Chibwesha Carla J, Li Michelle S, Matoba Christine K, Mbewe Reuben K, Chi Benjamin H, Stringer Jeffrey S A, Stringer Elizabeth M
University of Alabama School of Medicine, Birmingham, AL 35294, USA.
Infect Dis Obstet Gynecol. 2011;2011:261453. doi: 10.1155/2011/261453. Epub 2011 Oct 5.
HIV-infected women in sub-Saharan Africa are at substantial risk of unintended pregnancy and sexually transmitted infections (STIs). Linkages between HIV and reproductive health services are advocated. We describe implementation of a reproductive health counseling intervention in 16 HIV clinics in Lusaka, Zambia. Between November 2009 and November 2010, 18,407 women on antiretroviral treatment (ART) were counseled. The median age was 34.6 years (interquartile range (IQR): 29.9-39.7), and 60.1% of women were married. The median CD4(+) cell count was 394 cells/uL (IQR: 256-558). Of the women counseled, 10,904 (59.2%) reported current modern contraceptive use. Among contraceptive users, only 17.7% reported dual method use. After counseling, 737 of 7,503 women not previously using modern contraception desired family planning referrals, and 61.6% of these women successfully accessed services within 90 days. Unmet contraceptive need remains high among HIV-infected women. Additional efforts are needed to promote reproductive health, particularly dual method use.
撒哈拉以南非洲地区感染艾滋病毒的妇女意外怀孕和感染性传播感染（STIs）的风险很大。人们提倡将艾滋病毒与生殖健康服务联系起来。我们描述了在赞比亚卢萨卡的16家艾滋病毒诊所实施生殖健康咨询干预措施的情况。在2009年11月至2010年11月期间，为18407名接受抗逆转录病毒治疗（ART）的妇女提供了咨询。中位年龄为34.6岁（四分位间距（IQR）：29.9 - 39.7），60.1%的妇女已婚。CD4(+)细胞计数的中位数为394个细胞/微升（IQR：256 - 558）。在接受咨询的妇女中，10904名（59.2%）报告目前正在使用现代避孕方法。在避孕方法使用者中，只有17.7%报告采用了双重避孕方法。咨询后，在7503名以前未使用现代避孕方法的妇女中，有737名希望获得计划生育转诊服务，其中61.6%的妇女在90天内成功获得了服务。艾滋病毒感染妇女中未满足的避孕需求仍然很高。需要做出更多努力来促进生殖健康，特别是双重避孕方法的使用。
