Family Planning In The Context Of HIV Infection

The World Health organisation identified family planning as a cost effective means of preventing unintended pregnancies in HIV infected women and also a means of preventing mother to child transmission of HIV. Hence the adoption of family planning as one of the four pillars of the comprehensive approach to the prevention mother to child transmission of HIV. In order to actualize this plan, the global health community embarked on creating stronger linkages between family planning and HIV policies, programs, and services. These linkages are essential to meet the needs of women and their families and to achieve international development goals, such as the millennium development goals (MDG 4,5 and 6), an AIDS-free generation and greater access to reproductive health services. Thus, the birth of integrating family planning to HIV prevention, treatment and care programs. This strategy was aimed at improving access and uptake of family planning services by HIV infected women, bearing in mind its contributions to maternal and child health. However, rates of unintended pregnancies remain alarmingly high in women with HIV, and family planning interventions have been underutilized in HIV Prevention, care, and treatment programs. This is not surprising in a country like Nigeria whose current overall prevalence rate of family planning use is 15% (1). This reflects a low utilization rate of family planning despite its immense benefits.

[1]  D. Tolossa,et al.  Contraceptive Use Among HIV-Infected Women Attending Treatment and Care at Yirgalem Hospital, Southern Ethiopia , 2014 .

[2]  Y. Melaku,et al.  Contraceptive Utilization and Associated Factors among HIV Positive Women on Chronic Follow Up Care in Tigray Region, Northern Ethiopia: A Cross Sectional Study , 2014, PloS one.

[3]  Fekede Asefa,et al.  Modern contraceptive utilization among female ART attendees in health facilities of Gimbie town, West Ethiopia , 2014, Reproductive Health.

[4]  Y. Berhane,et al.  Utilization of Modern Contraceptives among HIV Positive Reproductive Age Women in Tigray, Ethiopia: A Cross Sectional Study , 2013, ISRN AIDS.

[5]  I. Askew,et al.  Family planning practices and pregnancy intentions among HIV-positive and HIV-negative postpartum women in Swaziland: a cross sectional survey , 2013, BMC Pregnancy and Childbirth.

[6]  B. Mahapatra,et al.  The Consequences of Unintended Pregnancy for Maternal and Child Health in Rural India: Evidence from Prospective Data , 2013, Maternal and Child Health Journal.

[7]  F. Wabwire-mangen,et al.  Fertility and contraceptive decision-making and support for HIV infected individuals: client and provider experiences and perceptions at two HIV clinics in Uganda , 2013, BMC Public Health.

[8]  N. French,et al.  Fertility Intentions and Use of Contraception among Monogamous Couples in Northern Malawi in the Context of HIV Testing: A Cross-Sectional Analysis , 2012, PloS one.

[9]  Jeffrey N. Martin,et al.  Contraceptive Use and Associated Factors among Women Enrolling into HIV Care in Southwestern Uganda , 2012, Infectious diseases in obstetrics and gynecology.

[10]  V. Rasch,et al.  Contraceptive use among HIV‐positive women in Quang Ninh province, Vietnam , 2012, Tropical medicine & international health : TM & IH.

[11]  R. Wilcher,et al.  Meeting the Contraceptive Needs of Key Populations Affected by HIV in Asia: An Unfinished Agenda , 2012, AIDS research and treatment.

[12]  C. Oraka,et al.  Pregnancy and contraception - the perspective of HIV-positive and negative women , 2012, Retrovirology.

[13]  D. Constant,et al.  Factors impacting knowledge and use of long acting and permanent contraceptive methods by postpartum HIV positive and negative women in Cape Town, South Africa: a cross-sectional study , 2012, BMC Public Health.

[14]  I. Shah,et al.  Induced abortion: incidence and trends worldwide from 1995 to 2008 , 2012, The Lancet.

[15]  Venkatesan Chakrapani,et al.  Prevalence of and Barriers to Dual-Contraceptive Methods Use among Married Men and Women Living with HIV in India , 2011, Infectious diseases in obstetrics and gynecology.

[16]  A. Alibhai,et al.  Impact of antiretroviral therapy on fertility desires among HIV-infected persons in rural Uganda , 2011, Reproductive health.

[17]  Jianghong Li,et al.  Family planning among people living with HIV in post-conflict Northern Uganda: A mixed methods study , 2011, Conflict and health.

[18]  R. King,et al.  'Pregnancy comes accidentally - like it did with me': reproductive decisions among women on ART and their partners in rural Uganda , 2011, BMC public health.

[19]  A. Ekström,et al.  To use or not to use a condom: A prospective cohort study comparing contraceptive practices among HIV-infected and HIV-negative youth in Uganda , 2011, BMC infectious diseases.

[20]  L. Atuyambe,et al.  Uptake of family planning methods and unplanned pregnancies among HIV-infected individuals: a cross-sectional survey among clients at HIV clinics in Uganda , 2011, Journal of the International AIDS Society.

[21]  Susheela Singh,et al.  Unintended pregnancy: worldwide levels, trends, and outcomes. , 2010, Studies in family planning.

[22]  F. Mirembe,et al.  My partner wants a child: A cross-sectional study of the determinants of the desire for children among mutually disclosed sero-discordant couples receiving care in Uganda , 2010, BMC public health.

[23]  J. Tappero,et al.  The Contribution of Family Planning towards the Prevention of Vertical HIV Transmission in Uganda , 2009, PloS one.

[24]  Suzanne Leclerc-Madlala,et al.  Age-disparate and intergenerational sex in southern Africa: the dynamics of hypervulnerability , 2008, AIDS.

[25]  W. Cates,et al.  Contraception to prevent HIV-positive births: current contribution and potential cost savings in PEPFAR countries , 2008, Sexually Transmitted Infections.

[26]  J. Kinuthia,et al.  Contraceptive use among HIV infected women attending Comprehensive Care Centre. , 2008, East African medical journal.

[27]  B. Janowitz,et al.  The Value of Contraception to Prevent Perinatal HIV Transmission , 2006, Sexually transmitted diseases.

[28]  M. Molyneux,et al.  Impairment of humoral immunity to Plasmodium falciparum malaria in pregnancy by HIV infection , 2004, The Lancet.

[29]  M. D. Bruyn.  Safe abortion for HIV-positive women with unwanted pregnancy: a reproductive right. , 2003 .

[30]  E. Oliveras,et al.  Addressing Unmet Need for Contraception among HIV-positive Women , 2013 .

[31]  F. Dabis,et al.  Anaemia during pregnancy in Burkina Faso, west Africa, 1995-96: prevalence and associated factors. DITRAME Study Group. , 1999, Bulletin of the World Health Organization.