Providers' Views Concerning Family Planning Service Delivery to HIV‐positive Women in Mozambique
Identifieur interne : 000978 ( Main/Exploration ); précédent : 000977; suivant : 000979Providers' Views Concerning Family Planning Service Delivery to HIV‐positive Women in Mozambique
Auteurs : Sarah R. Hayford ; Victor AgadjanianSource :
- Studies in Family Planning [ 0039-3665 ] ; 2010-12.
Descripteurs français
- Wicri :
- geographic : Mozambique.
- topic : Planification de la famille, Santé génésique.
English descriptors
- KwdEn :
- Active antiretroviral therapy, Aids conference, Antenatal, Arizona state university, Carolyn baek, Child health, Child health clinics, Clinic, Clinic staff, Complex pmtct regimens, Condom, Contraceptive, Contraceptive methods, Diane cooper, District centers, Effective family planning services, Family planning, Family planning advice, Family planning counseling, Family planning service provision, Family planning services, Gaza, Gaza province, Haart, Health survey, Highest level, Hillary bracken, Hivpositive women, Hormonal methods, Instituto nacional, International family planning perspectives, Landon myer, Larger project, Limited resources, Many children, Many clinics, Mexico city, More children, Mozambique, Nearby clinics, Other clinics, Phyllis orner, Pmtct, Pmtct regimens, Pmtct services, Practice contraception, Previous research, Provider, Recent introduction, Regimen, Reproductive, Reproductive health, Reproductive health services, Respondent, Rural clinics, Rural communities, Rural mozambique, Rutenberg, Safe pregnancy, Seronegative women, Seropositive, Seropositive clients, Seropositive women, Service providers, Side effects, Social barriers, Social science medicine, Sociocultural challenges, Southern mozambique, Specialized counseling, Study area, Support groups, Survey respondents, Treatment programs, Treatment services, Vertical transmission, Victor agadjanian, Viral load, Virginia zweigenthal, Willard cates.
- Teeft :
- Active antiretroviral therapy, Aids conference, Antenatal, Arizona state university, Carolyn baek, Child health, Child health clinics, Clinic, Clinic staff, Complex pmtct regimens, Condom, Contraceptive, Contraceptive methods, Diane cooper, District centers, Effective family planning services, Family planning, Family planning advice, Family planning counseling, Family planning service provision, Family planning services, Gaza, Gaza province, Haart, Health survey, Highest level, Hillary bracken, Hivpositive women, Hormonal methods, Instituto nacional, International family planning perspectives, Landon myer, Larger project, Limited resources, Many children, Many clinics, Mexico city, More children, Mozambique, Nearby clinics, Other clinics, Phyllis orner, Pmtct, Pmtct regimens, Pmtct services, Practice contraception, Previous research, Provider, Recent introduction, Regimen, Reproductive, Reproductive health, Reproductive health services, Respondent, Rural clinics, Rural communities, Rural mozambique, Rutenberg, Safe pregnancy, Seronegative women, Seropositive, Seropositive clients, Seropositive women, Service providers, Side effects, Social barriers, Social science medicine, Sociocultural challenges, Southern mozambique, Specialized counseling, Study area, Support groups, Survey respondents, Treatment programs, Treatment services, Vertical transmission, Victor agadjanian, Viral load, Virginia zweigenthal, Willard cates.
Abstract
This study explores challenges and obstacles in providing effective family planning services to HIV‐positive women as described by staff of maternal and child health (MCH) clinics. It draws upon data from a survey of service providers carried out from late 2008 to early 2009 in 52 MCH clinics in southern Mozambique, some with and some without HIV services. In all clinics, surveyed providers reported that practical, financial, and social barriers made it difficult for HIV‐positive clients to follow protocols to prevent mother‐to‐child transmission of the virus. Likewise, staff were skeptical of their seropositive clients' ability to adhere to recommendations to cease childbearing and to use condoms consistently. Providers' recommendations to HIV‐positive clients and their assessment of barriers to adherence did not depend on availability of HIV services. Although integration of HIV and reproductive health services is advancing in Mozambique, service providers do not feel that they can influence the behaviors of HIV‐positive women effectively.
