Post-abortion care and voluntary HIV counselling and testing--an example of integrating HIV prevention into reproductive health services

Tropical Medicine & International Health : TM & IH
Vibeke RaschSiriel Massawe

Abstract

To assess the acceptance and outcome of voluntary HIV counselling and testing (VCT) among women who had an unsafe abortion. 706 women were provided with post-abortion contraceptive service and offered VCT. We collected data on socioeconomic characteristics and contraceptive use and determined the HIV status of those who accepted VCT. Using a nested case-control design, we compared women who accepted HIV testing with women who did not. To study the association between socioeconomic factors, HIV testing acceptance and condom use in more detail, we did stratified analyses based on age and marital status. 58% of the women who had an unsafe abortion accepted HIV testing. Women who earned an income were more likely to accept testing than housewives. Women who accepted testing were more likely to accept using a condom. The HIV prevalence rate was 19% among single women aged 20-24 years and 25% among single women aged 25-45 years. HIV testing and condoms were accepted by most women who had an unsafe abortion. The poor reproductive health of these women could be improved by good post-abortion care that includes contraceptive counselling, VCT and condom promotion.

References

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Citations

Aug 16, 2008·American Journal of Public Health·Sofia GruskinLaura Ferguson
Apr 9, 2009·Journal of Medical Entomology·Julia W PridgeonKenneth J Linthicum
May 16, 2007·Infectious Disease Clinics of North America·Vikrant V Sahasrabuddhe, Sten H Vermund
Aug 19, 2015·Reproductive Health Matters·Sheree R Schwartz, Stefan Baral
Aug 30, 2016·Global Health, Science and Practice·Douglas HuberLauren Arrington
Sep 14, 2012·The Cochrane Database of Systematic Reviews·Mary Lou LindegrenGail E Kennedy
Jul 21, 2010·Journal of the International AIDS Society·Caitlin E KennedyKevin Osborne
Dec 20, 2019·Health Care for Women International·Chimaraoke IzugbaraWinstoun Muga
May 12, 2021·Journal of the International AIDS Society·Renee HeffronNelly Mugo
Jul 5, 2021·Reproductive Health·Fentahun Yenealem BeyeneAsteray Assemie Ayenew

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