Contraceptive counseling experiences among women attending HIV Care and Treatment Centers: a national survey in Kenya
| Autor: | Agnes Langat, Wangui Muthigani, Pamela Kohler, Joel Gondi, Jillian Pintye, Rubee Dev, Emily R. Begnel, Dunstan Achwoka, John Kinuthia, Lucy Ng’ang’a, Christine J McGrath, Benson Singa, Grace John-Stewart, Alison L. Drake |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Counseling
medicine.medical_specialty Human immunodeficiency virus (HIV) HIV Infections Contraceptive counseling medicine.disease_cause Article 03 medical and health sciences Sexually active 0302 clinical medicine Contraceptive Agents medicine Humans 030212 general & internal medicine Prevalence ratio Child Contraception Behavior 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology Kenya Confidence interval Birth spacing Open data Contraception Cross-Sectional Studies Reproductive Medicine Family planning Family medicine Family Planning Services Female business |
| Zdroj: | Contraception |
| Popis: | OBJECTIVES: To characterize contraceptive counseling experiences among women living with HIV (WLWH) receiving HIV care in Kenya. STUDY DESIGN: Sexually active, WLWH aged 15–49 years were purposively sampled from 109 high-volume HIV Care and Treatment Centers in Kenya between June and September 2016. Cross-sectional surveys were administered to enroll women on a tablet using Open Data Kit. Poisson generalized linear regression models adjusted for facility-level clustering were used to examine cofactors for receiving family planning (FP) counseling with a provider. RESULTS: Overall, 4805 WLWH were enrolled, 60% reported they received FP counseling during the last year, 72% of whom reported they were counseled about benefits of birth spacing and limiting. Most women who received FP counseling were married (64%) and discussed FP with their partner (78%). Use of FP in the last month (adjusted Prevalence Ratio [aPR]=1.74, 95% CI: 1.41–2.15, p2 years (aPR=1.18, 95% CI: 1.09–1.28, p2 years. IMPLICATIONS: There are missed opportunities for FP counseling in HIV care. FP integration in HIV care could improve FP access and birth spacing or limiting among WLWH. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|