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Shattered Identity
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Womanhood
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I’m shocked
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I don’t feel like a woman anymore
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Permanence of HIV
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Loss of normality
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Broken plans
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Reduced sexual desire
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Motherhood
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Becoming mothers as a route to normality
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Missed mothering opportunities
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Motherhood as a social responsibility
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Motherhood as a personal desire (value and identity)
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Barriers, Inequities, and Misinformation
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System barriers
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External barriers preventing access to care
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Clinician barriers
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Negative support from healthcare providers
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They never asked me if I want to have a baby
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Coercion and concealment
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Inadequate information
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Need for information
|
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Weighing the different options
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Individual barriers
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Knowing about HIV
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Knowing about conception methods
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Incorrect beliefs about HIV and pregnancy
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Uncertainty and fears
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Fear of transmission
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Fear of birth defects
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Fear of leaving children alone
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Guilt
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Family barriers
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Lack of familial support
|
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HIV-related stigma
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Stigmatizing and stereotyping
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Self-isolating and internalizing stigma
|
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Fear to disclose, will be rejected
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Gender-based inequalities
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I just want to be loved
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Unequal power in relationships
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Socioeconomic barriers
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Unstable situation
|
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Coping, Resilience, and Support
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Self-care and for caring others
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Treatment adherence
|
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Changes in sexuality: protecting others from HIV
|
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Negotiating sex
|
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Family planning
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Planned pregnancy
|
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Accidental/passive pregnancy
|
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Avoiding recommendations
|
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Child HIV + because of destiny
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Creating empowering environments
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Humanized healthcare providers
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Partner support
|
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Hope
|
Medical improvement as a hope
|
|
Motherhood is a hope and being a mother is reason to keep fighting HIV
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A new life: second opportunity, another chance
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Personal Choices
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Protection of higher power/spiritual forces
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