HIV-positive men's experiences with integrated family planning and HIV services in western Kenya: integration fosters male involvement
A growing body of evidence indicates that integrating family planning (FP) services into HIV care is effective at improving contraceptive uptake among HIV-positive women in resource-poor settings, yet little research has examined HIV-positive men's experiences with such integration. We conducte...
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| Veröffentlicht in: | AIDS patient care and STDs 2014-08, Vol.28 (8), p.418-424 |
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| creator | Patel, Rena Baum, Sarah Grossman, Daniel Steinfeld, Rachel Onono, Maricianah Cohen, Craig Bukusi, Elizabeth Newmann, Sara |
| description | A growing body of evidence indicates that integrating family planning (FP) services into HIV care is effective at improving contraceptive uptake among HIV-positive women in resource-poor settings, yet little research has examined HIV-positive men's experiences with such integration. We conducted in-depth interviews with 21 HIV-positive men seeking care at HIV clinics in Nyanza, Kenya. All clinics were intervention sites for a FP/HIV service integration cluster-randomized trial. Grounded theory was used to code and analyze the data. Our findings highlight men's motivations for FP, reasons why men prefer obtaining their FP services, which include education, counseling, and commodities, at HIV care clinics, and specific ways in which integrated FP/HIV services fostered male inclusion in FP decision-making. In conclusion, men appear invested in FP and their inclusion in FP decision-making may bolster both female and male agency. Men's positive attitudes towards FP being provided at HIV care clinics supports the programmatic push towards integrated delivery models for FP and HIV services. |
| doi_str_mv | 10.1089/apc.2014.0046 |
| format | Article |
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We conducted in-depth interviews with 21 HIV-positive men seeking care at HIV clinics in Nyanza, Kenya. All clinics were intervention sites for a FP/HIV service integration cluster-randomized trial. Grounded theory was used to code and analyze the data. Our findings highlight men's motivations for FP, reasons why men prefer obtaining their FP services, which include education, counseling, and commodities, at HIV care clinics, and specific ways in which integrated FP/HIV services fostered male inclusion in FP decision-making. In conclusion, men appear invested in FP and their inclusion in FP decision-making may bolster both female and male agency. Men's positive attitudes towards FP being provided at HIV care clinics supports the programmatic push towards integrated delivery models for FP and HIV services.</description><identifier>ISSN: 1087-2914</identifier><identifier>EISSN: 1557-7449</identifier><identifier>DOI: 10.1089/apc.2014.0046</identifier><identifier>PMID: 24927494</identifier><identifier>CODEN: APACEF</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Adult ; Clinical and Epidemiologic Research ; Contraception Behavior - psychology ; Counseling ; Cross-Sectional Studies ; Decision making ; Delivery of Health Care, Integrated - organization & administration ; Delivery of Health Care, Integrated - statistics & numerical data ; Family planning ; Family Planning Services - organization & administration ; Female ; Health Knowledge, Attitudes, Practice ; Health Services Accessibility ; HIV ; HIV Infections - prevention & control ; HIV Infections - psychology ; HIV Infections - transmission ; Human immunodeficiency virus ; Humans ; Integration ; Kenya ; Lentivirus ; Male ; Middle Aged ; Motivation ; Patient Preference ; Patient Satisfaction ; Professional-Patient Relations ; Qualitative Research ; Retroviridae</subject><ispartof>AIDS patient care and STDs, 2014-08, Vol.28 (8), p.418-424</ispartof><rights>Copyright Mary Ann Liebert, Inc. Aug 2014</rights><rights>Copyright 2014, Mary Ann Liebert, Inc. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-225bb4a06bedc041015e9457d28a5eea3356a2dcfaefe4369b8ae5d8f83ef5cf3</citedby><cites>FETCH-LOGICAL-c448t-225bb4a06bedc041015e9457d28a5eea3356a2dcfaefe4369b8ae5d8f83ef5cf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24927494$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Patel, Rena</creatorcontrib><creatorcontrib>Baum, Sarah</creatorcontrib><creatorcontrib>Grossman, Daniel</creatorcontrib><creatorcontrib>Steinfeld, Rachel</creatorcontrib><creatorcontrib>Onono, Maricianah</creatorcontrib><creatorcontrib>Cohen, Craig</creatorcontrib><creatorcontrib>Bukusi, Elizabeth</creatorcontrib><creatorcontrib>Newmann, Sara</creatorcontrib><title>HIV-positive men's