Maricianah Onono1, Cinthia Blat2, Sondra Miles3, Rachel Steinfeld2, Pauline Wekesa4, Elizabeth A Bukusi4, Kevin Owuor4, Daniel Grossman5, Craig R Cohen2, Sara J Newmann2. 1. Kenya Medical Research Institute (KEMRI), Family Aids Care and Education Services (FACES), Kisumu, Kenya. Electronic address: maricianah@yahoo.com. 2. Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, USA. 3. Department of Internal Medicine, University of California, San Francisco, USA. 4. Kenya Medical Research Institute (KEMRI), Family Aids Care and Education Services (FACES), Kisumu, Kenya. 5. Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, USA; Ibis Reproductive Health, Oakland, CA, USA.
Abstract
OBJECTIVE: To determine if a health talk on family planning (FP) by community clinic health assistants (CCHAs) will improve knowledge, attitudes and behavioral intentions about contraception in HIV-infected individuals. METHODS: A 15-min FP health talk was given by CCHAs in six rural HIV clinics to a sample of 49 HIV-infected men and women. Effects of the health talk were assessed through a questionnaire administered before the health talk and after completion of the participant's clinic visit. RESULTS: Following the health talk, there was a significant increase in knowledge about contraceptives (p<.0001), side-effects (p<.0001), and method-specific knowledge about IUCDs (p<.001), implants (p<.0001), and injectables (p<.05). Out of 31 women and 18 men enrolled, 14 (45%) women and 6 (33%) men intended to try a new contraceptive. Participant attitudes toward FP were high before and after the health talk (median 4 of 4). CONCLUSION: A health talk delivered by CCHAs can increase knowledge of contraception and promote the intention to try new more effective contraception among HIV-infected individuals. PRACTICE IMPLICATIONS: FP health talks administered by lay-health providers to HIV-infected individuals as they wait for HIV services can influence FP knowledge and intention to use FP.
OBJECTIVE: To determine if a health talk on family planning (FP) by community clinic health assistants (CCHAs) will improve knowledge, attitudes and behavioral intentions about contraception in HIV-infected individuals. METHODS: A 15-min FP health talk was given by CCHAs in six rural HIV clinics to a sample of 49 HIV-infectedmen and women. Effects of the health talk were assessed through a questionnaire administered before the health talk and after completion of the participant's clinic visit. RESULTS: Following the health talk, there was a significant increase in knowledge about contraceptives (p<.0001), side-effects (p<.0001), and method-specific knowledge about IUCDs (p<.001), implants (p<.0001), and injectables (p<.05). Out of 31 women and 18 men enrolled, 14 (45%) women and 6 (33%) men intended to try a new contraceptive. Participant attitudes toward FP were high before and after the health talk (median 4 of 4). CONCLUSION: A health talk delivered by CCHAs can increase knowledge of contraception and promote the intention to try new more effective contraception among HIV-infected individuals. PRACTICE IMPLICATIONS: FP health talks administered by lay-health providers to HIV-infected individuals as they wait for HIV services can influence FP knowledge and intention to use FP.
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