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

Sarah R. Hayford, Victor Agadjanian

Research output: Contribution to journalArticle

18 Scopus citations

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

ASJC Scopus subject areas

  • Demography
  • Social Sciences (miscellaneous)

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