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Patient Educ Couns. 2014 Mar;94(3):438-41. doi: 10.1016/j.pec.2013.11.008. Epub 2013 Nov 28.

Impact of family planning health talks by lay health workers on contraceptive knowledge and attitudes among HIV-infected patients in rural Kenya.

Author information

1
Kenya Medical Research Institute (KEMRI), Family Aids Care and Education Services (FACES), Kisumu, Kenya. Electronic address: maricianah@yahoo.com.
2
Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, USA.
3
Department of Internal Medicine, University of California, San Francisco, USA.
4
Kenya Medical Research Institute (KEMRI), Family Aids Care and Education Services (FACES), Kisumu, Kenya.
5
Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, USA; Ibis Reproductive Health, Oakland, CA, USA.

Abstract

OBJECTIVE:

To determine if a health talk on family planning (FP) by community clinic health assistants (CCHAs) will improve knowledge, attitudes and behavioral intentions about contraception in HIV-infected individuals.

METHODS:

A 15-min FP health talk was given by CCHAs in six rural HIV clinics to a sample of 49 HIV-infected men and women. Effects of the health talk were assessed through a questionnaire administered before the health talk and after completion of the participant's clinic visit.

RESULTS:

Following the health talk, there was a significant increase in knowledge about contraceptives (p<.0001), side-effects (p<.0001), and method-specific knowledge about IUCDs (p<.001), implants (p<.0001), and injectables (p<.05). Out of 31 women and 18 men enrolled, 14 (45%) women and 6 (33%) men intended to try a new contraceptive. Participant attitudes toward FP were high before and after the health talk (median 4 of 4).

CONCLUSION:

A health talk delivered by CCHAs can increase knowledge of contraception and promote the intention to try new more effective contraception among HIV-infected individuals.

PRACTICE IMPLICATIONS:

FP health talks administered by lay-health providers to HIV-infected individuals as they wait for HIV services can influence FP knowledge and intention to use FP.

KEYWORDS:

Community health workers; Contraception; Family planning; HIV; Health talk; Knowledge

PMID:
24316053
PMCID:
PMC4530318
DOI:
10.1016/j.pec.2013.11.008
[Indexed for MEDLINE]
Free PMC Article
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