Multi-level Correlates of Safer Conception Methods Awareness and Attitudes among Ugandan HIV Clients with Fertility Intentions
), Mahlet A Woldetsadik(2), Jolly Beyeza-Kashesya(3), Kathy Goggin(4), Deborah Mindry(5), Sarah Finocchario-Kessler(6), Sarah Khanakwa(7), Rhoda K Wanyenze(8),
(1) RAND Corporation, Santa Monica, USA
(2) RAND Corporation, Santa Monica, USA
(3) Mulago Hospital, Department of Obstetrics and Gynaecology, Makerere University College of Health Sciences, Kampala, Uganda
(4) Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics, Kansas City; Schools of Medicine and Pharmacy, University of Missouri – Kansas City
(5) University of California, Los Angeles Center for Culture and Health, Los Angeles, USA
(6) University of Kansas Medical Center, Department of Family Medicine, Kansas City, USA
(7) The AIDS Support Organization, Kampala, Uganda
(8) Makerere University School of Public Health, Department of Disease Control and Environmental Health, Kampala, Uganda
Corresponding Author
Abstract
References
Ivers L, Kendrick D, Doucette K. Efficacy of Antiretroviral Therapy Programs in Resource‐Poor Settings: A Meta‐analysis of the Published Literature. Clin Infect Dis 2005; 41(2): 217–224. 2. Tai J, Udoji M, Barkanic G, Byrne D, Rebeiro P, Byram B et al. Pregnancy and HIV Disease Progression during the Era of Highly Active Antiretroviral Therapy. J Infect Dis 2007; 196(7): 1044–1052. 3. Quinn T, Wawer M, Sewankambo N, Serwadda D, Li C, Wabwire-Mangen F et al. Viral Load and Heterosexual Transmission of Human Immunodeficiency Virus Type 1. N Engl J Med 2000; 342(13): 921–929.
HIV treatment as prevention—it works [editorial].
Lancet 2011; 377(9779): 1719.
United Nations Programme on HIV/AIDS (UNAIDS).
UNAIDS report on the global AIDS epidemic. Available from: URL: http://www.unaids.org/en/ media/unaids/contentassetsdocuments/epidemicolo g y/ 2012/gr2012/20121120_ unaids_ global_ repo rt_2012_with_annexes_en.pdf.
Wagner G, Linnemayr S, Kityo C, Mugyenyi P. Factors
Associated with Intention to Conceive and its Communication to Providers Among HIV Clients in Uganda. Matern Child Health J 2012; 16(2): 510–518.
Kakaire O, Osinde M, Kaye D. Factors that predict
fertility desires for people living with HIV infection at a support and treatment centre in Kabale, Uganda. Reprod Health 2010; 7(1): 27. doi: 10.1186/1742-4755-7-27
Beyeza-Kashesya J, Ekstrom A, Kaharuza F, Mirembe F,
Neema S, Kulane A. My partner wants a child: A cross-sectional study of the determinants of the desire for children among mutually disclosed sero-discordant couples receiving care in Uganda. BMC Public Health 2010; 10(1): 247. doi: 10.1186/1471-2458-10-247
Myer L, Morroni C, Rebe K. Prevalence and
Determinants of Fertility Intentions of HIV-Infected Women and Men Receiving Antiretroviral Therapy in South Africa. AIDS Patient Care STDs 2007; 21(4): 278–285.
Nattabi B, Li J, Thompson S, Orach C, Earnest J. A
Systematic Review of Factors Influencing Fertility Desires and Intentions Among People Living with HIV/AIDS: Implications for Policy and Service Delivery. AIDS Behav 2009; 13(5): 949–968.
Maier M, Andia I, Emenyonu N, Guzman D, Kaida A,
Pepper L et al. Antiretroviral Therapy is Associated
with Increased Fertility Desire, but not Pregnancy
or Live Birth, among HIV+ Women in an Early HIV Treatment Program in Rural Uganda. AIDS Behav 2009; 13(S1): 28–37.
Beyeza-Kashesya J, Kaharuza F, Mirembe F, Neema S,
Ekstrom AM, Kulane A. The dilemma of safe sex and having children: challenges facing HIV sero-discordant couples in Uganda, African Health Services 2009; 9: 2–12.
Cooper D, Moodley J, Zweigenthal V, Bekker L, Shah I,
Myer L. Fertility Intentions and Reproductive Health Care Needs of People Living with HIV in Cape Town, South Africa: Implications for Integrating Reproductive Health and HIV Care Services. AIDS Behav 2009; 13(S1): 38–46.
Allen S, Meinzen-Derr J, Kautzman M, Zulu I, Trask S,
Fideli U et al. Sexual behavior of HIV discordant couples after HIV counseling and testing. AIDS 2003; 17(5): 733–740.
Ministry of Health, Uganda. National Strategy and
Operational Plan for Sexual Reproductive Health and Rights and HIV/AIDS Linkages and Integration. Kampala: Ministry of Health; 2010.
Ministry of Health, Uganda. Uganda AIDS Indicator
Survey (AIS). Kampala: Ministry of Health; 2012.
World Health Organization (WHO). Reproductive health
strategy to accelerate progress towards the attainment of international development goals and targets. Geneva: World Health Organization; 2004. 18. Wanyenze R, Tumwesigye N, Kindyomunda R, Beyeza- Kashesya J, Atuyambe L, Kansiime A et al. Uptake of family planning methods and unplanned pregnancies among HIV-infected individuals: a cross-sectional survey among clients at HIV clinics in Uganda. J Int AIDS Soc 2011; 14(1): 35. doi:10.1186/1758-2652-14-35.
