Contraceptive use among HIV-infected women and men receiving antiretroviral therapy in Lusaka, Zambia: a cross-sectional survey
Abstract Background Family planning (FP) is an essential health service and an important part of comprehensive HIV care. However, there is limited information about the contraceptive needs of people living with HIV in sub-Saharan Africa, which in turn has hampered efforts to expand and integrate FP...
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| Format: | Article |
| Language: | English |
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BMC
2016-05-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-016-3070-5 |
| _version_ | 1818574896656023552 |
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| author | Nancy L. Hancock Carla J. Chibwesha Samuel Bosomprah Jonathan Newman Mwangelwa Mubiana-Mbewe Elizabeth Siyama Sitali Carolyn Bolton-Moore Clara Mbwili-Muleya Benjamin H. Chi |
| author_facet | Nancy L. Hancock Carla J. Chibwesha Samuel Bosomprah Jonathan Newman Mwangelwa Mubiana-Mbewe Elizabeth Siyama Sitali Carolyn Bolton-Moore Clara Mbwili-Muleya Benjamin H. Chi |
| author_sort | Nancy L. Hancock |
| collection | DOAJ |
| description | Abstract Background Family planning (FP) is an essential health service and an important part of comprehensive HIV care. However, there is limited information about the contraceptive needs of people living with HIV in sub-Saharan Africa, which in turn has hampered efforts to expand and integrate FP services into existing HIV programs. Methods We performed a cross-sectional survey to determine FP prevalence and predictors among HIV-positive women and men attending 18 public antiretroviral therapy (ART) clinics in Lusaka, Zambia. Trained peer counselors administered the 10-question survey to those seeking care for five days at each of the target sites. Results From February to April 2014, we surveyed 7,046 HIV-infected patients receiving routine HIV services. Use of modern contraception was reported by 69 % of female ART patients and 79 % of male ART patients. However, highly effective contraceptive use and dual method use were low among women (38 and 25 %, respectively) and men (19 and 14 %, respectively). HIV disclosure status (adjusted odds ratio (AOR) = 4.91, 95 % confidence interval (CI) = 3.32–7.24 for women, AOR = 3.58, 95 % CI = 2.39–5.38 for men) and sexual activity in the last 6 months (AOR = 5.80, 95 % CI = 4.51–7.47 for women, AOR = 6.24, 95 % CI = 3.51–11.08 for men) were associated with modern contraceptive use in multivariable regression. Most respondents said they would access FP services if made available within ART clinic. Conclusions While FP-ART integration may be a promising strategy for increasing FP service uptake, such services must focus on assessing sexual activity and advocating for dual method use to increase effective contraceptive use and prevent unintended pregnancies. |
| first_indexed | 2024-12-15T00:32:27Z |
| format | Article |
| id | doaj.art-be0a17fe76e545939b1cb7d42121f215 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-15T00:32:27Z |
| publishDate | 2016-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-be0a17fe76e545939b1cb7d42121f2152022-12-21T22:41:58ZengBMCBMC Public Health1471-24582016-05-011611810.1186/s12889-016-3070-5Contraceptive use among HIV-infected women and men receiving antiretroviral therapy in Lusaka, Zambia: a cross-sectional surveyNancy L. Hancock0Carla J. Chibwesha1Samuel Bosomprah2Jonathan Newman3Mwangelwa Mubiana-Mbewe4Elizabeth Siyama Sitali5Carolyn Bolton-Moore6Clara Mbwili-Muleya7Benjamin H. Chi8Department of Obstetrics and Gynecology, UNC Global Women’s Health, University of North Carolina School of MedicineDepartment of Obstetrics and Gynecology, UNC Global Women’s Health, University of North Carolina School of MedicineCentre for Infectious Disease Research in ZambiaCentre for Infectious Disease Research in ZambiaCentre for Infectious Disease Research in ZambiaCentre for Infectious Disease Research in ZambiaDepartment of Obstetrics and Gynecology, UNC Global Women’s Health, University of North Carolina School of MedicineLusaka District Community Health Office, Ministry of Community Development, Mother and Child HealthDepartment of Obstetrics and Gynecology, UNC Global Women’s Health, University of North Carolina School of MedicineAbstract Background Family planning (FP) is an essential health service and an important part of comprehensive HIV care. However, there is limited information about the contraceptive needs of people living with HIV in sub-Saharan Africa, which in turn has hampered efforts to expand and integrate FP services into existing HIV programs. Methods We performed a cross-sectional survey to determine FP prevalence and predictors among HIV-positive women and men attending 18 public antiretroviral therapy (ART) clinics in Lusaka, Zambia. Trained peer counselors administered the 10-question survey to those seeking care for five days at each of the target sites. Results From February to April 2014, we surveyed 7,046 HIV-infected patients receiving routine HIV services. Use of modern contraception was reported by 69 % of female ART patients and 79 % of male ART patients. However, highly effective contraceptive use and dual method use were low among women (38 and 25 %, respectively) and men (19 and 14 %, respectively). HIV disclosure status (adjusted odds ratio (AOR) = 4.91, 95 % confidence interval (CI) = 3.32–7.24 for women, AOR = 3.58, 95 % CI = 2.39–5.38 for men) and sexual activity in the last 6 months (AOR = 5.80, 95 % CI = 4.51–7.47 for women, AOR = 6.24, 95 % CI = 3.51–11.08 for men) were associated with modern contraceptive use in multivariable regression. Most respondents said they would access FP services if made available within ART clinic. Conclusions While FP-ART integration may be a promising strategy for increasing FP service uptake, such services must focus on assessing sexual activity and advocating for dual method use to increase effective contraceptive use and prevent unintended pregnancies.http://link.springer.com/article/10.1186/s12889-016-3070-5Family planningContraceptionHIV infectionHIV positiveAfricaZambia |
| spellingShingle | Nancy L. Hancock Carla J. Chibwesha Samuel Bosomprah Jonathan Newman Mwangelwa Mubiana-Mbewe Elizabeth Siyama Sitali Carolyn Bolton-Moore Clara Mbwili-Muleya Benjamin H. Chi Contraceptive use among HIV-infected women and men receiving antiretroviral therapy in Lusaka, Zambia: a cross-sectional survey BMC Public Health Family planning Contraception HIV infection HIV positive Africa Zambia |
| title | Contraceptive use among HIV-infected women and men receiving antiretroviral therapy in Lusaka, Zambia: a cross-sectional survey |
| title_full | Contraceptive use among HIV-infected women and men receiving antiretroviral therapy in Lusaka, Zambia: a cross-sectional survey |
| title_fullStr | Contraceptive use among HIV-infected women and men receiving antiretroviral therapy in Lusaka, Zambia: a cross-sectional survey |
| title_full_unstemmed | Contraceptive use among HIV-infected women and men receiving antiretroviral therapy in Lusaka, Zambia: a cross-sectional survey |
| title_short | Contraceptive use among HIV-infected women and men receiving antiretroviral therapy in Lusaka, Zambia: a cross-sectional survey |
| title_sort | contraceptive use among hiv infected women and men receiving antiretroviral therapy in lusaka zambia a cross sectional survey |
| topic | Family planning Contraception HIV infection HIV positive Africa Zambia |
| url | http://link.springer.com/article/10.1186/s12889-016-3070-5 |
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