipline
Health Social Science
Degree Grantor(s)
Mahidol University