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Key informant interviews (n=14) were conducted with health providers.

Eight research assistants (RA) (four per site) were recruited for the quantitative survey, of which two per site were retained for the qualitative in-depth interviews.

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Conclusions People living with HIV/AIDS (PLWHA) had to rework their sense of identity following diagnosis in the context of living in a slum setting.

Men and women living with HIV in slums are poorly supported by health systems and services as they attempt to cope with a diagnosis of HIV.

Given the availability of ART, health services and professionals need to support the rights of PLWHA to be sexually active if they want to and achieve their fertility goals, while minimising HIV transmission risk.

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