ArticleBMC public health2017
Fertility intentions and contraceptive practices among clinic-users living with HIV in Kenya: a mixed methods study.
Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01694862 (Integra Initiative to Assess the Benefits and Costs of Integrating Sexual and Reproductive Health and HIV Services in Kenya and Swaziland), which is not on this map. Cited by 19 papers, 3 of them syntheses that pooled 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.
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.
Integra Initiative to Assess the Benefits and Costs of Integrating Sexual and Reproductive Health and HIV Services in Kenya and Swaziland
Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Contraception values and preferences of people living with HIV: A systematic review.Contraception · 2022Pooled it
- Prevalence and factors associated with fertility desire among people living with HIV: A systematic review and meta-analysis.PloS one · 2021Pooled it
- Sexual and reproductive health of women living with HIV in Muslim-majority countries: a systematic mixed studies review.BMC international health and human rights · 2020Pooled it
- Evaluation of the relationship between the Desire to Avoid Pregnancy Scale and contraceptive use among women living with HIV in western Kenya.Frontiers in global women's health · 2026Article
- Prevalence and factors associated with the use of long-acting reversible and permanent contraceptive methods among women who desire no more children in Bangladesh.Contraception and reproductive medicine · 2025Article
- Contraceptive use, prevalence and incidence of pregnancy and associated factors among women participating in a vaccine preparedness cohort study in Masaka, Uganda, a retrospective secondary analysis.Reproductive health · 2024Article
- Knowledge, attitude, practices and associated factors of family planning among women living with hiv at the university of Gondar specialized hospital: a cross sectional study.BMC women's health · 2024Article
- Article
- Perceived ideal number of children among adolescent girls in sub-Saharan Africa: does exposure to family planning messages matter?BMC women's health · 2023Article
- Women's Perception of Using Modern Family Planning Methods in Wete District, Pemba, Tanzania.The East African health research journal · 2023Article
- Factors associated with the reproductive health of women living with HIV in Iran.European journal of obstetrics & gynecology and reproductive biology: X · 2022Article
- Integration of family planning services into health care for HIV-positive women in Botswana.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021Article
- Fertility intentions and long-acting reversible contraceptive use among HIV-negative single mothers in Zambia.American journal of obstetrics and gynecology · 2020Article
- Childbearing desire and reproductive behaviors among women living with HIV: A cross-sectional study in Abidjan, Côte d'Ivoire.PloS one · 2020Article
- Factors associated with modern contraceptives use among postpartum women in Bukombe district, Geita region, Tanzania.PloS one · 2020Article
- Article
- Community health worker promotions increase uptake of long-acting reversible contraception in Rwanda.Reproductive health · 2019Article
- [Contraceptive practices of HIV-infected women followed up on an ambulatory basis at the Treichville University Hospital (Abidjan, Ivory Coast)].The Pan African medical journal · 2019Article
- Factors associated with fertility intentions among women living with and without human immunodeficiency virus in Zambia.Women's health (London, England)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPreventing unwanted pregnancies in Women Living with HIV (WLHIV) is a recognised HIV-prevention strategy. This study explores the fertility intentions and contraceptive practices of WLHIV using services in Kenya.
methodsTwo hundred forty women self-identifying as WLHIV who attended reproductive health services in Kenya were interviewed with a structured questionnaire in 2011; 48 were also interviewed in-depth. STATA SE/13.1, Nvivo 8 and thematic analysis were used.
resultsSeventy one percent participants did not want another child; this was associated with having at least two living children and being the bread-winner. FP use was high (92%) but so were unintended pregnancies (40%) while living with HIV. 56 women reported becoming pregnant "while using FP": all were using condoms or short-term methods. Only 16% participants used effective long-acting reversible contraceptives or permanent methods (LARC-PM). Being older than 25 years and separated, widowed or divorced were significant predictors of long-term method use. Qualitative data revealed strong motivation among WLHIV to plan or prevent pregnancies to avoid negative health consequences. Few participants received good information about contraceptive choices.
conclusionsWLHIV need better access to FP advice and a wider range of contraceptives including LARC to enable informed choices that will protect their fertility intentions, ensure planned pregnancies and promote safe child-bearing.
trial registrationIntegra is a non-randomised pre-post intervention trial registered with Current Controlled Trials ID: NCT01694862 .
Indexed as
Identifiers
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.