scholarly journals HIV-Positive Men's Experiences with Integrated Family Planning and HIV Services in Western Kenya: Integration Fosters Male Involvement

2014 ◽  
Vol 28 (8) ◽  
pp. 418-424 ◽  
Author(s):  
Rena Patel ◽  
Sarah Baum ◽  
Daniel Grossman ◽  
Rachel Steinfeld ◽  
Maricianah Onono ◽  
...  
Keyword(s):  
Family Planning ◽  
Male Involvement ◽  
Hiv Positive ◽  
Western Kenya ◽  
Hiv Services

scholarly journals Integrating family planning and HIV services in western Kenya: the impact on HIV-infected patients’ knowledge of family planning and male attitudes toward family planning

AIDS Care ◽  
2015 ◽  
Vol 27 (6) ◽  
pp. 743-752 ◽  
Author(s):  
Maricianah Onono ◽  
Mary A. Guzé ◽  
Daniel Grossman ◽  
Rachel Steinfeld ◽  
Elizabeth A. Bukusi ◽  
...  
Keyword(s):  
Family Planning ◽  
Western Kenya ◽  
Hiv Services ◽  
The Impact ◽  
Male Attitudes

scholarly journals Overcoming Barriers to Family Planning through Integration: Perspectives of HIV-Positive Men in Nyanza Province, Kenya

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Rachel L. Steinfeld ◽  
Sara J. Newmann ◽  
Maricianah Onono ◽  
Craig R. Cohen ◽  
Elizabeth A. Bukusi ◽  
...  
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Male Involvement ◽  
Hiv Positive ◽  
Structural Barriers ◽  
Nyanza Province ◽  
Hiv Positive Women ◽  
Family Planning Counseling ◽  
Planning Methods ◽  
Hiv Positive Men

This study explored barriers to and facilitators of using family planning services among HIV-positive men in Nyanza Province, Kenya. From May to June 2010, in-depth interviews were conducted with 30 men receiving care at 15 HIV clinics. The key barriers to the use of family planning included concerns about side effects of contraceptives, lack of knowledge about contraceptive methods, myths and misconceptions including fear of infertility, structural barriers such as staffing shortages at HIV clinics, and a lack of male focus in family planning methods and service delivery. The integration of family planning into HIV clinics including family planning counseling and education was cited as an important strategy to improve family planning receptivity among men. Integrating family planning into HIV services is a promising strategy to facilitate male involvement in family planning. Integration needs to be rigorously evaluated in order to measure its impact on unmet need for contraception among HIV-positive women and their partners and assure that it is implemented in a manner that engages both men and women.

scholarly journals Predictors of postpartum family planning in Rwanda: the influence of male involvement and healthcare experience

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Pamela Williams ◽  
Nicole Santos ◽  
Hana Azman-Firdaus ◽  
Sabine Musange ◽  
Dilys Walker ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Family Planning ◽  
Locus Of Control ◽  
Sample Size ◽  
Odds Ratio ◽  
Male Involvement ◽  
Mental Health Status ◽  
Respectful Maternity Care ◽  
Postpartum Family Planning

Abstract Background Strengthened efforts in postpartum family planning (PPFP) is a key priority to accelerate progress in reproductive, maternal, newborn, and child health outcomes. This secondary data analysis explores factors associated with PPFP uptake in Rwanda. The purpose of this study was to explore variables that may influence PPFP use for postpartum women in Rwanda including health facility type, respectful maternity care, locus of control, and mental health status. Methods This secondary analysis of data from a cluster randomized control trial used information abstracted from questionnaires administered to women (≥ 15 years of age) at two time points—one during pregnancy (baseline) and one after delivery of the baby (follow-up). The dependent variable, PPFP uptake, was evaluated against the independent variables: respectful care, locus of control, and mental health status. These data were abstracted from linked questionnaires completed from January 2017 to February 2019. The sample size provided 97% power to detect a change at a 95% significance level with a sample size of 640 at a 15% effect size. Chi-square testing was applied for the bivariate analyses. A logistic regression model using the generalized linear model function was performed; odds ratio and adjusted (by age group and education group) odds ratio with 95% confidence interval were reported. Results Of the 646 respondents, although 92% reported not wanting another pregnancy within the next year, 72% used PPFP. Antenatal care wait time (p =  < 0.01; Adj OR (Adj 95% CI) 21–40 min: 2.35 (1.46,3.79); 41–60 min: 1.50 (0.84,2.69); 61–450 min: 5.42 (2.86,10.75) and reporting joint healthcare decision-making between the woman and her partner (male) (p = 0.04; Adj OR (Adj 95% CI) husband/partner: 0.59 (0.35,0.97); mother and partner jointly: 1.06 (0.66,1.72) were associated with PPFP uptake. Conclusions These results illustrate that partner (male) involvement and improved quality of maternal health services may improve PPFP utilization in Rwanda.

