Knowledge, Use, and Concerns about Contraceptive Methods among Sero-Discordant Couples in Rwanda and Zambia

Grabbe, Kristina L.; Stephenson, Robert; Vwalika, Bellington; Ahmed, Yusuf; Vwalika, Cheswa; Chomba, Elwyn; Karita, Etienne; Kayitenkore, Kayitesi; Tichacek, Amanda; Allen, Susan

doi:10.1089/jwh.2008.1160

Cited by 65 publications

(62 citation statements)

References 27 publications

(21 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous research with the same cohort of couples showed a high level of health concerns around contraceptive methods, with the highest percentage of men and women reporting concerns about OCPs compared with injectables, Norplant, or IUD. 11 In particular, previous work has demonstrated that men in this cohort report more concerns about IUDs than women and that the IUD was the method both men and women were most likely to report would fail to prevent pregnancy. This may explain the low levels of IUD uptake after the interventions.…”

Section: Stephenson Et Almentioning

confidence: 72%

“…This may explain the low levels of IUD uptake after the interventions. 11 It is important that efforts to provide family planning services to couples affected by HIV incorporate information on the efficacy, likely side effects, and impact on health of contraceptive methods and take steps to tackle any misconceptions that may surround contraception. Although such misinformation is likely present in the general reproductive-age population, it is plausible to suggest that those affected by HIV may have more concerns about contraceptive use linked to perceptions of their own health status.…”

Section: Stephenson Et Almentioning

confidence: 99%

“…Our previous work has shown that in this setting, despite high levels of knowledge of contraception, use of contraceptive methods remains relatively low, and reported fears of side effects are high. 11 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Randomized Controlled Trial to Promote Long-Term Contraceptive Use Among HIV-Serodiscordant and Concordant Positive Couples in Zambia

Stephenson

Vwalika

Greenberg

et al. 2011

Journal of Women's Health

Self Cite

View full text Add to dashboard Cite

Background: Countries facing high HIV prevalence often also experience high levels of fertility and low contraceptive use, suggesting high levels of unmet need for contraceptive services. In particular, the unique needs of couples with one or both partners HIV positive are largely missing from many current family planning efforts, which focus on the prevention of pregnancies in the absence of reduction of the risk of HIV and other sexually transmitted infections (STIs). Methods: This article presents an examination of contraceptive method uptake among a cohort of HIV serodiscordant and concordant positive study participants in Zambia. Results: Baseline contraceptive use was low; however, exposure to a video-based intervention that provided information on contraceptive methods and modeled desirable future planning behaviors dramatically increased the uptake of modern contraceptive methods. Conclusions: Including information on family planning in voluntary counseling and testing (VCT) services in addition to tailoring the delivery of family planning information to meet the needs and concerns of HIV-positive women or those with HIV-positive partners is an essential step in the delivery of services and prevention efforts to reduce the transmission of HIV. Family planning and HIV prevention programs should integrate counseling on dual method use, combining condoms for HIV/STI prevention with a long-acting contraceptive for added protection against unplanned pregnancy.

show abstract

Section: Stephenson Et Almentioning

confidence: 72%

Section: Stephenson Et Almentioning

confidence: 99%

See 1 more Smart Citation

A Randomized Controlled Trial to Promote Long-Term Contraceptive Use Among HIV-Serodiscordant and Concordant Positive Couples in Zambia

Stephenson

Vwalika

Greenberg

et al. 2011

Journal of Women's Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…In recent years, serodiscordant relationships among primary partners have increasingly become identified as a key context for the transmission of HIV globally [Jin et al 2007, Dunkle et al 2008, Eaton et al 2009, Hernando et al 2009 In sub-Saharan Africa, it is estimated that the majority of new HIV infections now occur within married or cohabiting couples (Guthrie et al 2007, Desgrées-duLoû and Orne-Gliemann 2008, Beyeza-Kashesya et al 2009, Grabbe et al 2009). Research from various countries with different types of HIV epidemics (generalised, low-level, or concentrated) suggests that serodiscordant relationships are common.…”

