Meeting the family planning needs of women living with HIV in US government global health programs

Johnston, Beverly; Ligiéro, Daniela P.; DeSilva, Shyami; Medley, Amy; Nightingale, Vienna; Sripipatana, Tabitha; Bachanas, Pamela; Abutu, Andrew; Brewinski-Isaacs, Margaret; Bathily, Fatoumata; Grillo, Michael; Bertz, Lilly; Mani, Nithya

doi:10.1097/qad.0000000000000041

Cited by 8 publications

(10 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unfortunately, some countries with the highest rates of HIV prevalence also have low rates of contraceptive use and high rates of unintended pregnancy. The World Health Organization (WHO), United Nations, and other global public health organizations recognize that preventions of new HIV infections and unintended pregnancies are both critical to improving health, preventing mother-to-child transmission, and reducing infant and maternal morbidity and mortality [5–7, 8•]. It is therefore a public health priority to improve contraceptive access and use for women living with and at high risk of HIV infection.…”

mentioning

confidence: 99%

Contraceptive Methods and Risk of HIV Acquisition or Female-to-Male Transmission

et al. 2014

View full text Add to dashboard Cite

Effective family planning with modern contraception is an important intervention to prevent unintended pregnancies which also provides personal, familial, and societal benefits. Contraception is also the most cost-effective strategy to reduce the burden of mother-to-child HIV transmission for women living with HIV who wish to prevent pregnancy. There are concerns, however, that certain contraceptive methods, in particular the injectable contraceptive depot medroxyprogesterone acetate (DMPA), may increase a woman's risk of acquiring HIV or transmitting it to uninfected males. These concerns, if confirmed, could potentially have large public health implications. This paper briefly reviews the literature on use of contraception among women living with HIV or at high risk of HIV infection. The Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) recommendations place no restrictions on the use of hormonal contraceptive methods by women with or at high risk of HIV infection, although a clarification recommends that, given uncertainty in the current literature, women at high risk of HIV who choose progestogen-only injectable contraceptives should be informed that it may or may not increase their risk of HIV acquisition and should also be informed about and have access to HIV preventive measures, including male or female condoms.

show abstract

mentioning

confidence: 99%

Contraceptive Methods and Risk of HIV Acquisition or Female-to-Male Transmission

et al. 2014

View full text Add to dashboard Cite

show abstract

“…In the last few years, implementation research on how best to integrate these two closely related services has informed many international, regional and national health policies and programmes so that they support some degree of integration at the service delivery level. The growing evidence of integrated services is encouraging ( Church and Mayhew 2009 ; Spaulding et al 2009 ; Kennedy et al 2010 ; Global Fund 2011 ; Obure 2015 ; Johnstone et al 2013 ; Hope et al 2014 ; WHO 2015a ), but it highlights the need to resolve health systems obstacles to enable scale up of integrated service provision ( Wilcher et al 2013 ; Mayhew et al 2016 ).…”

Section: A History Of Srhr and Hiv Integrationmentioning

confidence: 99%

“…The experiences of decades of integration of sexual and reproductive health and rights (SRHR) and HIV responses can provide insights on how to progress towards the SDGs (UN 2015). Integration makes use of different service entry points, reduces structural silos, enables efficiencies and builds a broader cross cutting approach, to deliver comprehensive care for clients with multiple health needs ( Johnstone et al 2013 ; WHO 2015a ). In 2015, the SDGs were launched to shape the next 15-year development agenda, and complete the unfinished agenda of some of the Millennium Development Goals (UN 2015).…”

Section: Introductionmentioning

confidence: 99%

Health systems and the SDGs: lessons from a joint HIV and sexual and reproductive health and rights response

Warren

Hopkins

Narasimhan

et al. 2017

Health Policy and Planning

View full text Add to dashboard Cite

“…The USG PEPFAR Interagency Task Force on FP/HIV integration is comprised of FP and HIV experts from USG developmental agencies who provide technical guidance to PEPFAR policies and programmes on integrating FP and HIV services. The Task Force previously explained the USG principles and the continued commitment and efforts in meeting the FP needs of people living with HIV (PLHIV) in a 2013 commentary [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

The role of family planning in achieving safe pregnancy for serodiscordant couples: commentary from the United States government's interagency task force on family planning and HIV service integration

Mason

Medley

Yeiser

et al. 2017

Journal of the International AIDS Society

Self Cite

View full text Add to dashboard Cite

Introduction: People living with HIV (PLHIV) have the right to exercise voluntary choices about their health, including their reproductive health. This commentary discusses the integral role that family planning (FP) plays in helping PLHIV, including those in serodiscordant relationships, achieve conception safely. The United States (US) President’s Emergency Plan for AIDS Relief (PEPFAR) is committed to meeting the reproductive health needs of PLHIV by improving their access to voluntary FP counselling and services, including prevention of unintended pregnancy and counselling for safer conception. Discussion: Inclusion of preconception care and counselling (PCC) as part of routine HIV services is critical to preventing unintended pregnancies and perinatal infections among PLHIV. PLHIV not desiring a current pregnancy should be provided with information and counselling on all available FP methods and then either given the method onsite or through a facilitated referral process. PLHIV, who desire children should be offered risk reduction counselling, support for HIV status disclosure and partner testing, information on safer conception options to reduce the risk of HIV transmission to the partner and the importance of adhering to antiretroviral treatment during pregnancy and breastfeeding to reduce the risk of vertical transmission to the infant. Integration of PCC, HIV and FP services at the same location is recommended to improve access to these services for PLHIV. Other considerations to be addressed include the social and structural context, the health system capacity to offer these services, and stigma and discrimination of providers. Conclusion: Evaluation of innovative service delivery models for delivering PCC services is needed, including provision in community-based settings. The US Government will continue to partner with local organizations, Ministries of Health, the private sector, civil society, multilateral and bilateral donors, and other key stakeholders to strengthen both the policy and programme environment to ensure that all PLHIV and serodiscordant couples have access to FP services, including prevention of unintended pregnancy and safer conception counselling.

show abstract

Meeting the family planning needs of women living with HIV in US government global health programs

Cited by 8 publications

References 7 publications

Contraceptive Methods and Risk of HIV Acquisition or Female-to-Male Transmission

Contraceptive Methods and Risk of HIV Acquisition or Female-to-Male Transmission

Health systems and the SDGs: lessons from a joint HIV and sexual and reproductive health and rights response

The role of family planning in achieving safe pregnancy for serodiscordant couples: commentary from the United States government's interagency task force on family planning and HIV service integration

Contact Info

Product

Resources

About