Changes in Contraceptive Use Following Integration of Family Planning into ART Services in Cross River State, Nigeria
Identifieur interne : 000885 ( Main/Exploration ); précédent : 000884; suivant : 000886Changes in Contraceptive Use Following Integration of Family Planning into ART Services in Cross River State, Nigeria
Auteurs : Donna R. Mccarraher [États-Unis] ; Gwyneth Vance [États-Unis] ; Usman Gwarzo [États-Unis] ; Douglas Taylor [États-Unis] ; Otto Nzapfurundi Chabikuli [États-Unis]Source :
- Studies in Family Planning [ 0039-3665 ] ; 2011-12.
Descripteurs français
- Wicri :
- geographic : Nigeria.
- topic : Planification de la famille, Santé génésique.
English descriptors
- KwdEn :
- Baseline, Baseline interviews, Basic baseline, Basic group, Basic groups, Basic integration, Basic intervention sites, Clinic, Clinic days, Clinic staff, Community volunteers, Condom, Consistent condom, Contact information, Contraceptive, Contraceptive counseling, Contraceptive method, Contraceptive methods, Counseling practices, Douglas taylor, Evaluation systems, Family health, Family planning, Family planning services, Ghain, Global initiative nigeria, Greater increases, Gwyneth vance, Health survey, Integration models, Intervention activities, Intervention group, Intervention groups, Intervention sites, Large families, Lgas, Local government areas, Modern method, More children, National population commission, Nigeria, Nigerian government, Noncondom, Noncondom methods, Nonpregnant women, Officer ghain, Officer ghain staff, Otto nzapfurundi chabikuli, Parity status, Participant, Percent response rate, Pregnant women, Primary analysis, Provider, Random subject effect, Religious beliefs, Reproductive health, Research assistants, River state, Sexual partner, Side effects, Small number, Study participants, Unmet, Unmet need, Unmet need calculation, Usman gwarzo.
- Teeft :
- Baseline, Baseline interviews, Basic baseline, Basic group, Basic groups, Basic integration, Basic intervention sites, Clinic, Clinic days, Clinic staff, Community volunteers, Condom, Consistent condom, Contact information, Contraceptive, Contraceptive counseling, Contraceptive method, Contraceptive methods, Counseling practices, Douglas taylor, Evaluation systems, Family health, Family planning, Family planning services, Ghain, Global initiative nigeria, Greater increases, Gwyneth vance, Health survey, Integration models, Intervention activities, Intervention group, Intervention groups, Intervention sites, Large families, Lgas, Local government areas, Modern method, More children, National population commission, Nigeria, Nigerian government, Noncondom, Noncondom methods, Nonpregnant women, Officer ghain, Officer ghain staff, Otto nzapfurundi chabikuli, Parity status, Participant, Percent response rate, Pregnant women, Primary analysis, Provider, Random subject effect, Religious beliefs, Reproductive health, Research assistants, River state, Sexual partner, Side effects, Small number, Study participants, Unmet, Unmet need, Unmet need calculation, Usman gwarzo.
Abstract
One strategy for meeting the contraceptive needs of HIV‐positive women is to integrate family planning into HIV services. In 2008 in Cross River State, Nigeria, family planning was integrated into antiretroviral (ART) services in five local government areas. A basic family planning/HIV integration model was implemented in three of these areas, and an enhanced model in the other two. We conducted baseline interviews in 2008 and follow‐up interviews 12–14 months later with 274 female ART clients aged 18–45 in 2009 across the five areas. Unmet need for contraception was high at baseline (28–35 percent). We found that modern contraceptive use rose in the enhanced and basic groups; most of the increase was in consistent condom use. Despite an increase in family planning counseling by ART providers, referrals to family planning services for noncondom methods were low. We conclude by presenting alternative strategies for family planning/HIV integration in settings where large families and low contraceptive use are normative.
Url:
DOI: 10.1111/j.1728-4465.2011.00291.x
Affiliations:
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Le document en format XML
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<term>Community volunteers</term>
<term>Condom</term>
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<term>Contact information</term>
<term>Contraceptive</term>
<term>Contraceptive counseling</term>
<term>Contraceptive method</term>
<term>Contraceptive methods</term>
<term>Counseling practices</term>
<term>Douglas taylor</term>
<term>Evaluation systems</term>
<term>Family health</term>
<term>Family planning</term>
<term>Family planning services</term>
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<term>Global initiative nigeria</term>
<term>Greater increases</term>
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<term>Health survey</term>
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<term>Officer ghain staff</term>
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<term>Percent response rate</term>
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<term>Provider</term>
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<front><div type="abstract" xml:lang="en">One strategy for meeting the contraceptive needs of HIV‐positive women is to integrate family planning into HIV services. In 2008 in Cross River State, Nigeria, family planning was integrated into antiretroviral (ART) services in five local government areas. A basic family planning/HIV integration model was implemented in three of these areas, and an enhanced model in the other two. We conducted baseline interviews in 2008 and follow‐up interviews 12–14 months later with 274 female ART clients aged 18–45 in 2009 across the five areas. Unmet need for contraception was high at baseline (28–35 percent). We found that modern contraceptive use rose in the enhanced and basic groups; most of the increase was in consistent condom use. Despite an increase in family planning counseling by ART providers, referrals to family planning services for noncondom methods were low. We conclude by presenting alternative strategies for family planning/HIV integration in settings where large families and low contraceptive use are normative.</div>
</front>
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