Section: Introductionmentioning

confidence: 99%

Notes on the concepts of ‘serodiscordance’ and ‘risk’ in couples with mixed HIV status

Persson

2013

Global Public Health

View full text Add to dashboard Cite

Serodiscordant primary relationships, in which one partner is HIV-positive and the other is HIV-negative, are increasingly recognised as a key context for the transmission of HIV globally. Yet insights into the dynamics of serodiscordance remain relatively limited. I argue that to understand what makes serodiscordant couples engage in sexual practices that increase the chance of transmission, we need to examine what HIV 'risk' actually means in different cultures and contexts. A 'socially situated' approach to HIV risk moves beyond its scientific conceptualisation as an objective 'fact', revealing a diversity of perceptions and competing risks. It also reveals that couples do not necessarily perceive their mixed HIV status in terms of 'difference', a common assumption that predetermines serodiscordance and thereby obscures its many and complex enactments. I draw on examples from the social research literature to illustrate how serodiscordance is shaped in different ways by local practices, priorities, and meanings. I argue that it is within these lived contexts that perceptions and negotiations of 'risk' arise and, thus, where couples' sexual practices need to be situated and understood. Such insights are timely as HIV research and prevention grapple with emerging scientific data that challenge traditional understandings about HIV transmission risk.

show abstract

“…Several studies have explored men’s role in reproductive health and suggest that partner involvement in FP could increase contraceptive uptake and use in SSA (Grabbe et al, 2009; Becker, 1996; Mbizvo & Bassett, 1996). With the importance of dual contraception method use in the HIV-positive population and the need for male acceptance of condom use, male partner involvement could also help prevent HIV transmission.…”

Section: Introductionmentioning

confidence: 99%

Providers' perspectives on male involvement in family planning in the context of a cluster-randomized controlled trial evaluating integrating family planning into HIV care in Nyanza Province, Kenya

et al. 2014

View full text Add to dashboard Cite

Integration of family planning (FP) services into HIV care and increasing male partner involvement in FP are being explored as strategies to reduce unmet need for contraception. Providers’ views can give valuable insight into current FP care. We evaluated the perspectives of HIV care providers working at HIV clinics in Nyanza Province, Kenya on male partner involvement in FP. This qualitative study was part of a cluster-randomized trial evaluating the impact of integrating FP into HIV services on contraceptive prevalence among HIV-positive patients in Nyanza, Kenya. Thirty individual interviews were conducted among healthcare workers at 11 HIV care facilities in Nyanza, Kenya. Interviews were conducted from integrated and control sites one year after implementation of FP/HIV integration. Data were transcribed and analyzed using grounded theory methods and Atlas.ti. Providers supported male partner inclusion when choosing FP and emphasized that decisions should be made collaboratively. Providers believed that men have traditionally played a prohibitive role in FP but identified several benefits to partner involvement in FP decision-making including: reducing relationship conflicts, improving FP knowledge and contraceptive continuation, and increasing partner cohesion. Providers suggested that integrated FP/HIV services facilitate male partner involvement in FP decision-making since HIV-positive men are already established patients in HIV clinics. Some providers stated that women had a right to choose and start FP alone if their partners did not agree with using FP. Integrated FP services may be a useful strategy to help increase male participation to reduce the unmet FP need in sub-Saharan Africa. It is important to determine effective ways to engage male partners in FP, without impinging upon women’s autonomy and reproductive rights.

show abstract

Knowledge, Use, and Concerns about Contraceptive Methods among Sero-Discordant Couples in Rwanda and Zambia

Cited by 65 publications

References 27 publications

A Randomized Controlled Trial to Promote Long-Term Contraceptive Use Among HIV-Serodiscordant and Concordant Positive Couples in Zambia

A Randomized Controlled Trial to Promote Long-Term Contraceptive Use Among HIV-Serodiscordant and Concordant Positive Couples in Zambia

Notes on the concepts of ‘serodiscordance’ and ‘risk’ in couples with mixed HIV status

Providers' perspectives on male involvement in family planning in the context of a cluster-randomized controlled trial evaluating integrating family planning into HIV care in Nyanza Province, Kenya

Contact Info

Product

Resources

About