Project Title: Impact of FP-HIV Service Intergration on Urban Fertility among HIV Positive Women
Project Description: : HIV positive women constitute a special group in the population that requires comprehensive access to family planning (FP) services. FP is recognized by the World Health Organization as a cost-effective intervention for the prevention of mother to child transmission of HIV. Through policies and implementation guidelines, the government of Tanzania committed to integrating FP into health and development issues. This study is designed to evaluate how FP is integrated within HIV care and treatment... : HIV positive women constitute a special group in the population that requires comprehensive access to family planning (FP) services. FP is recognized by the World Health Organization as a cost-effective intervention for the prevention of mother to child transmission of HIV. Through policies and implementation guidelines, the government of Tanzania committed to integrating FP into health and development issues. This study is designed to evaluate how FP is integrated within HIV care and treatment services and how services integration is related to contraceptive use, fertility, and fertility outcomes among HIV positive women. The rationale is to generate evidence on how the integration of FP and HIV care is potential in improving the health of mothers and their newborn, as well as improve household welfare in urban Tanzania. The study population will be HIV positive women in Dar-es-salaam and Dodoma cities enrolled in antiretroviral therapy. HIV prevalence among women (15 years and above) is estimated at 6.5% while the unmet need for family planning in the general population is estimated at 34%. The research activities will be conducted; 1. Analysis of Care and Treatment database to estimate modern contraceptive prevalence, fertility rate, and pregnancy outcomes (live birth, stillbirth, miscarriages, and abortion), 2. Facility audit to understand to what extent HIV care and treatment services are integrated with FP and how integration is linked with contraceptive use, fertility, and pregnancy outcomes, and 3. Exit interview among care and treatment clients to facilitate interpretation of observed fertility and fertility preference as well as investigate quality of FP and HIV integration. The adoption of HIV test and treat policy in sub-Saharan African is expected to extend life expectancy and improve reproductive health and outcomes among HIV positive women. These benefits can only be achieved if HIV positive women control their reproductive responsibilities through the use of modern contraceptive methods
Principal Investigator : Francis Levira
Department Name : HSIEP
Time frame: (2020-04-01) - (2022-03-31)
International Union for the Scientific Study of Population (Normal)
External Collaborating Partners
None added yet.