Evidence map›Paper›PMID 33894251›Full record

ArticleContraception2021

Contraceptive counseling experiences among women attending HIV care and treatment centers: A national survey in Kenya.

Rubee Dev, Pamela Kohler, Emily Begnel, Dunstan Achwoka, Christine J McGrath, Jillian Pintye, Wangui Muthigani, Benson Singa, Joel Gondi, Lucy Ng'ang'a and 4 more

Abstract read
In one paragraph

Article in Contraception, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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

14 authors.

Rubee DevFaculty of Nursing, University of Alberta, Edmonton, Alberta, Canada; Department of Child, Family, and Population Health Nursing and Department of Global Health, University of Washington, Seattle, WA, United States.
Pamela KohlerDepartment of Child, Family, and Population Health Nursing and Department of Global Health, University of Washington, Seattle, WA, United States.
Emily BegnelDepartment of Child, Family, and Population Health Nursing and Department of Global Health, University of Washington, Seattle, WA, United States.
Dunstan AchwokaUS Centers for Disease Control and Prevention (CDC), Division of Global HIV & TB (DGHT), Nairobi, Kenya.
Christine J McGrathUS Centers for Disease Control and Prevention (CDC), Division of Global HIV & TB (DGHT), Nairobi, Kenya.
Jillian PintyeUS Centers for Disease Control and Prevention (CDC), Division of Global HIV & TB (DGHT), Nairobi, Kenya.
Wangui MuthiganiReproductive and Maternal Health Service Unit, Ministry of Health, Nairobi, Kenya.
Benson SingaKenya Medical Research Institute, Nairobi, Kenya.
Joel GondiReproductive and Maternal Health Service Unit, Ministry of Health, Nairobi, Kenya.
Lucy Ng'ang'aUS Centers for Disease Control and Prevention (CDC), Division of Global HIV & TB (DGHT), Nairobi, Kenya.
Agnes LangatUS Centers for Disease Control and Prevention (CDC), Division of Global HIV & TB (DGHT), Nairobi, Kenya.
Grace John-StewartDepartment of Child, Family, and Population Health Nursing and Department of Global Health, University of Washington, Seattle, WA, United States; Department of Epidemiology, University of Washington, Seattle, WA, United States; Department of Pediatrics, University of Washington, Seattle, WA, United States; Department of Medicine, University of Washington, Seattle, WA, United States.
John KinuthiaDepartment of Research and Programs, Kenyatta Hospital, Nairobi, Kenya.
Alison L DrakeDepartment of Child, Family, and Population Health Nursing and Department of Global Health, University of Washington, Seattle, WA, United States. Electronic address: adrake2@uw.edu.

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI CONNIE L CELUM · 1988 to 2026
$104.9M
Optimizing repeat HIV testing during pregnancy and postpartum for PMTCTK01AI116298 · NIAID · UNIVERSITY OF WASHINGTON · PI DRAKE, ALISON L · 2015 to 2019
$632k
NIAID NIH HHS K01 AI116298NIAID NIH HHS P30 AI027757
6 · The paper itself

Abstract

objectivesTo characterize contraceptive counseling experiences among women living with HIV (WLWH) receiving HIV care in Kenya. STUDY

designSexually active, WLWH aged 15 to 49 years were purposively sampled from 109 high-volume HIV Care and Treatment Centers in Kenya between June and September 2016. Cross-sectional surveys were administered to enroll women on a tablet using Open Data Kit. Poisson generalized linear regression models adjusted for facility-level clustering were used to examine cofactors for receiving family planning (FP) counseling with a provider.

resultsOverall, 4805 WLWH were enrolled, 60% reported they received FP counseling during the last year, 72% of whom reported they were counseled about benefits of birth spacing and limiting. Most women who received FP counseling were married (64%) and discussed FP with their partner (78%). Use of FP in the last month (adjusted Prevalence Ratio [aPR] = 1.74, 95% confidence interval [CI]: 1.41-2.15, p < 0.001), desire for children in >2 years (aPR = 1.18, 95% CI: 1.09-1.28, p < 0.001), and concern about contraceptive side-effects (aPR = 1.13, 95% CI 1.02-1.25, p < 0.05) were significantly higher among WLWH who received FP counseling compared to those that did not.

conclusionsOver one-third of WLWH did not receiving FP counseling with an HIV care provider during the last year, and counseling was more commonly reported among women who were using FP or desired children in >2 years. IMPLICATIONS: There are missed opportunities for FP counseling in HIV care. FP integration in HIV care could improve FP access and birth spacing or limiting among WLWH.

Indexed as

Family Planning ServicesHIV InfectionsChildContraceptionContraception BehaviorContraceptive AgentsCounselingCross-Sectional StudiesFemaleHumansKenyaContraceptive AgentsContraceptionCounseling experienceFamily planningHIV careKenya

Identifiers

PMID33894251
PMCPMC8286320

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.