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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Impact of long-term contraceptive promotion on incident pregnancy: A randomized controlled trial among HIV-positive couples in Lusaka, Zambia
Journal of Acquired Immune Deficiency Syndromes, Volume 63, No. 1, Year 2013
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Description
OBJECTIVES: To evaluate the impact of family planning promotion on incident pregnancy in a combined effort to address Prongs 1 and 2 of prevention of mother-to-child transmission of HIV. DESIGN: We conducted a factorial randomized controlled trial of 2 video-based interventions. METHODS: "Methods" and "Motivational" messages promoted long-term contraceptive use among 1060 couples with HIV in Lusaka, Zambia. RESULTS: Among couples not using contraception before randomization (n = 782), the video interventions had no impact on incident pregnancy. Among baseline contraceptive users, viewing the "Methods video" which focused on the intrauterine device and contraceptive implant was associated with a significantly lower pregnancy incidence [hazard ratio (HR) = 0.38; 95% confidence interval (CI): 0.19 to 0.75] relative to those viewing control and/or motivational videos. The effect was strongest in concordant positive couples (HR = 0.22; 95% CI: 0.08 to 0.58) and couples with HIV-positive women (HR = 0.23; 95% CI: 0.09 to 0.55). CONCLUSIONS: The "Methods video" intervention was previously shown to increase uptake of long-acting contraception and to prompt a shift from daily oral contraceptives to quarterly injectables and long-acting methods such as the intrauterine device and implant. Follow-up confirms sustained intervention impact on pregnancy incidence among baseline contraceptive users, in particular couples with HIV-positive women. Further work is needed to identify effective interventions to promote long-acting contraception among couples who have not yet adopted modern methods. Copyright © 2013 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Wall, Kristin Marie
United States, Atlanta
Emory University
Vwalika, Bellington
United States, Atlanta
Emory University
Haddad, Lisa Blake
United States, Atlanta
Emory University
United States, Atlanta
Emory University School of Medicine
Khu, Naw Htee
United States, Atlanta
Emory University
Vwalika, Cheswa M.
United States, Atlanta
Emory University
Kilembe, William
United States, Atlanta
Emory University
Chomba, Elwyn Nachanya
United States, Atlanta
Emory University
Stephenson, Rob B.
United States, Atlanta
Emory University
Kleinbaum, David G.
United States, Atlanta
Emory University
Nizam, Azhar
United States, Atlanta
Emory University
Brill, Ilene K.
United States, Atlanta
Emory University
United States, Birmingham
The University of Alabama at Birmingham
Tichacek, Amanda C.
United States, Atlanta
Emory University
Allen, Susan A.
United States, Atlanta
Emory University
Statistics
Citations: 27
Authors: 13
Affiliations: 3
Identifiers
Doi:
10.1097/QAI.0b013e31827ee19c
ISSN:
10779450
Research Areas
Environmental
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cohort Study
Study Approach
Quantitative
Study Locations
Zambia
Participants Gender
Female