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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Clinicians' perceptions and provision of hormonal contraceptives for HIV-positive and at-risk women in Southern Africa: An original research article
Contraception, Volume 90, No. 4, Year 2014
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Description
Objectives To assess clinician provision of hormonal contraception for HIV-positive and at-risk women in Southern Africa. Study Design We conducted a nationally representative survey of clinicians (n= 1444) in HIV-prevalent settings in South Africa and Zimbabwe to evaluate evidence-based contraceptive care and clinician views of hormonal contraceptives for HIV-positive and at-risk women. Multivariable logistic regression was used to analyze differences in contraceptive provision by professional training and practice setting. Results Most providers offered oral contraceptives (85%), but only a small minority considered them appropriate for women at risk of HIV (27%) or HIV-positive women (25%). A higher proportion of clinicians considered injections appropriate for women at risk of HIV (42%) or HIV-positive women (46%). Very few considered emergency contraceptives appropriate (13%). Multivariable results showed that family planning training and clinic as compared to hospital practices were associated with evidence-based attitudes about contraception for HIV-positive or at-risk women and greater provision. There were no differences, however, between physicians and nurses or by HIV training. Conclusions These findings emphasize the need to improve clinicians' awareness of evidence-based guidelines for hormonal contraception for women at high risk of HIV and HIV-positive women. Evidence-based information that oral contraception and injections are appropriate is essential. Contraceptive education should be integrated into HIV training to reach at-risk populations. © 2014 Elsevier Inc. All rights reserved.
Authors & Co-Authors
Blanchard, Kelly
United States, Cambridge
Ibis Reproductive Health
Chipato, Tsungai
Zimbabwe, Harare
University of Zimbabwe
Ramjee, Gita A.
South Africa, Tygerberg
South African Medical Research Council
Nhemachena, Taazadza
Zimbabwe, Harare
University of Zimbabwe
Harper, Cynthia C.
United States, San Francisco
University of California, San Francisco
Statistics
Citations: 8
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1016/j.contraception.2014.04.010
ISSN:
00107824
e-ISSN:
18790518
Research Areas
Health System And Policy
Infectious Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
South Africa
Zimbabwe
Participants Gender
Female