Url:
DOI: 10.1111/j.1728-4465.2010.00254.x
Affiliations:
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clients</term><term>Seropositive women</term><term>Service providers</term><term>Side effects</term><term>Social barriers</term><term>Social science medicine</term><term>Sociocultural challenges</term><term>Southern mozambique</term><term>Specialized counseling</term><term>Study area</term><term>Support groups</term><term>Survey respondents</term><term>Treatment programs</term><term>Treatment services</term><term>Vertical transmission</term><term>Victor agadjanian</term><term>Viral load</term><term>Virginia zweigenthal</term><term>Willard cates</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Active antiretroviral therapy</term><term>Aids conference</term><term>Antenatal</term><term>Arizona state university</term><term>Carolyn baek</term><term>Child health</term><term>Child health clinics</term><term>Clinic</term><term>Clinic staff</term><term>Complex pmtct regimens</term><term>Condom</term><term>Contraceptive</term><term>Contraceptive methods</term><term>Diane cooper</term><term>District centers</term><term>Effective family planning services</term><term>Family planning</term><term>Family planning advice</term><term>Family planning counseling</term><term>Family planning service provision</term><term>Family planning services</term><term>Gaza</term><term>Gaza province</term><term>Haart</term><term>Health survey</term><term>Highest level</term><term>Hillary bracken</term><term>Hivpositive women</term><term>Hormonal methods</term><term>Instituto nacional</term><term>International family planning perspectives</term><term>Landon myer</term><term>Larger project</term><term>Limited resources</term><term>Many children</term><term>Many clinics</term><term>Mexico city</term><term>More children</term><term>Mozambique</term><term>Nearby clinics</term><term>Other clinics</term><term>Phyllis orner</term><term>Pmtct</term><term>Pmtct regimens</term><term>Pmtct services</term><term>Practice contraception</term><term>Previous research</term><term>Provider</term><term>Recent introduction</term><term>Regimen</term><term>Reproductive</term><term>Reproductive health</term><term>Reproductive health services</term><term>Respondent</term><term>Rural clinics</term><term>Rural communities</term><term>Rural mozambique</term><term>Rutenberg</term><term>Safe pregnancy</term><term>Seronegative women</term><term>Seropositive</term><term>Seropositive clients</term><term>Seropositive women</term><term>Service providers</term><term>Side effects</term><term>Social barriers</term><term>Social science medicine</term><term>Sociocultural challenges</term><term>Southern mozambique</term><term>Specialized counseling</term><term>Study area</term><term>Support groups</term><term>Survey respondents</term><term>Treatment programs</term><term>Treatment services</term><term>Vertical transmission</term><term>Victor agadjanian</term><term>Viral load</term><term>Virginia zweigenthal</term><term>Willard cates</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Mozambique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Planification de la famille</term><term>Santé génésique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This study explores challenges and obstacles in providing effective family planning services to HIV‐positive women as described by staff of maternal and child health (MCH) clinics. It draws upon data from a survey of service providers carried out from late 2008 to early 2009 in 52 MCH clinics in southern Mozambique, some with and some without HIV services. In all clinics, surveyed providers reported that practical, financial, and social barriers made it difficult for HIV‐positive clients to follow protocols to prevent mother‐to‐child transmission of the virus. Likewise, staff were skeptical of their seropositive clients' ability to adhere to recommendations to cease childbearing and to use condoms consistently. Providers' recommendations to HIV‐positive clients and their assessment of barriers to adherence did not depend on availability of HIV services. Although integration of HIV and reproductive health services is advancing in Mozambique, service providers do not feel that they can influence the behaviors of HIV‐positive women effectively.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Agadjanian, Victor" sort="Agadjanian, Victor" uniqKey="Agadjanian V" first="Victor" last="Agadjanian">Victor Agadjanian</name><name sortKey="Hayford, Sarah R" sort="Hayford, Sarah R" uniqKey="Hayford S" first="Sarah R." last="Hayford">Sarah R. Hayford</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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