Modern Contraceptive and Dual Method Use among HIV-Infected Women in Lusaka, Zambia

HIV-infected women in sub-Saharan Africa are at substantial risk of unintended pregnancy and sexually transmitted infections (STIs). Linkages between HIV and reproductive health services are advocated. We describe implementation of a reproductive health counseling intervention in 16 HIV clinics in L...

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Bibliographic Details
Published in:Infectious Diseases in Obstetrics and Gynecology 2011, Vol.2011 (2011), p.25-32
Main Authors: Li, Michelle S., Mbewe, Reuben K., Chibwesha, Carla J., Stringer, Elizabeth M., Stringer, Jeffrey S. A., Chi, Benjamin H., Matoba, Christine K.
Format: Article
Language:English
Subjects:
Adult
Birth control
Care and treatment
Cohort Studies
Condoms - utilization
Contraception Behavior
Contraceptive Agents, Female - administration & dosage
Contraceptives
Counseling
Demographic aspects
Family planning
Family Planning Services - methods
Female
HIV
HIV Infections
HIV patients
Human immunodeficiency virus
Humans
Patient Education as Topic - methods
Pregnancy
Program Evaluation
Regression Analysis
Sterilization, Reproductive - statistics & numerical data
Studies
Women's Health
Womens health
Zambia
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Summary:HIV-infected women in sub-Saharan Africa are at substantial risk of unintended pregnancy and sexually transmitted infections (STIs). Linkages between HIV and reproductive health services are advocated. We describe implementation of a reproductive health counseling intervention in 16 HIV clinics in Lusaka, Zambia. Between November 2009 and November 2010, 18,407 women on antiretroviral treatment (ART) were counseled. The median age was 34.6 years (interquartile range (IQR): 29.9–39.7), and 60.1% of women were married. The median CD4+ cell count was 394 cells/uL (IQR: 256–558). Of the women counseled, 10,904 (59.2%) reported current modern contraceptive use. Among contraceptive users, only 17.7% reported dual method use. After counseling, 737 of 7,503 women not previously using modern contraception desired family planning referrals, and 61.6% of these women successfully accessed services within 90 days. Unmet contraceptive need remains high among HIV-infected women. Additional efforts are needed to promote reproductive health, particularly dual method use.
ISSN:1064-7449
1098-0997
DOI:10.1155/2011/261453