Integrating family planning and prevention of mother to child HIV transmission in Zimbabwe.
Identifieur interne : 001384 ( PubMed/Curation ); précédent : 001383; suivant : 001385Integrating family planning and prevention of mother to child HIV transmission in Zimbabwe.
Auteurs : Clea C. Sarnquist [États-Unis] ; Precious Moyo [Zimbabwe] ; Lynda Stranix-Chibanda [Zimbabwe] ; Tsungai Chipato [Zimbabwe] ; Jennifer L. Kang [États-Unis] ; Yvonne A. Maldonado [États-Unis]Source :
- Contraception [ 1879-0518 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Complications de la grossesse et maladies infectieuses (virologie), Connaissances, attitudes et pratiques en santé, Contraception (), Dispositifs intra-utérins, Divulgation, Femelle, Grossesse, Humains, Infections à VIH (), Infections à VIH (transmission), Mâle, Partenaire sexuel, Prise en charge postnatale, Prise en charge prénatale, Préservatifs masculins, Services de planification familiale (), Services de planification familiale (enseignement et éducation), Transmission verticale de maladie infectieuse (), Zimbabwe, Éducation du patient comme sujet, Études de cohortes.
- MESH :
- enseignement et éducation : Services de planification familiale.
- virologie : Complications de la grossesse et maladies infectieuses.
- Adulte, Connaissances, attitudes et pratiques en santé, Contraception, Dispositifs intra-utérins, Divulgation, Femelle, Grossesse, Humains, Infections à VIH, Mâle, Partenaire sexuel, Prise en charge postnatale, Prise en charge prénatale, Préservatifs masculins, Services de planification familiale, Transmission verticale de maladie infectieuse, Zimbabwe, Éducation du patient comme sujet, Études de cohortes.
- Wicri :
- geographic : Zimbabwe.
English descriptors
- KwdEn :
- Adult, Cohort Studies, Condoms, Contraception (methods), Disclosure, Family Planning Services (education), Family Planning Services (methods), Female, HIV Infections (prevention & control), HIV Infections (transmission), Health Knowledge, Attitudes, Practice, Humans, Infectious Disease Transmission, Vertical (prevention & control), Intrauterine Devices, Male, Patient Education as Topic, Postnatal Care, Pregnancy, Pregnancy Complications, Infectious (virology), Prenatal Care, Sexual Partners, Zimbabwe.
- MESH :
- geographic : Zimbabwe.
- education : Family Planning Services.
- methods : Contraception, Family Planning Services.
- prevention & control : HIV Infections, Infectious Disease Transmission, Vertical.
- transmission : HIV Infections.
- virology : Pregnancy Complications, Infectious.
- Adult, Cohort Studies, Condoms, Disclosure, Female, Health Knowledge, Attitudes, Practice, Humans, Intrauterine Devices, Male, Patient Education as Topic, Postnatal Care, Pregnancy, Prenatal Care, Sexual Partners.
Abstract
The objective was to integrate enhanced family planning (FP) and prevention of mother-to-child HIV transmission services in order to help HIV-positive Zimbabwean women achieve their desired family size and spacing as well as to maximize maternal and child health.
DOI: 10.1016/j.contraception.2013.11.003
PubMed: 24332254
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prénatale</term><term>Préservatifs masculins</term><term>Services de planification familiale ()</term><term>Services de planification familiale (enseignement et éducation)</term><term>Transmission verticale de maladie infectieuse ()</term><term>Zimbabwe</term><term>Éducation du patient comme sujet</term><term>Études de cohortes</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Zimbabwe</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Family Planning Services</term></keywords><keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Services de planification familiale</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Contraception</term><term>Family Planning Services</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>HIV Infections</term><term>Infectious Disease Transmission, Vertical</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Complications de la grossesse et maladies infectieuses</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Pregnancy Complications, Infectious</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cohort Studies</term><term>Condoms</term><term>Disclosure</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Intrauterine Devices</term><term>Male</term><term>Patient Education as Topic</term><term>Postnatal Care</term><term>Pregnancy</term><term>Prenatal Care</term><term>Sexual Partners</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Connaissances, attitudes et pratiques en santé</term><term>Contraception</term><term>Dispositifs intra-utérins</term><term>Divulgation</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Infections à VIH</term><term>Mâle</term><term>Partenaire sexuel</term><term>Prise en charge postnatale</term><term>Prise en charge prénatale</term><term>Préservatifs masculins</term><term>Services de planification familiale</term><term>Transmission verticale de maladie infectieuse</term><term>Zimbabwe</term><term>Éducation du patient comme sujet</term><term>Études de cohortes</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Zimbabwe</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The objective was to integrate enhanced family planning (FP) and prevention of mother-to-child HIV transmission services in order to help HIV-positive Zimbabwean women achieve their desired family size and spacing as well as to maximize maternal and child health.