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Impact of single session post-partum counselling of HIV infected women on their subsequent reproductive behaviour


, : Impact of single session post-partum counselling of HIV infected women on their subsequent reproductive behaviour. Aids Care 2(3): 247-252

"During an ongoing study investigating the impact of maternal HIV infection on pregnancy outcome at a large maternity hospital in Nairobi, Kenya, asymptomatic HIV positive women who had recently delivered were informed of their HIV sero-status and counselled by a trained nurse regarding contraception and reproductive behaviour in a single session. Both HIV infected women and a comparison group of uninfected women matched for pregnancy outcome were followed up after an interval of one year. Contraceptive use, condom use and pregnancy rates were similar in both groups. Only 37% of HIV infected women had informed their partners of their sero-status. The single session of counselling for the HIV positive women did not seem to influence decisions on subsequent condom use or reproductive behaviour. More intensive approaches to counselling need to be developed and evaluated, but may be difficult to implement in the busy maternity and antenatal clinics commonly found in developing countries."[This is an important paper with serious implications for antenatal clinics and maternity services in developing countries, and perhaps also in developed countries. It describes the content of the single session of post-partum counselling at Pumwani Maternity Hospital in Nairobi, Kenya. The session described was extremely full-loaded with information and advice at a time when the mother is likely to be concentrating on the new baby and is recovering from the delivery. It is not very surprising that little change in subsequent behaviour in relation to reproduction was found on follow-up. The implications of the study are that a different approach to, as well as perhaps timing of, counselling will need to be taken, and appropriate resources allocated to establishing more effective ways of educating in order to change behaviour and attitudes.]Veronica Moss.

US$19.90

PMID: 2088520

DOI: 10.1080/09540129008257737


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