Describe dual contraceptive method use and the intention to become pregnant of people living with HIV (PLHIV) and their partners in Thailand.
From January 2008–March 2009, we systematically selected a cohort of PLHIV from PLHIV seeking care at five tertiary care hospitals and one community hospital to complete a questionnaire assessing sexual activity, intention to become pregnant, and contraceptive practices at baseline and 12 months after enrollment. Participants received short family planning messages every 2–3 months to promote the use of dual contraceptives and were offered family planning services.
A total of 1,388 PLHIV enrolled, their median age was 37 years (IQR 33–43), 898 (64.7 %) had a steady partner, and 737 (53.1 %) were male. Among those with a steady partner, 862 (96.0 %) did not intend to become pregnant; 709 (82.3 %) had sex during the previous 3 months, 683 (96.3 %) used at least one contraceptive method, and 202 (29.6 %) used dual contraceptive methods. Of the 317 PLHIV who used a single contraceptive method at baseline, 66 (20.8 %) reported using dual methods at 12 months. Participants at two tertiary care hospitals where coordinators facilitated PLHIV referral between HIV and OB/GYN clinics were more likely than participants at the other hospitals to change from single method to dual method (p ≤ 0.03).
Few PLHIV in this study intended to become pregnant; however, only one-fourth used dual contraceptive methods. Integrating an assessment of the intention to become pregnant and strengthening the PLHIV referral systems in family planning services may contribute to higher rates of dual contraceptive use.
Below: Pregnancy desire assessment and family planning short messages
Full article at: http://goo.gl/PZxrPH
1Faculty of Medicine Vajira Hospital, Navamindharadhiraj University, Bangkok, Thailand
2Thailand Ministry of Public Health-U.S. Center for Disease Control and Prevention Collaboration, Nonthaburi 11000, Thailand
3Bamrasnaradura Infectious Disease Institute, Nonthaburi, Thailand
4Siriraj Hospital, Mahidol University, Bangkok, Thailand
5Taksin Hospital, Bangkok, Thailand
6Rajavithi Hospital, Bangkok, Thailand
7Wiang Pa Pao Hospital, Chiang Rai, Thailand
8Division of Global HIV/AIDS, Centers for Disease Control and Prevention, Atlanta, USA
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