ABSTRACT
HIV-positive women's abortion decisions were explored by: (i) investigating influencing factors; (ii) determining knowledge of abortion policy and public health services; and (iii) exploring abortion experiences. In-depth interviews were held with 24 HIVpositive women (15 had an abortion; 9 did not); recruited at public health facilities in Cape Town; South Africa. Negative perceptions towards HIV-positive pregnant women were reported. Women wanted abortions due to socio-economic hardship in conjunction with HIV-positive status. Respondents were generally aware that women in South Africa had a right to free abortions in public health facilities. Both positive and negative abortion experiences were described. Respondents reported no discrimination by providers due to their HIV-positive status. Most respondents reported not using contraceptives; while describing their pregnancies as `unexpected'. The majority of women who had abortions wanted to avoid another one; and would encourage other HIV-positive women to try to avoid abortion. However; most felt abortions were acceptable for HIV-positive women in some circumstances. Data suggested that stigma and discrimination affect connections between abortion; pregnancy and HIV/AIDS; and that abortion may be more stigmatised than HIV/AIDS. Study results provide important insights; and any revision of reproductive health policy; services; counselling for abortion and HIV/AIDS care should address these issues
