ArticlePloS one2015
Pregnancy prevention and condom use practices among HIV-infected women on antiretroviral therapy seeking family planning in Lilongwe, Malawi.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Consistent condom utilization among sexually active HIV positive individuals in Sub-Saharan Africa: systematic review and meta-analysis.Scientific reports · 2024Pooled it
- Factors associated with women's preference for an over-encapsulated Dual Prevention Pill: Findings from two clinical crossover trials among women in South Africa and Zimbabwe.Research square · 2025Article
- Using the Family Planning Estimation Tool (FPET) to assess national-level family planning trends and future projections for contraceptive prevalence and associated demand for HIV-infected women in sub-Saharan Africa.PLOS global public health · 2024Article
- Condom Use among HIV-Positive Postnatal Women in Primary Health Care Facilities in Tshwane Sub-District 1, Gauteng Province, South Africa.International journal of environmental research and public health · 2023Article
- Article
- Emerging priorities for HIV service delivery.PLoS medicine · 2020Article
- Effect of efavirenz on levonorgestrel concentrations among Malawian levonorgestrel implant users for up to 30 months of concomitant use: a subanalysis of a randomized clinical trial.Contraception: X · 2020Article
- Risky Sexual Practice and Associated Factors Among Women Living with HIV/AIDS Receiving Antiretroviral Therapy at a PMTCT Clinic in Western Oromia, Ethiopia.HIV/AIDS (Auckland, N.Z.) · 2020Article
- Availability of integrated family planning services in HIV care and support sites in sub-Saharan Africa: a secondary analysis of national health facility surveys.Reproductive health · 2019Article
- Factors associated with condom use among HIV-positive women living in Atlanta, Georgia.PloS one · 2019Article
- Pregnancy intention and contraceptive use among HIV-positive Malawian women at 4-26 weeks post-partum: A nested cross-sectional study.PloS one · 2019Article
- The role of counseling on modern contraceptive utilization among HIV positive women: the case of Northwest Ethiopia.BMC women's health · 2018Article
- Provider perspectives on barriers to reproductive health services for HIV-infected clients in Central Malawi.Clinical obstetrics, gynecology and reproductive medicine · 2018Article
- Factors associated with desired fertility among HIV-positive women and men attending two urban clinics in Lilongwe, Malawi.PloS one · 2018Article
- Factors associated with condom use among men and women living with HIV in Lilongwe, Malawi: a cross-sectional study.BMJ sexual & reproductive health · 2018Article
- Family planning need of people living with HIV/AIDS in antiretroviral therapy clinics of Horro Guduru Wollega zone, Ethiopia.BMC research notes · 2017Article
- Pregnancy incidence and intention after HIV diagnosis among women living with HIV in Canada.PloS one · 2017Article
- Factors associated with uptake of dual contraception among HIV-infected women in Bungoma County, Kenya: a cross-sectional study.The Pan African medical journal · 2017Article
- Integrating family planning services into HIV care: use of a point-of-care electronic medical record system in Lilongwe, Malawi.Global health action · 2017Article
- Scale up use of family planning services to prevent maternal transmission of HIV among discordant couples: a cross-sectional study within a resource-limited setting.Patient preference and adherence · 2016Article
Corrections and comments
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Authors and funding
15 authors at 6 institutions in 2 countries.
Funding
Abstract
backgroundPrograms for integration of family planning into HIV care must recognize current practices and desires among clients to appropriately target and tailor interventions. We sought to evaluate fertility intentions, unintended pregnancy, contraceptive and condom use among a cohort of HIV-infected women seeking family planning services within an antiretroviral therapy (ART) clinic.
methods200 women completed an interviewer-administered questionnaire during enrollment into a prospective contraceptive study at the Lighthouse Clinic, an HIV/ART clinic in Lilongwe, Malawi, between August and December 2010.
resultsMost women (95%) did not desire future pregnancy. Prior reported unintended pregnancy rates were high (69% unplanned and 61% unhappy with timing of last pregnancy). Condom use was inconsistent, even among couples with discordant HIV status, with lack of use often attributed to partner's refusal. Higher education, older age, lower parity and having an HIV negative partner were factors associated with consistent condom usage. DISCUSSION: High rates of unintended pregnancy among these women underscore the need for integ rating family planning, sexually transmitted infection (STI) prevention, and HIV services. Contraceptive access and use, including condoms, must be improved with specific efforts to enlist partner support. Messages regarding the importance of condom usage in conjunction with more effective modern contraceptive methods for both infection and pregnancy prevention must continue to be reinforced over the course of ongoing ART treatment.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.