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This Article Figures Only Full Text Full Text (PDF) All Versions of this Article: AJPH.2008.137232v1 98/10/1746    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Web of Science (1) Citing Articles via Google Scholar Google Scholar Articles by Gruskin, S. Articles by Ferguson, L. Search for Related Content PubMed PubMed Citation Articles by Gruskin, S. Articles by Ferguson, L. Related Collections Contraception Global Health HIV/AIDS Pregnancy Women's Health Human Rights

Sofia Gruskin, JD, MIA, Rebecca Firestone, ScD, MPH, Sarah MacCarthy, MSc and Laura Ferguson, MSc, MA

Sofia Gruskin and Laura Ferguson are with the Program on International Health and Human Rights, Department of Global Health and Population, Harvard School of Public Health, Boston, MA. Rebecca Firestone is with the Department of Society, Human Development and Health, Harvard School of Public Health, Boston. Sarah MacCarthy is with the Department of Global Health and Population, Harvard School of Public Health, Boston.

Correspondence: Requests for reprints should be sent to Sofia Gruskin, JD, MIA, Director, Program on International Health and Human Rights, Department of Global Health and Population, Harvard School of Public Health, 665 Huntington Ave, 1–1202, Boston, MA 02115 (e-mail: sgruskin{at}hsph.harvard.edu).

Too little is known about how an HIV diagnosis and access to care and treatment affect women's childbearing intentions. As access to antiretroviral therapy improves, greater numbers of HIV-positive women are living longer, healthier lives, and many want to have children.

Effectively supporting women's reproductive decisionmaking in the context of HIV requires understanding how pregnancy, reproduction, and HIV intersect and asking questions that bridge the biomedical and social sciences. Considering women to be at the center of decisions on health policy and service delivery can help provide an appropriate constellation of services.

A clear research agenda is needed to create a more coordinated approach to policies and programs supporting the pregnancy intentions of women with HIV.