Family planning and safer sex practices among HIV infected women receiving prevention of mother-to-child tranmission services at Kitale District Hospital

Bii, SC; Otieno-Nyunya, Boaz; Siika, Abraham; Rotich, Joshua

doi:10.4314/eamj.v85i1.9606

Cited by 17 publications

(21 citation statements)

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“…It is therefore possible that initial intentions changed after discussion with the partner at home. Other studies have indeed shown that partner involvement is crucial in decisions pertaining to FP 15 .…”

Section: Discussionmentioning

confidence: 92%

Improved access increases postpartum uptake of contraceptive implants among HIV-positive women in Rwanda

Dhont

Ndayisaba²,

Peltier³

et al. 2009

The European Journal of Contraception & Reproductive Health

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Section: Discussionmentioning

confidence: 92%

Improved access increases postpartum uptake of contraceptive implants among HIV-positive women in Rwanda

Dhont

Ndayisaba²,

Peltier³

et al. 2009

The European Journal of Contraception & Reproductive Health

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“…Besides the lack of time, it has been reported that many women discover their HIV status during antenatal care, and issues, such as understanding and accepting the test result and its implications, often far outweigh any future FP concerns. 6,7 The missed opportunities for counseling HIV-infected women regarding FP were well illustrated in 2 Kenya PMTCT operations research studies where more than one-fifth of women reported that they engaged in a discussion about FP during their antenatal visit, but fewer than 4% reported receiving any postpartum counseling on this topic. 13 …”

Section: Discussionmentioning

confidence: 99%

“…3 Field experiences in Kenya and Uganda on integrating FP into PMTCT have shown that in settings with few resources, providers simply lack the time to counsel HIV-infected women on FP. 6,7 …”

Section: Discussionmentioning

confidence: 99%

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Contraceptive Practices and Fertility Desires Among HIV-Infected and Uninfected Women in Kenya

Ngugi

Kim

Nyoka

et al. 2014

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background Prevention of unplanned pregnancies is a critical element in the prevention of mother-to-child transmission of HIV infection, but its potential has not been fully realized. We assessed the utilization of family planning (FP) and fertility desires among women of reproductive age by HIV status. Methods We selected a nationally representative sample of households using a stratified 2-stage cluster design and surveyed women aged 15–49 years. We administered questionnaires and examined predictors of current use of FP and desire for children among sexually active women with known HIV infection and women who were HIV uninfected. Results Of 3583 respondents, 68.2% were currently using FP, and 57.7% did not desire children in the future. Among women who did not desire children in the future, 70.9% reported that they were using FP, including 68.7% of women with known HIV infection and 71.0% of women who were HIV uninfected. Women with known HIV infection had similar odds of using FP as women with no HIV infection (odds ratio, 1.12; 95% confidence interval: 0.81 to 1.54). Women with no HIV infection had significantly higher adjusted odds of desiring future children (adjusted OR, 2.27; 95% confidence interval: 1.31 to 3.93) than women with known HIV infection. Conclusions There is unmet need for FP for HIV-infected women, underscoring a gap in the national prevention of mother-to-child transmission of HIV strategy. Efforts to empower HIV-infected women to prevent unintended pregnancies should lead to expanded access to contraceptive methods and take into account women’s reproductive intentions.

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“…As an example, in Kenya, HIV-1 seroprevalence is 7.1%, 60% of HIV-1 infected adults are women, the total fertility rate is 4.7 births per woman, and it has been estimated that there is a 25% unmet need for family planning among married women [4–6]. Studies in Kenya have reported low contraceptive uptake among HIV-1 seropositive women [7, 8]. For women with or at-risk for HIV-1 infection, dual-contraceptive use (i.e., use of an effective non-condom contraceptive method in conjunction with condoms) is the optimal strategy to prevent both pregnancy and HIV-1 transmission.…”

Section: Introductionmentioning

confidence: 99%

Successful increase in contraceptive uptake among Kenyan HIV-1-serodiscordant couples enrolled in an HIV-1 prevention trial

Ngure

Heffron

Mugo

et al. 2009

Aids

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Objective To evaluate a multi-pronged approach to promote dual contraceptive use by women within heterosexual HIV-1 serodiscordant partnerships. Methods For 213 HIV-1 serodiscordant couples in Thika, Kenya participating in an HIV-1 prevention clinical trial, contraceptive promotion was initiated through a multi-pronged intervention that included staff training, couples family planning sessions, and free provision of hormonal contraception on-site. Contraceptive use and pregnancy incidence were compared between two time periods (before versus after June 2007, when the intervention was initiated) and between Thika and other Kenyan trial sites (Eldoret, Kisumu, and Nairobi). Generalized estimating equations and Andersen-Gill proportional hazards modeling were used. Results Non-barrier contraceptive use increased after implementation of the intervention: from 31.5% to 64.7% of visits among HIV-1 seropositive women (odds ratio [OR] 4.0, 95% confidence interval [CI] 3.0–5.3) and from 28.6% to 46.7% of visits among HIV-1 seronegative women (OR 2.2, 95% CI 1.4–3.5). In comparison, at the other Kenyan sites, where the intervention was not implemented, contraceptive use changed minimally, from 15.6% to 22.3% of visits for HIV-1 seropositive women and from 13.6% to 12.7% among HIV-1 seronegative women. Self-reported condom use remained high during follow-up. Pregnancy incidence at the Thika was significantly lower after compared with before June 2007 (hazard ratio [HR] 0.2, 95% CI 0.1–0.6), and was approximately half that at other Kenyan sites during the intervention period (HR 0.5, 95% CI 0.3–0.8). Conclusions A multi-pronged family planning intervention can lead to high non-barrier contraceptive uptake and reduced pregnancy incidence among women in HIV-1 serodiscordant partnerships.

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Family planning and safer sex practices among HIV infected women receiving prevention of mother-to-child tranmission services at Kitale District Hospital

Cited by 17 publications

References 0 publications

Improved access increases postpartum uptake of contraceptive implants among HIV-positive women in Rwanda

Improved access increases postpartum uptake of contraceptive implants among HIV-positive women in Rwanda

Contraceptive Practices and Fertility Desires Among HIV-Infected and Uninfected Women in Kenya

Successful increase in contraceptive uptake among Kenyan HIV-1-serodiscordant couples enrolled in an HIV-1 prevention trial

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