Impact of family planning health talks by lay health workers on contraceptive knowledge and attitudes among HIV-infected patients in rural Kenya

Onono, Maricianah; Blat, Cinthia; Miles, Sondra; Steinfeld, Rachel; Wekesa, Pauline; Bukusi, Elizabeth A.; Owuor, Kevin; Grossman, Daniel; Cohen, Craig R.; Newmann, Sara J.

doi:10.1016/j.pec.2013.11.008

Cited by 10 publications

(14 citation statements)

References 13 publications

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“…In this study, most of the women declared that they had more than 10 years of education, which justifies the fact that some interviewees were aware of general information on family planning while living with HIV, indicating a better chance to understand and adhere to the recommendations regarding contraception. This higher level of education diverges from studies carried out in Africa (8)(9) , where access to education is limited.…”

Section: Discussionmentioning

confidence: 83%

“…Most studies on the reproductive aspects of women with HIV/AIDS were developed in African nations (8)(9)(10) , where the highest incidence of cases is concentrated. It is important to emphasize that the Brazilian scenario is not different, taking into account that it concentrates the highest number of HIV/AIDS cases in Latin America (11) , which exposes the need to evaluate the reproductive aspects of these women.…”

Section: Introductionmentioning

confidence: 99%

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Reproductive aspects and knowledge of family planning among women with Acquired Immunodeficiency Syndrome

Lima

Cunha

et al. 2017

Rev. esc. enferm. USP

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Objective:To analyze the reproductive aspects and knowledge of family planning among women with Acquired Immunodeficiency Syndrome (AIDS). Method: Crosssectional and descriptive study carried out from January to December, 2015, in the outpatient care of infectious disease unit in a hospital located in Fortaleza, Ceará. Data were collected through a form applied by interview in a private setting. Results: 102 women participated in the study. Most were aware that they were serologically positive with human immunodeficiency virus (HIV) during prenatal care (96.1%) and did not intend to have more children (63.7%). Women who were less than 39 years of age, had a higher educational level, and a shorter time of antiretroviral therapy had better chances of having children (p≤0.05). Having a steady partner increased the chance of desiring to have children, while tubal ligation was higher among women that did not receive counseling on family planning. Knowledge of family planning was limited because of lack of assistance provided by health professionals. DESCRIPTORS INTRODUCTIONThere are 36.7 million people around the world living with acquired immunodeficiency syndrome (HIV), and the number of infected women represents more than half of this population (1) . Access to antiretroviral therapy (ART) has been significantly expanded, providing improvement in the quality of life and an increase in survival rates for people with HIV and Acquired Immunodeficiency Syndrome (AIDS), and raised challenges aimed at guaranteeing total health for these individuals (1)(2) . In this regard, a decrease in morbimortality and an increase in the number of women of reproductive age with HIV/AIDS have been seen, which led to broadening the discussion on family planning (2)(3) , with the aim of maintaining the health of women, safeguarding reproductive rights, avoiding unintended pregnancy and maternal death, and preventing virus spread and vertical transmission (4) . Brazil is renowned for having a national program for HIV/AIDS that guarantees antiretroviral drugs free of charge and sustainably for everyone with HIV/AIDS, including pregnant women, in addition to offering quick testing and serology for detecting HIV in pregnant women (5) . Despite these achievements, there are social inequalities among the regions of Brazil related to virus detection rate in this population. In the Northeast region, detection rates for HIV are the lowest, and pregnant women have the poorest education and hence are the most affected in the country (6) . As a consequence, there is a lack of information about the factors that affect the wish to have children among these women, as well as the use of contraceptive methods, in this Brazilian region.Evidence suggests that, despite the possibility of women with HIV/AIDS having a healthy and reasonable sexual and reproductive life, there are challenges related to access to sexual and reproductive rights and health services, including the provision of contraceptive methods (7) . Furthermore, barriers such as la...