scholarly journals Realities and challenges of breastfeeding policy in the context of HIV: a qualitative study on community perspectives on facilitators and barriers related to breastfeeding among HIV positive mothers in Baringo County, Kenya

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Betty Mogesi Samburu ◽  
Judith Kimiywe ◽  
Sera Lewise Young ◽  
Frederick Murunga Wekesah ◽  
Milka Njeri Wanjohi ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Cultural Practices ◽  
Health Workers ◽  
Male Involvement ◽  
Holistic Approach ◽  
Antiretroviral Drugs ◽  
Hiv Positive ◽  
Community Perspectives ◽  
Hiv Positive Mothers ◽  
Facilitators And Barriers

Abstract Background Although recent policies have sought to increase the rates of exclusive breastfeeding (EBF) and continued breastfeeding for HIV exposed infants, few programs have considered the multiple social and cultural barriers to the practice. Therefore, to generate evidence for exclusive and continued breastfeeding policies in Kenya, we examined community perspectives on the facilitators and barriers in adherence to EBF for the HIV positive mothers. Methods Qualitative research was conducted in Koibatek, a sub-County in Baringo County Kenya, in August 2014 among 205 respondents. A total of 14 focus group discussions (n = 177), 14 In-depth Interviews and 16 key informant interviews were conducted. Transcribed data was analyzed thematically. NVivo version 10.0 computer qualitative software program was used to manage and facilitate the analysis. Results Facilitators to exclusive breastfeeding were perceived to include counselling at the health facility, desire to have a healthy baby, use of antiretroviral drugs and health benefits associated with breastmilk. Barriers to EBF included poor dissemination of policies, knowledge gap, misinterpretation of EBF, inadequate counselling, attitude of mother and health workers due to fear of vertical HIV transmission, stigma related to misconception and misinformation that EBF is only compulsory for HIV positive mothers, stigma related to HIV and disclosure, social pressure, lack of male involvement, cultural practices and traditions, employment, food insecurity. Conclusions There are multiple facilitators and barriers of optimal breastfeeding that needs a holistic approach to interventions aimed at achieving elimination of mother to child transmission. Extension of infant feeding support in the context of HIV to the community while building on existing interventions such as the Baby Friendly Community Initiative is key to providing confidential support services for the additional needs faced by HIV positive mothers.

Individual and healthcare supply-related barriers to treatment initiation in HIV-positive patients enrolled in the Cameroonian antiretroviral treatment access programme

2020 ◽  
Author(s):  
Pierre-Julien Coulaud ◽  
Camélia Protopopescu ◽  
Khadim Ndiaye ◽  
Maël Baudoin ◽  
Gwenaëlle Maradan ◽  
...  
Keyword(s):  
Antiretroviral Treatment ◽  
Cox Model ◽  
Task Shifting ◽  
Hiv Positive ◽  
Treatment Access ◽  
Community Based ◽  
Related Factors ◽  
Hiv Services ◽  
Community Based Organizations ◽  
Art Initiation

