Uptake of long acting reversible contraception following integrated couples HIV and fertility goal-based family planning counselling in Catholic and non-Catholic, urban and rural government health centers in Kigali, Rwanda

Autor: Jeannine Mukamuyango, Rosine Ingabire, Rachel Parker, Julien Nyombayire, Andrew Abaasa, Gershim Asiki, Sarah Rae Easter, Kristin M. Wall, Laetitia Nyirazinyoye, Amanda Tichacek, Nadine Kaslow, Matt A. Price, Susan Allen, Etienne Karita
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Reproductive Health, Vol 17, Iss 1, Pp 1-15 (2020)
Druh dokumentu: article
ISSN: 1742-4755
DOI: 10.1186/s12978-020-00981-0
Popis: Abstract Background When integrated with couples’ voluntary HIV counselling and testing (CVCT), family planning including long acting reversible contraceptives (LARC) addresses prongs one and two of prevention of mother-to-child transmission (PMTCT). Methods In this observational study, we enrolled equal numbers of HIV concordant and discordant couples in four rural and four urban clinics, with two Catholic and two non-Catholic clinics in each area. Eligible couples were fertile, not already using a LARC method, and wished to limit or delay fertility for at least 2 years. We provided CVCT and fertility goal-based family planning counselling with the offer of LARC and conducted multivariate analysis of clinic, couple, and individual predictors of LARC uptake. Results Of 1290 couples enrolled, 960 (74%) selected LARC: Jadelle 5-year implant (37%), Implanon 3-year implant (26%), or copper intrauterine device (IUD) (11%). Uptake was higher in non-Catholic clinics (85% vs. 63% in Catholic clinics, p
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