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首页> 外文期刊>AIDS >Providing family planning in Ethiopian voluntary HIV counseling and testing facilities: client, counselor and facility-level considerations
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Providing family planning in Ethiopian voluntary HIV counseling and testing facilities: client, counselor and facility-level considerations

机译：提供埃塞俄比亚自愿艾滋病毒咨询和检测设施的计划生育：客户，辅导员和设施级别考虑因素

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Background: Governments and donors encourage the integration of family planning into voluntary HIV counseling and testing (VCT) services. We aimed to determine whether VCT counselors could feasibly offer family planning and whether clients would accept such services.Design and methods: We employed a quasi-experimental, pre and postintervention survey design, interviewing 4019 VCT clients attending eight Ethiopian public sector facilities and 4027 additional clients 18 months after introducing family planning services in the same facilities. We constructed sex-stratified multilevel models assessing three outcomes: whether clients received contraceptive counseling, whether clients obtained contraceptive methods during VCT and whether clients intended to use condoms consistently after VCT.Results: Clients demonstrated lower than expected immediate need for contraception. After intervention, only 29% of women had sex in the past 30 days, and 74% of these women were already using contraceptives. Despite the relatively low risk this population had for unwanted pregnancy, family planning counseling in VCT increased from 2 to 41 % for women and from 3 to 29% for men (P < 0.01). Approximately, 6% of clients received contraceptive methods. However, sexually active men and women and those with more perceived HIV risk were more likely to obtain contraceptives and intend to use condoms consistently. Men attending facilities with higher client loads were 88% less likely to receive family planning information and 93% less likely to receive contraceptives than those attending facilities with lower client loads. Male and female clients whose counselors perceived contraceptive availability to be adequate were four and two times more likely, respectively, to receive contraceptive methods than those counseled by providers who felt supplies were inadequate (P<0.01).Conclusion: Integrating VCT and family planning services is likely to be an effective programmatic option, but populations
机译：背景：政府和捐助者鼓励将计划生育纳入自愿艾滋病毒咨询和测试（VCT）服务。我们旨在确定VCT辅导员是否可以自由地提供计划生育，以及客户是否会接受这样的服务在同一设施中引入计划生育服务后18个月。我们构建了评估三种结果的性别分层多级模型：客户是否接受了避孕咨询，客户是否在VCT期间获得了避孕方法，以及客户是否打算在VCT之后一致地使用避孕套干预后，只有29％的女性在过去30天内发生性行为，74％的女性已经使用避孕药。尽管风险相对较低，但这种人口对不必要的怀孕，VCT的计划生育咨询从2〜41％增加到男性的3％至29％（P <0.01）。大约6％的客户接受了避孕方法。然而，性活跃的男性和女性和更感染的艾滋病毒风险的人更有可能获得避孕药，并打算一直使用安全套。接受家庭规划信息的最高客户负荷的男性出席具有更高客户负荷的可能性减少88％，而且收到避孕药权的可能性不太可能比具有较低客户端负载的设施更少的可能性。辅导者感知避孕药的男性和女性客户分别是避孕方法的四倍和两倍，以获得避孕方法，而不是受到供应商不足的提供者的咨询（P <0.01）。结论：整合VCT和计划生育服务很可能是一个有效的程序模式，而是人口

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