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24332254</PMID><DateCreated><Year>2014</Year><Month>03</Month><Day>24</Day></DateCreated><DateCompleted><Year>2014</Year><Month>11</Month><Day>12</Day></DateCompleted><DateRevised><Year>2016</Year><Month>10</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-0518</ISSN><JournalIssue CitedMedium="Internet"><Volume>89</Volume><Issue>3</Issue><PubDate><Year>2014</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Contraception</Title><ISOAbbreviation>Contraception</ISOAbbreviation></Journal><ArticleTitle>Integrating family planning and prevention of mother to child HIV transmission in Zimbabwe.</ArticleTitle><Pagination><MedlinePgn>209-14</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.contraception.2013.11.003</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0010-7824(13)00690-2</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The objective was to integrate enhanced family planning (FP) and prevention of mother-to-child HIV transmission services in order to help HIV-positive Zimbabwean women achieve their desired family size and spacing as well as to maximize maternal and child health.</AbstractText><AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">HIV-positive pregnant women were enrolled into a standard-of-care (SOC, n=33) or intervention (n=65) cohort, based on study entry date, and followed for 3 months postpartum. The intervention cohort received education sessions aimed at increasing FP use and negotiation power. Both groups received care from nurses with enhanced FP training. Outcomes included FP use, FP knowledge and HIV disclosure, and were assessed with Fisher's Exact Tests, binomial tests and t tests.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The intervention cohort reported increased control over condom use (p=.002), increased knowledge about IUDs (p=.002), increased relationship power (p=.01) and increased likelihood of disclosing their HIV status to a partner (p=.04) and having that partner disclose to them (p=.04) when compared to the SOC cohort. Long-acting reversible contraception (LARC) use in both groups increased from ~2% at baseline to >80% at 3 months postpartum (p<.001).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">FP and sexual negotiation skills and knowledge, as well as HIV disclosure, increased significantly in the intervention cohort. LARC uptake increased significantly in both the intervention and SOC cohorts, likely because both groups received care from nurses with enhanced FP training. Successful service integration models are needed to maximize health outcomes in resource-constrained environments; this intervention is such a model that should be replicable in other settings in sub-Saharan Africa and beyond.</AbstractText><AbstractText Label="IMPLICATIONS" NlmCategory="CONCLUSIONS">This study provides a rigorously evaluated intervention to integrate FP education into ante- and postnatal care for HIV-positive women and also to train providers on FP. Results suggest that this intervention had significant effects on contraception use and communication with sexual partners. This intervention should be adaptable to other areas.</AbstractText><CopyrightInformation>Copyright © 2014 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sarnquist</LastName><ForeName>Clea C</ForeName><Initials>CC</Initials><AffiliationInfo><Affiliation>Stanford University School of Medicine, Division of Pediatric Infectious Diseases, Menlo Park, CA, 94205, USA. Electronic address: cleas@stanford.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Moyo</LastName><ForeName>Precious</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>University of Zimbabwe-University of California San Francisco Collaborative Research Programme, Belgravia, Harare, Zimbabwe.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stranix-Chibanda</LastName><ForeName>Lynda</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>University of Zimbabwe-University of California San Francisco Collaborative Research Programme, Belgravia, Harare, Zimbabwe; University of Zimbabwe, College of Health Sciences, Parirenyatwa General Hospital, Harare, Zimbabwe.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chipato</LastName><ForeName>Tsungai</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>University of Zimbabwe-University of California San Francisco Collaborative Research Programme, Belgravia, Harare, Zimbabwe; University of Zimbabwe, College of Health Sciences, Parirenyatwa General Hospital, Harare, Zimbabwe.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kang</LastName><ForeName>Jennifer L</ForeName><Initials>JL</Initials><AffiliationInfo><Affiliation>Stanford University School of Medicine, Division of Pediatric Infectious Diseases, Menlo Park, CA, 94205, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maldonado</LastName><ForeName>Yvonne A</ForeName><Initials>YA</Initials><AffiliationInfo><Affiliation>Stanford University School of Medicine, Division of Pediatric Infectious Diseases, Menlo Park, CA, 94205, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>U01 AI069436</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>UM1 AI069436</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>5 UM1 AI069436-06</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>11</Month><Day>12</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Contraception</MedlineTA><NlmUniqueID>0234361</NlmUniqueID><ISSNLinking>0010-7824</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Health Policy Plan. 2004 Oct;19 Suppl 1:i62-i70</RefSource><PMID Version="1">15452016</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cochrane Database Syst Rev. 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