Steinfeld Rachel L, Newmann Sara J, Onono Maricianah, Cohen Craig R, Bukusi Elizabeth A, Grossman Daniel
Department of Obstetrics and Gynecology and Reproductive Sciences, University of California, San Francisco (UCSF), 50 Beale Street, Suite 1200, San Francisco, CA 94105, USA.
AIDS Res Treat. 2013;2013:861983. doi: 10.1155/2013/861983. Epub 2013 Apr 30.
This study explored barriers to and facilitators of using family planning services among HIV-positive men in Nyanza Province, Kenya. From May to June 2010, in-depth interviews were conducted with 30 men receiving care at 15 HIV clinics. The key barriers to the use of family planning included concerns about side effects of contraceptives, lack of knowledge about contraceptive methods, myths and misconceptions including fear of infertility, structural barriers such as staffing shortages at HIV clinics, and a lack of male focus in family planning methods and service delivery. The integration of family planning into HIV clinics including family planning counseling and education was cited as an important strategy to improve family planning receptivity among men. Integrating family planning into HIV services is a promising strategy to facilitate male involvement in family planning. Integration needs to be rigorously evaluated in order to measure its impact on unmet need for contraception among HIV-positive women and their partners and assure that it is implemented in a manner that engages both men and women.
本研究探讨了肯尼亚尼扬扎省艾滋病毒呈阳性男性使用计划生育服务的障碍和促进因素。2010年5月至6月，对在15家艾滋病毒诊所接受治疗的30名男性进行了深入访谈。使用计划生育的主要障碍包括对避孕药具副作用的担忧、对避孕方法缺乏了解、包括对不育的恐惧在内的误解和错误观念、诸如艾滋病毒诊所人员短缺等结构性障碍，以及计划生育方法和服务提供中缺乏对男性的关注。将计划生育纳入艾滋病毒诊所，包括计划生育咨询和教育，被认为是提高男性对计划生育接受度的一项重要战略。将计划生育纳入艾滋病毒服务是促进男性参与计划生育的一项有前景的战略。需要对整合进行严格评估，以衡量其对艾滋病毒呈阳性女性及其伴侣未满足的避孕需求的影响，并确保以让男性和女性都参与的方式实施。
