Emtonjeni—A structural intervention to integrate sexual and reproductive health into public sector HIV care in Cape Town, South Africa: results of a phase II study

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dc.contributor.authorMantell, Joanne E.
dc.contributor.authorCooper, Diane
dc.contributor.authorExner, Theresa M.
dc.contributor.authorMoodley, J.
dc.contributor.authorHoffman, Susie
dc.date.accessioned2018-09-19T09:28:54Z
dc.date.available2018-09-19T09:28:54Z
dc.date.issued2017
dc.description.abstractIntegration of sexual and reproductive health within HIV care services is a promising strategy for increasing access to family planning and STI services and reducing unwanted pregnancies, perinatal HIV transmission and maternal and infant mortality among people living with HIV and their partners. We conducted a Phase II randomized futility trial of a multi-level intervention to increase adherence to safer sex guidelines among those wishing to avoid pregnancy and adherence to safer conception guidelines among those seeking conception in newly-diagnosed HIV-positive persons in four public-sector HIV clinics in Cape Town. Clinics were pair-matched and the two clinics within each pair were randomized to either a three-session provider-delivered enhanced intervention (EI) (onsite contraceptive services and brief milieu intervention for staff) or standard-of-care (SOC) provider-delivered intervention. The futility analysis showed that we cannot rule out the possibility that the EI intervention has a 10 % point or greater success rate in improving adherence to safer sex/safer conception guidelines than does SOC (p = 0.573), indicating that the intervention holds merit, and a larger-scale confirmatory study showing whether the EI is superior to SOC has merit.en_US
dc.description.accreditationISI
dc.identifier.citationMantell, J.E. et al. (2017). Emtonjeni-A structural intervention to integrate sexual and reproductive health into public sector HIV care in Cape Town, South Africa: results of a phase II study. Aids and Behavior, 21: 905 – 922.en_US
dc.identifier.issn1090-7165
dc.identifier.urihttp://dx.doi.org/10.1007/s10461-016-01562-z
dc.identifier.urihttp://hdl.handle.net/10566/4060
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherSpringer Verlagen_US
dc.rightsThis is the author-version of the article published online at: http://dx.doi.org/10.1007/s10461-016-01562-z
dc.status.ispeerreviewedTRUE
dc.subjectIntegration of sexual and reproductive health and HIV servicesen_US
dc.subjectHIV-positive women and menen_US
dc.subjectContraceptionen_US
dc.subjectSafer conceptionen_US
dc.subjectSouth Africaen_US
dc.titleEmtonjeni—A structural intervention to integrate sexual and reproductive health into public sector HIV care in Cape Town, South Africa: results of a phase II studyen_US
dc.typeArticleen_US

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