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Table 4 Synthesis findings: factors influencing the sexual and reproductive health among WLHIV in Muslim-majority countries

From: Sexual and reproductive health of women living with HIV in Muslim-majority countries: a systematic mixed studies review

Fertility DesireContraceptive UsePerinatal ExperiencesSafer Sex PracticeSexual Life
• Individual satisfaction and hope for better future by having child
• Having living child
• Having HIV-infected child
• Fear of transmitting the infection to the baby
• Worried of child’s well-being and future
• Uncertainty about their-own health and well-being
• Pressure from husband/ family to conceive
• Social and cultural belief about having child after married
• Stigma and discrimination experience of previous pregnancy and delivery
• Pressure from health care providers for not having (more) pregnancy
• Women’s fertility desire
• Fear of contraceptive’s side effects
• Religious belief constrictions
• Partner’s preference of contraception
• Less access to the methods
• Lack of methods’ availability
• Limited information and understanding about varied contraceptive methods
• Pressure from health providers to use male condom only
• Legal abortion services
• Trusting the God will
• Complying HIV- treatment
• Health care provider discriminated behaviour
• Health care providers showed less respect and no confidentially
• Access to safe abortion services
• Lack of PMTCT information
• Non-economical formulae feeding
• Fertility desire
• Unknown HIV-status of sexual partner
• Status disclosure to sexual partner
• Inconvenience in using and procuring condoms
• Fear of partner violence if persuading condom use
• Lack of agreement with partners related to condom use
• Patriarchal belief and engendered norms
• No access to female condom
• Limited information about condom use and its efficacy
• Feeling guilty of having pre-marital sexual activities
• ART uptake
• Sexual violence
• Denial of HIV status
• Not wanting to be pregnant
• Fear of infecting sero-discordant partner
• Worried to be divorced and lack of social and economic support from partner
• Mental illness
• Drug use