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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Fertility goal-based counseling increases contraceptive implant and IUD use in HIV-discordant couples in Rwanda and Zambia
Contraception, Volume 88, No. 1, Year 2013
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Description
Background: HIV-discordant heterosexual couples are faced with the dual challenge of preventing sexual HIV transmission and unplanned pregnancies with the attendant risk of perinatal HIV transmission. Our aim was to examine uptake of two long-acting reversible contraceptive (LARC) methods - intrauterine devices (IUD) and hormonal implants - among HIV-discordant couples in Rwanda and Zambia. Study Design: Women were interviewed alone or with their partner during routine cohort study follow-up visits to ascertain fertility goals; those not pregnant, not infertile, not already using LARC, and wishing to limit or delay fertility for ≥ 3 years were counseled on LARC methods and offered an IUD or implant on-site. Results: Among 409 fertile HIV-discordant Rwandan women interviewed (126 alone, 283 with partners), 365 (89%) were counseled about LARC methods, and 130 (36%) adopted a method (100 implant, 30 IUD). Of 787 fertile Zambian women interviewed (457 alone, 330 with partners), 528 (67%) received LARC counseling, of whom 177 (34%) adopted a method (139 implant, 38 IUD). In both countries, a woman's younger age was predictive of LARC uptake. LARC users reported fewer episodes of unprotected sex than couples using only condoms. Conclusions: Integrated fertility goal-based family planning counseling and access to LARC methods with reinforcement of dual-method use prompted uptake of IUDs and implants and reduced unprotected sex among HIV-discordant couples in two African capital cities. © 2013 Elsevier Inc. All rights reserved.
Authors & Co-Authors
Khu, Naw Htee
United States, Atlanta
Emory University
Vwalika, Bellington
United States, Atlanta
Emory University
Zambia, Lusaka
Zambia-emory Hiv Research Project
Zambia, Lusaka
University Teaching Hospital Lusaka
Karita, Etienne
United States, Atlanta
Emory University
Rwanda, Kigali
Projet San Francisco
Kilembe, William
United States, Atlanta
Emory University
Zambia, Lusaka
Zambia-emory Hiv Research Project
Bayingana, Roger A.
United States, Atlanta
Emory University
Rwanda, Kigali
Projet San Francisco
Sitrin, Deborah
United States, Atlanta
Emory University
Zambia, Lusaka
Zambia-emory Hiv Research Project
Roeber-Rice, Heidi
United States, Atlanta
Emory University
Rwanda, Kigali
Projet San Francisco
Learner, Emily
United States, Atlanta
Emory University
Zambia, Lusaka
Zambia-emory Hiv Research Project
Tichacek, Amanda C.
United States, Atlanta
Emory University
Haddad, Lisa Blake
United States, Atlanta
Emory University
Wall, Kristin Marie
United States, Atlanta
Emory University
United States, Atlanta
Rollins School of Public Health
Chomba, Elwyn Nachanya
United States, Atlanta
Emory University
Zambia, Lusaka
Zambia-emory Hiv Research Project
Zambia, Lusaka
University Teaching Hospital Lusaka
Allen, Susan A.
United States, Atlanta
Emory University
Statistics
Citations: 52
Authors: 13
Affiliations: 5
Identifiers
Doi:
10.1016/j.contraception.2012.10.004
ISSN:
00107824
e-ISSN:
18790518
Research Areas
Health System And Policy
Infectious Diseases
Sexual And Reproductive Health
Study Design
Cohort Study
Study Approach
Quantitative
Study Locations
Rwanda
Zambia
Participants Gender
Female