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Section: Discussionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Reproductive aspects and knowledge of family planning among women with Acquired Immunodeficiency Syndrome

Lima

Cunha

et al. 2017

Rev. esc. enferm. USP

View full text Add to dashboard Cite

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“…Trained community health workers conducted FPrelated health talks in waiting areas at all sites. 34 The FP health talks lasted 15-30 min and covered the following: importance of using contraception to prevent unintended pregnancies; information on all methods of contraception, including permanent methods; importance of dual protection; and common side effects, myths, and misconceptions about contraception.…”

Section: Study Design and Sitesmentioning

confidence: 99%

HIV-Positive Men's Experiences with Integrated Family Planning and HIV Services in Western Kenya: Integration Fosters Male Involvement

Patel

Baum²,

Grossman

et al. 2014

AIDS Patient Care and STDs

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A growing body of evidence indicates that integrating family planning (FP) services into HIV care is effective at improving contraceptive uptake among HIV-positive women in resource-poor settings, yet little research has examined HIV-positive men's experiences with such integration. We conducted in-depth interviews with 21 HIV-positive men seeking care at HIV clinics in Nyanza, Kenya. All clinics were intervention sites for a FP/ HIV service integration cluster-randomized trial. Grounded theory was used to code and analyze the data. Our findings highlight men's motivations for FP, reasons why men prefer obtaining their FP services, which include education, counseling, and commodities, at HIV care clinics, and specific ways in which integrated FP/HIV services fostered male inclusion in FP decision-making. In conclusion, men appear invested in FP and their inclusion in FP decision-making may bolster both female and male agency. Men's positive attitudes towards FP being provided at HIV care clinics supports the programmatic push towards integrated delivery models for FP and HIV services.

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“…The Information Motivation and Behavior model purports that several factors influence motivation and behavior but that having information is an essential component of behavior change; this model has been used by HIV and family planning health education programs around the world, including programs in Kenya [12]. However, there are currently no widely used, reproducible educational interventions to promote cervical cancer screening in rural Africa.…”

Section: Introductionmentioning

confidence: 99%

Changing knowledge, attitudes, and behaviors regarding cervical cancer screening: The effects of an educational intervention in rural Kenya

Rosser¹,

Njoroge²,

Huchko³

2015

Patient Education and Counseling

104

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Objective Cervical cancer screening uptake may be influenced by inadequate knowledge in resource-limited settings. This randomized trial evaluated a health talk’s impact on cervical cancer knowledge, attitudes, and screening rates in rural Kenya. Methods 419 women attending government clinics were randomized to an intervention (n=207) or control (n=212) group. The intervention was a brief health talk on cervical cancer. Participants completed surveys at enrollment (all), immediately after the talk (intervention arm), and at three-months follow-up (all). The primary outcomes were the change in knowledge scores and the final screening rates at three-months follow-up. Secondary outcomes were changes in awareness about cervical cancer screening, perception of personal cervical cancer risk, cervical cancer and HIV stigma, and screening acceptability. Results Knowledge Scores increased by 26.4% (8.7 to 11.0 points) in the intervention arm compared to only 17.6% (8.5 to 10.0 points) in the control arm (p<0.01). Screening uptake was moderate in both the intervention (58.9%; N=122) and control (60.9%; N=129) arms, with no difference between the groups (p=0.60). Conclusion A brief health talk increased cervical cancer knowledge, although it did not increase screening over simply informing women about free screening. Practice Implications Screening programs can increase patient understanding with just a brief educational intervention.

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Impact of family planning health talks by lay health workers on contraceptive knowledge and attitudes among HIV-infected patients in rural Kenya

Cited by 10 publications

References 13 publications

Reproductive aspects and knowledge of family planning among women with Acquired Immunodeficiency Syndrome

Reproductive aspects and knowledge of family planning among women with Acquired Immunodeficiency Syndrome

HIV-Positive Men's Experiences with Integrated Family Planning and HIV Services in Western Kenya: Integration Fosters Male Involvement

Changing knowledge, attitudes, and behaviors regarding cervical cancer screening: The effects of an educational intervention in rural Kenya

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