Abstract Increasing demand for antiretroviral treatment (ART) together with a reduction in international funding during the last decade may jeopardize access to ART. Using data from a cross-sectional survey conducted in 2014 in 19 HIV services in the Centre and Littoral regions in Cameroon, we investigated the role of healthcare supply-related factors in time to ART initiation in HIV-positive patients eligible for ART at HIV diagnosis. HIV service profiles were built using cluster analysis. Factors associated with time to ART initiation were identified using a multilevel Cox model. The study population included 847 HIV-positive patients (women 72%, median age: 39 years). Median (interquartile range) time to ART initiation was 1.6 (0.5–4.3) months. Four HIV service profiles were identified: (1) small services with a limited staff practising partial task-shifting (n = 4); (2) experienced and well-equipped services practising task-shifting and involving HIV community-based organizations (n = 5); (3) small services with limited resources and activities (n = 6); (4) small services providing a large range of activities using task-shifting and involving HIV community-based organizations (n = 4). The multivariable model showed that HIV-positive patients over 39 years old [hazard ratio: 1.26 (95% confidence interval) (1.09–1.45), P = 0.002], those with disease symptoms [1.21 (1.04–1.41), P = 0.015] and those with hepatitis B co-infection [2.31 (1.15–4.66), P = 0.019] were all more likely to initiate ART early. However, patients in the first profile were less likely to initiate ART early [0.80 (0.65–0.99), P = 0.049] than those in the second profile, as were patients in the third profile [association only significant at the 10% level; 0.86 (0.72–1.02), P = 0.090]. Our findings provide a better understanding of the role played by healthcare supply-related factors in ART initiation. In HIV services with limited capacity, task-shifting and support from community-based organizations may improve treatment access. Additional funding is required to relieve healthcare supply-related barriers and achieve the goal of universal ART access.

scholarly journals Male Involvement in Family Planning: Challenges and Way Forward

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Ademola Adelekan ◽  
Philomena Omoregie ◽  
Elizabeth Edoni
Keyword(s):  
Family Planning ◽  
Sampling Technique ◽  
Male Involvement ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Cross Sectional ◽  
Married Men ◽  
Public Health Officials

Public health officials have advocated the involvement of men as a strategy for addressing the dismal performance of family planning (FP) programmes. This study was therefore designed to explore the challenges and determine way forward to male involvement in FP in Olorunda Local Government Area, Osogbo, Nigeria. This cross-sectional study involved the use of a four-stage sampling technique to select 500 married men and interviewed them using semistructured questionnaire. In addition, four focus group discussions (FGDs) were also conducted. Mean age of respondents was 28.5 ± 10.3 years. Some (37.9%) of the respondents’ spouse had ever used FP and out of which 19.0% were currently using FP. Only 4.8% of the respondents had ever been involved in FP. Identified barriers to male involvement included the perception that FP is woman’s activity and was not their custom to participate in FP programme. More than half of the FGD discussants were of the view that men should provide their wives with transport fare and other resources they may need for FP. The majority of the respondents had never been involved in family planning with their wives. Community sensitization programmes aimed at improving male involvement in FP should be provided by government and nongovernmental agencies.

Male Involvement in the Bangladesh Family Planning and Reproductive Health Program

1997 ◽  
Vol 17 (2) ◽  
pp. 195-206 ◽  
Author(s):  
Nancy J. Piet-Pelon ◽  
Ubaidur Rob
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Reproductive Health ◽  
Health Program ◽  
Male Involvement ◽  
Active Role ◽  
Relative Safety ◽  
Obstetric Emergencies ◽  
Planning Methods ◽  
Emergency Decision

Increasing the involvement of men in family planning and reproductive health program is a challenge which Bangladesh has begun to face. Encouraging their active participation as family planning method users of vasectomy, condoms, as well as their supportive partnership of contracepting women is the major goal of the national program. Evidence for national surveys indicates that male dominated decision making may not be the norm in Bangladesh. Rather, there is high agreement between couples about family size and family planning. Findings suggest that men know about family planning methods and many take an active role in the decision making process. Male attitudes were generally positive about contraceptive methods and also about having a small family. Women rarely mention their husband's disapproval as a reason for contraceptive discontinuation. Unfortunately neither men nor women seem to be sufficiently informed about the relative safety of menstrual regulation (MR) and often opt for traditional abortions. Men's knowledge of obstetric emergencies is minimal, consequently when they are called upon to make an emergency decision they often make an incorrect one.

Integration of family planning services into HIV services in Nigeria: Evidence from the Performance Monitoring and Accountability 2020 survey in seven states

2021 ◽  
Vol 20 (2) ◽  
pp. 181-188
Author(s):  
Babayemi O Olakunde ◽  
Daniel A Adeyinka ◽  
Funmilola M OlaOlorun ◽  
Tolulope T Oladele ◽  
Hidayat Yahaya ◽  
...  
Keyword(s):  
Family Planning ◽  
Performance Monitoring ◽  
Family Planning Services ◽  
Hiv Services
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