Kerman University of Medical Sciences International Journal of Health Policy and Management 2322-5939 4 9 2015 09 01 Sexual and Reproductive Health Needs of HIV-Positive People in Tehran, Iran: A Mixed-Method Descriptive Study 591 598 2997 10.15171/ijhpm.2015.68 EN Saharnaz Nedjat School of Public Health and Institute of Public Health Research, Tehran University of Medical Sciences, Tehran, Iran Babak Moazen Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran Farimah Rezaei Obstetrics and Gynecologist, Shahid Beheshti Hospital, Isfahan University of Medical Sciences, Isfahan, Iran Shayesteh Hajizadeh Department of Midwifery and Reproductive Health, Nursing and Midwifery School, Shahid Beheshti University of Medical Sciences, Tehran, Iran Department of Maternal and Child Health, Nursing and Midwifery School, Tehran University of Medical Sciences, Tehran, Iran Reza Majdzadeh School of Public Health and Institute of Public Health Research, Tehran University of Medical Sciences, Tehran, Iran 0000-0001-8429-5261 Hamid Reza Setayesh Regional Support Team for the Middle East and North Africa (RST-MENA), Cairo, Egypt Minoo Mohraz Iranian Research Center for HIV and AIDS, Tehran University of Medical Sciences, Tehran, Iran Mohammad Mehdi Gooya Centre for Infectious Disease Control, Ministry of Health and Medical Education, Tehran, Iran Journal Article 2014 09 23 Background <br />People Living with HIV (PLHIV) are highly stigmatized and consequently hard-to-access by researchers and importantly, public health outreach in Iran, possibly due to the existing socio-cultural situation in this country. The present study aimed to evaluate the sexual and reproductive health needs of PLHIV in Tehran, the capital of Iran. <br />  <br />Methods <br />As a mixed-method descriptive study, this project was conducted in 2012 in Tehran, Iran. In this study, we evaluated and discussed socio-demographic characteristics, family and social support, sexual behaviors, fertility desires and needs, PMTCT services, contraceptive methods, unintended pregnancy and safe abortion, and Pap smear tests among 400 participants referring to the behavioral disorders consulting centers. <br />  <br />Results <br />Of the sample 240 (60%) were male and 160 (40%) were female. About 50% of women and 40% of men were 25-34 years old. More than 60% of men and 96% of women were married, while more than 50% of the participants had HIV-positive spouses at the time of study. According to the results, fertility desire was observed among more than 30% of female and 40% of male participants. Results of the in-depth interviews indicate that the participants are not satisfied with most of the existing services offered to address their sexual and reproductive health needs. <br />  <br />Conclusion <br />Despite the availability of services, most of sexual and reproductive health needs of the PLHIV are overlooked by the health system in Iran. Paying attention to sexual and reproductive health needs of PLHIV in Iran not only protects their right to live long and healthy lives, but also may prevent the transmission of HIV from the patients to others within the community. https://www.ijhpm.com/article_2997_a0b83c02d720415dada82e08bc09e9f3.pdf