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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Providers' perspectives on provision of family planning to HIV-positive individuals in HIV care in Nyanza province, Kenya
AIDS Research and Treatment, Volume 2013, Article 915923, Year 2013
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Description
Objective. To inform an intervention integrating family planning into HIV care, family planning (FP) knowledge, attitudes and practices, and perspectives on integrating FP into HIV care were assessed among healthcare providers in Nyanza Province, Kenya. Methods. Thirty-one mixed-method, structured interviews were conducted among a purposive sample of healthcare workers (HCWs) from 13 government HIV care facilities in Nyanza Province. Structured questions and case scenarios assessed contraceptive knowledge, training, and FP provision experience. Open-ended questions explored perspectives on integration. Data were analyzed descriptively and qualitatively. Results. Of the 31 HCWs interviewed, 45% reported previous FP training. Few providers thought long-acting methods were safe for HIV-positive women (19% viewed depot medroxyprogesterone acetate as safe and 36% viewed implants and intrauterine contraceptives as safe); fewer felt comfortable recommending them to HIV-positive women. Overall, providers supported HIV and family planning integration, yet several potential barriers were identified including misunderstandings about contraceptive safety, gendered power differentials relating to fertility decisions, staff shortages, lack of FP training, and contraceptive shortages. Conclusions. These findings suggest the importance of considering issues such as patient flow, provider burden, commodity supply, gender and cultural issues affecting FP use, and provider training in FP/HIV when designing integrated FP/HIV services in high HIV prevalence areas. © 2013 Sara J. Newmann et al.
Authors & Co-Authors
Newmann, Sara J.
United States, San Francisco
University of California, San Francisco
Mishra, Kavita
United States, Providence
The Warren Alpert Medical School
Onono, Maricianah Atieno
Kenya, Nairobi
Kenya Medical Research Institute
Bukusi, Elizabeth Anne
United States, San Francisco
University of California, San Francisco
Kenya, Nairobi
Kenya Medical Research Institute
Cohen, Craig R.
United States, San Francisco
University of California, San Francisco
Gage, Olivia
United States, Chapel Hill
Unc School of Medicine
Odeny, Rose
Kenya
Migori District Hospital
Schwartz, Katie D.
United States, San Francisco
University of California, San Francisco
Grossman, Daniel A.
United States, San Francisco
University of California, San Francisco
United States, Cambridge
Ibis Reproductive Health
Statistics
Citations: 26
Authors: 9
Affiliations: 6
Identifiers
Doi:
10.1155/2013/915923
e-ISSN:
20901259
Research Areas
Health System And Policy
Infectious Diseases
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cross Sectional Study
Study Locations
Kenya
Participants Gender
Female