experiences with integrated family planning and HIV services in western Kenya: integration fosters male involvement</title><title>AIDS patient care and STDs</title><addtitle>AIDS Patient Care STDS</addtitle><description>A growing body of evidence indicates that integrating family planning (FP) services into HIV care is effective at improving contraceptive uptake among HIV-positive women in resource-poor settings, yet little research has examined HIV-positive men's experiences with such integration. We conducted in-depth interviews with 21 HIV-positive men seeking care at HIV clinics in Nyanza, Kenya. All clinics were intervention sites for a FP/HIV service integration cluster-randomized trial. Grounded theory was used to code and analyze the data. Our findings highlight men's motivations for FP, reasons why men prefer obtaining their FP services, which include education, counseling, and commodities, at HIV care clinics, and specific ways in which integrated FP/HIV services fostered male inclusion in FP decision-making. In conclusion, men appear invested in FP and their inclusion in FP decision-making may bolster both female and male agency. Men's positive attitudes towards FP being provided at HIV care clinics supports the programmatic push towards integrated delivery models for FP and HIV services.</description><subject>Adult</subject><subject>Clinical and Epidemiologic Research</subject><subject>Contraception Behavior - psychology</subject><subject>Counseling</subject><subject>Cross-Sectional Studies</subject><subject>Decision making</subject><subject>Delivery of Health Care, Integrated - organization & administration</subject><subject>Delivery of Health Care, Integrated - statistics & numerical data</subject><subject>Family planning</subject><subject>Family Planning Services - organization & administration</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Services Accessibility</subject><subject>HIV</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - psychology</subject><subject>HIV Infections - transmission</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Integration</subject><subject>Kenya</subject><subject>Lentivirus</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Motivation</subject><subject>Patient Preference</subject><subject>Patient Satisfaction</subject><subject>Professional-Patient Relations</subject><subject>Qualitative Research</subject><subject>Retroviridae</subject><issn>1087-2914</issn><issn>1557-7449</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkstu1DAUhi0EohdYskWWWNBNBl8Tm0UlVAGtqMQG2FpOcjx1ldjBzqTMC_DcOGoZARtWtnS-85_bj9ALSjaUKP3GTt2GESo2hIj6ETqmUjZVI4R-XP5ENRXTVByhk5xvCSGKSfIUHTGhWSO0OEY_L6--VVPMfvYL4BHC64zhxwTJQ-gg4zs_32AfZtgmO0OPnR39sMfTYEPwYYtt6HGRwBnS4tcEH_Ad5BlSwJ8g7O3bQ7aPAbu4hjIe7QAlsMRhgVJ0foaeODtkeP7wnqKvH95_ubisrj9_vLp4d111Qqi5Yky2rbCkbqHviKCEStBCNj1TVgJYzmVtWd85Cw4Er3WrLMheOcXByc7xU3R-rzvt2rFolNLJDmZKfrRpb6L15u9I8DdmGxcjNGeNqovA2YNAit93ZVAz-tzBUPYBcZcNVazRTMla_R-VkhJWriYK-uof9DbuUiibWCkmBOWKF6q6p7oUc07gDn1TYlYzmGIGs5rBrGYo_Ms_hz3Qv6_PfwE0x7OX</recordid><startdate>201408</startdate><enddate>201408</enddate><creator>Patel, Rena</creator><creator>Baum, Sarah</creator><creator>Grossman, Daniel</creator><creator>Steinfeld, Rachel</creator><creator>Onono, Maricianah</creator><creator>Cohen, Craig</creator><creator>Bukusi, Elizabeth</creator><creator>Newmann, Sara</creator><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T2</scope><scope>7T5</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><scope>7U2</scope><scope>5PM</scope></search><sort><creationdate>201408</creationdate><title>HIV-positive men's experiences with integrated family planning and HIV services in western Kenya: integration fosters male involvement</title><author>Patel, Rena ; 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| subjects | Adult Clinical and Epidemiologic Research Contraception Behavior - psychology Counseling Cross-Sectional Studies Decision making Delivery of Health Care, Integrated - organization & administration Delivery of Health Care, Integrated - statistics & numerical data Family planning Family Planning Services - organization & administration Female Health Knowledge, Attitudes, Practice Health Services Accessibility HIV HIV Infections - prevention & control HIV Infections - psychology HIV Infections - transmission Human immunodeficiency virus Humans Integration Kenya Lentivirus Male Middle Aged Motivation Patient Preference Patient Satisfaction Professional-Patient Relations Qualitative Research Retroviridae |
| title | HIV-positive men's experiences with integrated family planning and HIV services in western Kenya: integration fosters male involvement |
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