Evidence map›Paper›PMID 26960581›Full record

ArticleAIDS care2016

Perspectives of healthcare providers and HIV-affected individuals and couples during the development of a Safer Conception Counseling Toolkit in Kenya: stigma, fears, and recommendations for the delivery of services.

Okeoma Mmeje, Betty Njoroge, Eliud Akama, Anna Leddy, Brooke Breitnauer, Lynae Darbes, Joelle Brown

Open access · greenAbstract read
In one paragraph

Article in AIDS care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. "AIDS care · 2026
    Article
  3. Article
  4. "Sexual and reproductive health matters · 2024
    Article
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  9. Observational
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  18. Reduced fecundity in HIV-positive women.Human reproduction (Oxford, England) · 2018
    Observational
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Okeoma Mmejea Department of Obstetrics and Gynecology , University of Michigan , Ann Arbor , MI , USA.
Betty Njorogec Kenya Medical Research Institute (KEMRI), Centre for Microbiology Research , Nairobi City , Kenya.
Eliud Akamac Kenya Medical Research Institute (KEMRI), Centre for Microbiology Research , Nairobi City , Kenya.
Anna Leddye Department of Health, Behavior and Society , Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA.
Brooke Breitnauerf Department of Obstetrics and Gynecology , University of Colorado, School of Medicine , Aurora , CO , USA.
Lynae Darbesg Center for AIDS Prevention Studies and Global Health Sciences, University of California , San Francisco , CA , USA.
Joelle Brownh Department of Obstetrics, Gynecology, and Reproductive Science , University of California , San Francisco , CA , USA.
Kenya Medical Research Institute · KEUniversity of California, San Francisco · USJohns Hopkins University · USUniversity of Colorado Denver · USUniversity of Michigan–Ann Arbor · US

Funding

Impact and Cost-effectiveness of Safer Conception Strategies for HIV PreventionK01MH100994 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BROWN, JOELLE MORGAN · 2013 to 2017
$893k
Reproductive Infectious Disease (RID) FellowshipT32AI065388 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COHEN, CRAIG R · 2007 to 2011
$781k
NIAID NIH HHS T32-5T32AI065388-03NIAID NIH HHS T32 AI065388NIMH NIH HHS K01 MH100994
6 · The paper itself

Abstract

Reproduction is important to many HIV-affected individuals and couples and healthcare providers (HCPs) are responsible for providing resources to help them safely conceive while minimizing the risk of sexual and perinatal HIV transmission. In order to fulfill their reproductive goals, HIV-affected individuals and their partners need access to information regarding safer methods of conception. The objective of this qualitative study was to develop a Safer Conception Counseling Toolkit that can be used to train HCPs and counsel HIV-affected individuals and couples in HIV care and treatment clinics in Kenya. We conducted a two-phased qualitative study among HCPs and HIV-affected individuals and couples from eight HIV care and treatment sites in Kisumu, Kenya. We conducted in-depth interviews (IDIs) and focus group discussions (FGDs) to assess the perspectives of HCPs and HIV-affected individuals and couples in order to develop and refine the content of the Toolkit. Subsequently, IDIs were conducted among HCPs who were trained using the Toolkit and FGDs among HIV-affected individuals and couples who were counseled with the Toolkit. HIV-related stigma, fears, and recommendations for delivery of safer conception counseling were assessed during the discussions. One hundred and six individuals participated in FGDs and IDIs; 29 HCPs, 49 HIV-affected women and men, and 14 HIV-serodiscordant couples. Participants indicated that a safer conception counseling and training program for HCPs is needed and that routine provision of safer conception counseling may promote maternal and child health by enhancing reproductive autonomy among HIV-affected couples. They also reported that the Toolkit may help dispel the stigma and fears associated with reproduction in HIV-affected couples, while supporting them in achieving their reproductive goals. Additional research is needed to evaluate the Safer Conception Toolkit in order to support its implementation and use in HIV care and treatment programs in Kenya and other HIV endemic regions of sub-Saharan Africa.

Indexed as

Attitude of Health PersonnelFearFertilizationSocial StigmaAdolescentAdultCounselingFamily CharacteristicsFemaleFocus GroupsHealth PersonnelHIV InfectionsHumansInfectious Disease Transmission, VerticalIntentionKenyafamily planningHIV-affected couplesHIV preventionprevention of mother-to-child transmissionSafer conception

Identifiers

PMID26960581
PMCPMC4942319
OpenAlexW2297311162

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.