Greater involvement of HIV-infected peer-mothers in provision of reproductive health services as 'family planning champions' increases referrals and uptake of family planning among HIV-infected mothers
| Autor: | Linda Barlow Mosha, Jaco Homsy, Carolyne Onyango Makumbi, Mike N. Kagawa, Mike Mubiru, Ezra Musingye, Mary Glenn Fowler, Mai Nakitende, Danstan Bagenda, Peter Mudiope, Zikulah Namukwaya |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
Adult Counseling medicine.medical_specialty Referral Adolescent Mothers Ambulatory Care Facilities Peer Group Health administration 03 medical and health sciences Young Adult 0302 clinical medicine Nursing Health care HIV Seropositivity Medicine Humans Uganda 030212 general & internal medicine Referral and Consultation Reproductive health business.industry lcsh:Public aspects of medicine Health Policy Nursing research Public health lcsh:RA1-1270 Interrupted Time Series Analysis Middle Aged 030112 virology Health Planning Family planning Health education Female Reproductive Health Services business Delivery of Health Care Research Article |
| Zdroj: | BMC Health Services Research BMC Health Services Research, Vol 17, Iss 1, Pp 1-9 (2017) |
| ISSN: | 1472-6963 |
| Popis: | Background In 2012, Makerere University Johns - Hopkins University, and Mulago National Referral Hospital, with support from the National Institute of Health (under Grant number: NOT AI-01-023) undertook operational research at Mulago National Hospital PMTCT/PNC clinics. The study employed Peer Family Planning Champions to offer health education, counselling, and triage aimed at increasing the identification, referral and family planning (FP) uptake among HIV positive mothers attending the clinic. Methods The Peer Champion Intervention to improve FP uptake was introduced into Mulago Hospital PMTCT/PNC clinic, Kampala Uganda. During the intervention period, peers provided additional FP counselling and education; assisted in identification and referral of HIV Positive mothers in need of FP services; and accompanied referred mothers to FP clinics. We compiled and compared the average proportions of mothers in need that were referred and took up FP in the pre-intervention (3 months), intervention (6 months), and post-intervention(3 months) periods using interrupted time series with segmented regression models with an autoregressive term of one. Results Overall, during the intervention, the proportion of referred mothers in need of FP increased by 30.4 percentage points (P |
| Databáze: | OpenAIRE |
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