Overcoming Barriers to Family Planning through Integration: Perspectives of HIV-Positive Men in Nyanza Province, Kenya
Identifieur interne : 002495 ( Main/Exploration ); précédent : 002494; suivant : 002496Overcoming Barriers to Family Planning through Integration: Perspectives of HIV-Positive Men in Nyanza Province, Kenya
Auteurs : Rachel L. Steinfeld [États-Unis] ; Sara J. Newmann [États-Unis] ; Maricianah Onono [Kenya] ; Craig R. Cohen [États-Unis] ; Elizabeth A. Bukusi [États-Unis, Kenya] ; Daniel Grossman [États-Unis]Source :
- AIDS Research and Treatment [ 2090-1240 ] ; 2013.
Abstract
This study explored barriers to and facilitators of using family planning services among HIV-positive men in Nyanza Province, Kenya. From May to June 2010, in-depth interviews were conducted with 30 men receiving care at 15 HIV clinics. The key barriers to the use of family planning included concerns about side effects of contraceptives, lack of knowledge about contraceptive methods, myths and misconceptions including fear of infertility, structural barriers such as staffing shortages at HIV clinics, and a lack of male focus in family planning methods and service delivery. The integration of family planning into HIV clinics including family planning counseling and education was cited as an important strategy to improve family planning receptivity among men. Integrating family planning into HIV services is a promising strategy to facilitate male involvement in family planning. Integration needs to be rigorously evaluated in order to measure its impact on unmet need for contraception among HIV-positive women and their partners and assure that it is implemented in a manner that engages both men and women.
Url:
DOI: 10.1155/2013/861983
PubMed: 23738057
PubMed Central: 3657396
Affiliations:
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Steinfeld</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Obstetrics and Gynecology and Reproductive Sciences, University of California, San Francisco (UCSF), 50 Beale Street, Suite 1200, San Francisco, CA 94105, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Obstetrics and Gynecology and Reproductive Sciences, University of California, San Francisco (UCSF), 50 Beale Street, Suite 1200, San Francisco, CA 94105</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Newmann, Sara J" sort="Newmann, Sara J" uniqKey="Newmann S" first="Sara J." last="Newmann">Sara J. 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Newmann</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Obstetrics and Gynecology and Reproductive Sciences, University of California, San Francisco (UCSF), 50 Beale Street, Suite 1200, San Francisco, CA 94105, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Obstetrics and Gynecology and Reproductive Sciences, University of California, San Francisco (UCSF), 50 Beale Street, Suite 1200, San Francisco, CA 94105</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Onono, Maricianah" sort="Onono, Maricianah" uniqKey="Onono M" first="Maricianah" last="Onono">Maricianah Onono</name><affiliation wicri:level="1"><nlm:aff id="I2">Center for Microbiology Research, Kenya Medical Research Institute (KEMRI), Mbagathi Road, P.O. Box 19464, Nairobi 00202, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Center for Microbiology Research, Kenya Medical Research Institute (KEMRI), Mbagathi Road, P.O. Box 19464, Nairobi 00202</wicri:regionArea><wicri:noRegion>Nairobi 00202</wicri:noRegion></affiliation></author><author><name sortKey="Cohen, Craig R" sort="Cohen, Craig R" uniqKey="Cohen C" first="Craig R." last="Cohen">Craig R. Cohen</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Obstetrics and Gynecology and Reproductive Sciences, University of California, San Francisco (UCSF), 50 Beale Street, Suite 1200, San Francisco, CA 94105, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Obstetrics and Gynecology and Reproductive Sciences, University of California, San Francisco (UCSF), 50 Beale Street, Suite 1200, San Francisco, CA 94105</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Bukusi, Elizabeth A" sort="Bukusi, Elizabeth A" uniqKey="Bukusi E" first="Elizabeth A." last="Bukusi">Elizabeth A. Bukusi</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Obstetrics and Gynecology and Reproductive Sciences, University of California, San Francisco (UCSF), 50 Beale Street, Suite 1200, San Francisco, CA 94105, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Obstetrics and Gynecology and Reproductive Sciences, University of California, San Francisco (UCSF), 50 Beale Street, Suite 1200, San Francisco, CA 94105</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Center for Microbiology Research, Kenya Medical Research Institute (KEMRI), Mbagathi Road, P.O. Box 19464, Nairobi 00202, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Center for Microbiology Research, Kenya Medical Research Institute (KEMRI), Mbagathi Road, P.O. Box 19464, Nairobi 00202</wicri:regionArea><wicri:noRegion>Nairobi 