Safer conception for female sex workers living with HIV in Dar es Salaam, Tanzania: Cross-sectional analysis of needs and opportunities in integrated family planning/HIV services

PloS One
Eileen A YamZuhura Mbuguni

Abstract

With the advent of effective treatment, women living with HIV can plan for pregnancy while minimizing risk of transmission to infants and seronegative partners. Family planning (FP) services tend to focus solely on addressing contraceptive need, but HIV-positive women-including female sex workers-often plan to have children someday. Various "safer conception" strategies are now available to support women living with HIV achieve fertility intentions, and integrated HIV/FP services may be a promising platform to offer these services. At integrated community-based HIV/FP service delivery sites operated by Jhpiego's Sauti project in Dar es Salaam, we conducted exit interviews with 300 HIV-positive female sex workers. Descriptive analyses were conducted to describe their desire for children, use of condoms and other modern contraceptive methods, self-reported viral suppression, and knowledge of and interest in safer conception strategies. We conducted bivariate and multivariate logistic regression analysis to examine correlates of fertility desire among respondents. Median age of participants was 32. Nearly one-third wished to have a child within two years. Seventy-two percent had heard of having the HIV-positive partner taking ART ...Continue Reading

References

Jun 8, 2012·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Mona R LoutfyMark H Yudin
Jun 26, 2013·The Journal of Family Planning and Reproductive Health Care·Eileen A YamStefan Baral
Oct 2, 2014·Culture, Health & Sexuality·Sarah W BeckhamDeanna L Kerrigan
Feb 1, 2015·BMC Public Health·Rishan WeldegebrealTesfay Gebregzabher Gebrehiwot
Feb 26, 2015·Ciência & saúde coletiva·Alberto Pereira Madeiro, Debora Diniz
Mar 11, 2015·Studies in Family Planning·Sarah W BeckhamDeanna L Kerrigan
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Dec 23, 2016·The Lancet. HIV·Eileen A YamAmy O Tsui
Feb 15, 2017·AIDS and Behavior·Hazar KhidirLynn T Matthews
Mar 25, 2017·Studies in Family Planning·Sabina A HaberlenCaitlin E Kennedy
Aug 22, 2017·International Perspectives on Sexual and Reproductive Health·Haneefa T SaleemCaitlin E Kennedy
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Jun 5, 2019·Health Care for Women International·Eileen A YamSharif M I Hossain

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Methods Mentioned

BETA
circumcision
contraception

Software Mentioned

MEASURE SPA
MEASURE
KoBo Toolbox

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