Provider Perspectives on Navigating Relationship Challenges in Assisting HIV-Affected Couples to Meet Their Reproductive Goals: Lessons Learned from a Safer Conception Counseling Intervention in Uganda.
Provider Perspectives on Navigating Relationship Challenges in Assisting HIV-Affected Couples to Meet Their Reproductive Goals: Lessons Learned from a Safer Conception Counseling Intervention in Uganda.
复制标题
提供者对在协助艾滋病毒影响夫妇实现其生殖目标方面面临关系挑战的看法：从乌干达更安全的概念咨询干预中学到的经验教训。
DOI：
10.1007/s10461-021-03397-4
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发表时间：
2022-03
影响因子：
4.4
通讯作者：
Goggin K
中科院分区：
文献类型：
--
作者：
Mindry D;Gizaw M;Gwokyalya V;Hurley E;Finocchario-Kessler S;Beyeza-Kashesya J;Wagner GJ;Wanyenze RK;Goggin K
在乌干达，60%的艾滋病毒感染夫妇血清不一致，其中许多人想要孩子。有必要评估他们的生殖意愿，并提供适当的服务，在实现生殖目标的同时限制传播风险。我们的选择干预措施使男性和女性艾滋病毒感染者及其伴侣根据他们的生育决定接受更安全的受孕咨询（SCC）或计划生育。我们报告的供应商的经验和建议，从事夫妇在SCC的调查结果。干预措施在四个诊所实施，这些诊所提供SCC1（强化培训和监督部门）或SCC2，采用卫生部的标准方法。在干预开始后12个月（N = 23）和24个月（N = 25）进行定性访谈。许多伙伴至少参加了一些SCC会议，尽管吸引男性伙伴更具挑战性。供应商报告说，合作伙伴的参与提高了对供应链管理的理解，并促进了供应链管理的成功实施，而当客户单独参与时，混乱和挑战是常见的。提供者分享了吸引男性伴侣的成功战略。
In Uganda, 60% of HIV-affected couples are serodiscordant, many of whom want children. There is a need to assess their reproductive intentions and provide appropriate services that limit transmission risks while meeting reproductive goals. Our Choice intervention engaged male and female HIV-infected clients and their partners in safer conception counseling (SCC) or family planning based on their childbearing decision. We report findings of provider experiences and recommendations for engaging couples in SCC. The intervention was implemented in four clinics offering either SCC1, an intensive training and supervision arm, or SCC2, utilizing the Ministry of Health’s standard approach. Qualitative interviews were conducted at 12 (N = 23) and 24 months (N = 25) after initiation of the intervention. Many partners attended at least some SCC sessions, although engaging male partners was more challenging. Providers reported partner involvement improved understanding and facilitated successful implementation of SCM, whereas confusion and challenges were common when the client participated alone. Providers shared successful strategies for engaging male partners.
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DOI：
10.1186/s13012-018-0793-y
发表时间：
2018-08-14
期刊：
Implementation science : IS
影响因子：
--
作者：
Goggin K;Hurley EA;Beyeza-Kashesya J;Gwokyalya V;Finocchario-Kessler S;Birungi J;Mindry D;Wanyenze RK;Wagner GJ
通讯作者：
Wagner GJ
男人对计划生育计划的服务很好吗？
影响因子：
3.4
作者：
Hardee K;Croce-Galis M;Gay J
通讯作者：
Gay J
影响因子：
2.6
作者：
Besada, Donela;Rohde, Sarah;Doherty, Tanya
通讯作者：
Doherty, Tanya
影响因子：
6
作者：
Crankshaw, Tamaryn L.;Mindry, Deborah;Maharaj, Pranitha
通讯作者：
Maharaj, Pranitha
影响因子：
4.9
作者：
Finocchario-Kessler, Sarah;Dariotis, Jacinda K.;Anderson, Jean R.
通讯作者：
Anderson, Jean R.