Providers' Views Concerning Family Planning Service Delivery to HIV-positive Women in Mozambique

Sarah R. Hayford, Victor Agadjanian

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

This study explores challenges and obstacles in providing effective family planning services to HIV-positive women as described by staff of maternal and child health (MCH) clinics. It draws upon data from a survey of service providers carried out from late 2008 to early 2009 in 52 MCH clinics in southern Mozambique, some with and some without HIV services. In all clinics, surveyed providers reported that practical, financial, and social barriers made it difficult for HIV-positive clients to follow protocols to prevent mother-to-child transmission of the virus. Likewise, staff were skeptical of their seropositive clients' ability to adhere to recommendations to cease childbearing and to use condoms consistently. Providers' recommendations to HIV-positive clients and their assessment of barriers to adherence did not depend on availability of HIV services. Although integration of HIV and reproductive health services is advancing in Mozambique, service providers do not feel that they can influence the behaviors of HIV-positive women effectively.

Original languageEnglish (US)
Pages (from-to)291-300
Number of pages10
JournalStudies in Family Planning
Volume41
Issue number4
DOIs
StatePublished - Dec 2010

Fingerprint

Mozambique
family planning
service provider
staff
social opportunity
health
health service
ability

ASJC Scopus subject areas

  • Demography
  • Social Sciences (miscellaneous)

Cite this

Providers' Views Concerning Family Planning Service Delivery to HIV-positive Women in Mozambique. / Hayford, Sarah R.; Agadjanian, Victor.

In: Studies in Family Planning, Vol. 41, No. 4, 12.2010, p. 291-300.

Research output: Contribution to journalArticle

Hayford, Sarah R. ; Agadjanian, Victor. / Providers' Views Concerning Family Planning Service Delivery to HIV-positive Women in Mozambique. In: Studies in Family Planning. 2010 ; Vol. 41, No. 4. pp. 291-300.
@article{781e8a336ef647dfa6cd3b5f754f8103,
title = "Providers' Views Concerning Family Planning Service Delivery to HIV-positive Women in Mozambique",
abstract = "This study explores challenges and obstacles in providing effective family planning services to HIV-positive women as described by staff of maternal and child health (MCH) clinics. It draws upon data from a survey of service providers carried out from late 2008 to early 2009 in 52 MCH clinics in southern Mozambique, some with and some without HIV services. In all clinics, surveyed providers reported that practical, financial, and social barriers made it difficult for HIV-positive clients to follow protocols to prevent mother-to-child transmission of the virus. Likewise, staff were skeptical of their seropositive clients' ability to adhere to recommendations to cease childbearing and to use condoms consistently. Providers' recommendations to HIV-positive clients and their assessment of barriers to adherence did not depend on availability of HIV services. Although integration of HIV and reproductive health services is advancing in Mozambique, service providers do not feel that they can influence the behaviors of HIV-positive women effectively.",
author = "Hayford, {Sarah R.} and Victor Agadjanian",
year = "2010",
month = "12",
doi = "10.1111/j.1728-4465.2010.00254.x",
language = "English (US)",
volume = "41",
pages = "291--300",
journal = "Studies in Familiy Planning",
issn = "0039-3665",
publisher = "Wiley-Blackwell",
number = "4",

}

TY - JOUR

T1 - Providers' Views Concerning Family Planning Service Delivery to HIV-positive Women in Mozambique

AU - Hayford, Sarah R.

AU - Agadjanian, Victor

PY - 2010/12

Y1 - 2010/12

N2 - This study explores challenges and obstacles in providing effective family planning services to HIV-positive women as described by staff of maternal and child health (MCH) clinics. It draws upon data from a survey of service providers carried out from late 2008 to early 2009 in 52 MCH clinics in southern Mozambique, some with and some without HIV services. In all clinics, surveyed providers reported that practical, financial, and social barriers made it difficult for HIV-positive clients to follow protocols to prevent mother-to-child transmission of the virus. Likewise, staff were skeptical of their seropositive clients' ability to adhere to recommendations to cease childbearing and to use condoms consistently. Providers' recommendations to HIV-positive clients and their assessment of barriers to adherence did not depend on availability of HIV services. Although integration of HIV and reproductive health services is advancing in Mozambique, service providers do not feel that they can influence the behaviors of HIV-positive women effectively.

AB - This study explores challenges and obstacles in providing effective family planning services to HIV-positive women as described by staff of maternal and child health (MCH) clinics. It draws upon data from a survey of service providers carried out from late 2008 to early 2009 in 52 MCH clinics in southern Mozambique, some with and some without HIV services. In all clinics, surveyed providers reported that practical, financial, and social barriers made it difficult for HIV-positive clients to follow protocols to prevent mother-to-child transmission of the virus. Likewise, staff were skeptical of their seropositive clients' ability to adhere to recommendations to cease childbearing and to use condoms consistently. Providers' recommendations to HIV-positive clients and their assessment of barriers to adherence did not depend on availability of HIV services. Although integration of HIV and reproductive health services is advancing in Mozambique, service providers do not feel that they can influence the behaviors of HIV-positive women effectively.

UR - http://www.scopus.com/inward/record.url?scp=78650044508&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78650044508&partnerID=8YFLogxK

U2 - 10.1111/j.1728-4465.2010.00254.x

DO - 10.1111/j.1728-4465.2010.00254.x

M3 - Article

C2 - 21258608

AN - SCOPUS:78650044508

VL - 41

SP - 291

EP - 300

JO - Studies in Familiy Planning

JF - Studies in Familiy Planning

SN - 0039-3665

IS - 4

ER -