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

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• 作者：Maricianah Onono ; Cinthia Blat ; Sondra Miles ; Rachel Steinfeld ; Pauline Wekesa ; Elizabeth A. Bukusi ; Kevin Owuor ; Daniel Grossman ; Craig R. Cohen ; Sara J. Newmann
• 关键词：Health talk ; Family planning ; Contraception ; HIV ; Knowledge ; Community health workers
• 刊名：Patient Education and Counseling
• 出版年：March, 2014
• 年：2014
• 卷：94
• 期：3
• 页码：438-441
• 全文大小：285 K

文摘

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.