Cohen MS, Cohen MS, Chen YQ, McCauley M,
Gamble T, Hosseinipour MC, et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med 2011; 365(6): 493– 505.
Mills E, Nachega J, Buchan I, Orbinski J, Attaran A,
Singh S et al. Adherence to Antiretroviral Therapy in Sub-Saharan Africa and North America. JAMA 2006; 296(6): 679– 690.
Matthews L, Mukherjee J. Strategies for Harm Reduction
Among HIV-Affected Couples Who Want to Conceive. AIDS Behav 2009; 13(S1): 5–11.
Matthews L, Smit J, Cu-Uvin S, Cohan D.
Antiretrovirals and safer conception for HIV-serodiscordant couples. Curr Opin HIV AIDS 2012; 7(6): 569–578.
Barreiro P, Castilla JA, Labarga P, Soriano V. Is natural
conception a valid option for HIV-serodiscordant couples? Hum Reprod 2007; 22(9): 2353–2358.
Mmeje O, Cohen CR, Cohan D. Evaluating safer
conception options for HIV-serodiscordant couples (HIV-infected female/HIV-uninfected male): a
Wagner et al. Correlates of Safer Conception Constructs
African Journal of Reproductive Health March 2016; 20 (1):
closer look at vaginal insemination. Infect Dis
Obstet Gynecol 2012; 2012: 1–7. 25. Sauer MV, Wang JG, Douglas NC, Nakhuda GS, Vardhana P, Jovanovic V, et al. Providing fertility care to men seropositive for human
immunodeficiency virus: reviewing 10 years of experience and 420 consecutive cycles of in vitro fertilization and intracytoplasmic sperm injection. Fertil Steril 2009; 91 (6): 2455–2460.
Gray RH, Kigozi G, Serwadda D, Makumbi F, Watya S,
Nalugoda F, et al. Male circumcision for HIV prevention in men in Rakai, Uganda: a randomised trial. Lancet 2007; 369 (9562): 657–666.
Vernazza PL, Graf I, Sonnenberg-Schwan U, Geit M,
Meurer A. Preexposure prophylaxis and timed intercourse for HIV-discordant couples willing to conceive a child. AIDS 2011; 25(16): 2005–2008.
Finocchario-Kessler S, Wanyenze R, Mindry D, Beyeza-
Kashesya J, Goggin K, Nabiryo C, et al. "I may not say we really have a method, it is gambling work”: knowledge and acceptability of safer conception methods among providers and HIV clients in Uganda. Health Care Women Int 2014; 35 (7–9): 896–917.
Goggin K, Mindry D, Beyeza-Kashesya J, Finocchario-
Kessler S, Wanyenze R, Nabiryo C, et al. “Our hands are tied up”: current state of safer conception services suggests the need for an integrated care model. Health Care Women Int 2014; 35(7–9): 990–1009.
Wagner GJ, Goggin K, Mindry D, Beyeza-Kashesya J,
Finocchario-Kessler S, Woldetsadik MA, et al. Correlates of use of timed unprotected intercourse to reduce horizontal transmission among Ugandan HIV clients with fertility intentions. AIDS Behav 2015; 19(6): 1078–88.
Woldetsadik MA, Goggin K, Staggs VS, Wanyenze RK,
Beyeza-Kashesya J, Mindry D, et al. Safer Conception Methods and Counseling: Psychometric Evaluation of New Measures of Attitudes and Beliefs among HIV Clients and Providers. AIDS Behav. In press.
Johnson MO, Neilands TB, Dilworth SE, Morin SF,
Remien RH, Chesney MA. The Role of Self-Efficacy in HIV Treatment Adherence: Validation of the HIV Treatment Adherence Self-Efficacy Scale (HIV-ASES). J Behav Med 2007; 30(5): 359–370.
Gerkovich M, Williams K, Catley D, Goggin K.
Development and Validation of a Scale to Measure Motivation to Adhere to HIV Medication. Poster session presented at: International Association of Providers of AIDS Care (IAPAC). 2008; Miami, Florida.
Pulerwitz J, Gortmaker SL, DeJong W. Measuring
sexual relationship power in HIV/STD research. Sex Roles 2000; 42(7–8): 637–660.
Wagner G, Linnemayr S, Kityo C, Mugyenyi P. Factors
associated with intention to conceive and its communication to providers among HIV clients in Uganda. Matern Child Health J 2012; 16(2): 510–518.
Wanyenze RK, Wagner GJ, Tumwesigye NM,
Nannyonga M, Wabwire-Mangen F, Kamya MR. Fertility and contraceptive decision-making and support for HIV infected individuals: client and provider experiences and perceptions at two HIV clinics in Uganda. BMC Public Health 2013; 13: 98 doi: 10.1186/1471-2458-13-98.
Schwartz SR, Mehta SH, Taha TE, Rees HV, Venter F,
Black V. High pregnancy intentions and missed opportunities for patient-provider communication about fertility in a South African cohort of HIV-positive women on antiretroviral therapy. AIDS Behav 2012; 16(10): 69–78.
Pulerwitz J, Michaelis A, Verma R, Weiss E. Addressing
gender dynamics and engaging men in HIV programs: lessons learned from Horizons research. Public Health Rep 2010; 125(2): 282–292.
Article Metrics
Abstract View
: 1043 times
Download : 9 times
Refbacks
- There are currently no refbacks.