00202</wicri:noRegion></affiliation></author><author><name sortKey="Grossman, Daniel" sort="Grossman, Daniel" uniqKey="Grossman D" first="Daniel" last="Grossman">Daniel Grossman</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Obstetrics and Gynecology and Reproductive Sciences, University of California, San Francisco (UCSF), 50 Beale Street, Suite 1200, San Francisco, CA 94105, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Obstetrics and Gynecology and Reproductive Sciences, University of California, San Francisco (UCSF), 50 Beale Street, Suite 1200, San Francisco, CA 94105</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="I3">Ibis Reproductive Health, 17 Dunster Street, Suite 201, Cambridge, MA 02138, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Ibis Reproductive Health, 17 Dunster Street, Suite 201, Cambridge, MA 02138</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author></analytic><series><title level="j">AIDS Research and Treatment</title><idno type="ISSN">2090-1240</idno><idno type="eISSN">2090-1259</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>This study explored barriers to and facilitators of using family planning services among HIV-positive men in Nyanza Province, Kenya. From May to June 2010, in-depth interviews were conducted with 30 men receiving care at 15 HIV clinics. The key barriers to the use of family planning included concerns about side effects of contraceptives, lack of knowledge about contraceptive methods, myths and misconceptions including fear of infertility, structural barriers such as staffing shortages at HIV clinics, and a lack of male focus in family planning methods and service delivery. The integration of family planning into HIV clinics including family planning counseling and education was cited as an important strategy to improve family planning receptivity among men. Integrating family planning into HIV services is a promising strategy to facilitate male involvement in family planning. Integration needs to be rigorously evaluated in order to measure its impact on unmet need for contraception among HIV-positive women and their partners and assure that it is implemented in a manner that engages both men and women.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Cooper, D" uniqKey="Cooper D">D Cooper</name></author><author><name sortKey="Harries, J" uniqKey="Harries J">J Harries</name></author><author><name sortKey="Myer, L" uniqKey="Myer L">L Myer</name></author><author><name sortKey="Orner, P" uniqKey="Orner P">P Orner</name></author><author><name sortKey="Bracken, H" uniqKey="Bracken H">H Bracken</name></author><author><name sortKey="Zweigenthal, V" uniqKey="Zweigenthal V">V Zweigenthal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Laher, F" uniqKey="Laher F">F Laher</name></author><author><name sortKey="Todd, Cs" uniqKey="Todd C">CS Todd</name></author><author><name 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uniqKey="Dworkin S">SL Dworkin</name></author><author><name sortKey="Colvin, C" uniqKey="Colvin C">C Colvin</name></author><author><name sortKey="Hatcher, A" uniqKey="Hatcher A">A Hatcher</name></author><author><name sortKey="Peacock, D" uniqKey="Peacock D">D Peacock</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rutenberg, N" uniqKey="Rutenberg N">N Rutenberg</name></author><author><name sortKey="Watkins, Sc" uniqKey="Watkins S">SC Watkins</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kohler, Hp" uniqKey="Kohler H">HP Kohler</name></author><author><name sortKey="Behrman, Jr" uniqKey="Behrman J">JR Behrman</name></author><author><name sortKey="Watkins, Sc" uniqKey="Watkins S">SC Watkins</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Kenya</li><li>États-Unis</li></country><region><li>Californie</li><li>Massachusetts</li></region></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Steinfeld, Rachel L" sort="Steinfeld, Rachel L" uniqKey="Steinfeld R" first="Rachel L." last="Steinfeld">Rachel L. Steinfeld</name></region><name sortKey="Bukusi, Elizabeth A" sort="Bukusi, Elizabeth A" uniqKey="Bukusi E" first="Elizabeth A." last="Bukusi">Elizabeth A. Bukusi</name><name sortKey="Cohen, Craig R" sort="Cohen, Craig R" uniqKey="Cohen C" first="Craig R." last="Cohen">Craig R. Cohen</name><name sortKey="Grossman, Daniel" sort="Grossman, Daniel" uniqKey="Grossman D" first="Daniel" last="Grossman">Daniel Grossman</name><name sortKey="Grossman, Daniel" sort="Grossman, Daniel" uniqKey="Grossman D" first="Daniel" last="Grossman">Daniel Grossman</name><name sortKey="Newmann, Sara J" sort="Newmann, Sara J" uniqKey="Newmann S" first="Sara J." last="Newmann">Sara J. Newmann</name></country><country name="Kenya"><noRegion><name sortKey="Onono, Maricianah" sort="Onono, Maricianah" uniqKey="Onono M" first="Maricianah" last="Onono">Maricianah Onono</name></noRegion><name sortKey="Bukusi, Elizabeth A" sort="Bukusi, Elizabeth A" uniqKey="Bukusi E" first="Elizabeth A." last="Bukusi">Elizabeth A. 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