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Attitudes, Knowledge, and Correlates of Self-Efficacy for the Provision of Safer Conception Counseling Among Ugandan HIV Providers

High rates of childbearing desires (59%) and serodiscordant partnerships (50%) among people living with HIV (PHLA) in Uganda highlight the need for safer conception counseling (SCC). Provider attitudes about counseling PLHA on the use of safer conception methods (SCM) have been explored in qualitati...

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Autores principales: Goggin, Kathy, Finocchario-Kessler, Sarah, Staggs, Vincent, Woldetsadik, Mahlet Atakilt, Wanyenze, Rhoda K., Beyeza-Kashesya, Jolly, Mindry, Deborah, Khanakwa, Sarah, Wagner, Glenn J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4684655/
https://www.ncbi.nlm.nih.gov/pubmed/26588429
http://dx.doi.org/10.1089/apc.2015.0089
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author Goggin, Kathy
Finocchario-Kessler, Sarah
Staggs, Vincent
Woldetsadik, Mahlet Atakilt
Wanyenze, Rhoda K.
Beyeza-Kashesya, Jolly
Mindry, Deborah
Khanakwa, Sarah
Wagner, Glenn J.
author_facet Goggin, Kathy
Finocchario-Kessler, Sarah
Staggs, Vincent
Woldetsadik, Mahlet Atakilt
Wanyenze, Rhoda K.
Beyeza-Kashesya, Jolly
Mindry, Deborah
Khanakwa, Sarah
Wagner, Glenn J.
author_sort Goggin, Kathy
collection PubMed
description High rates of childbearing desires (59%) and serodiscordant partnerships (50%) among people living with HIV (PHLA) in Uganda highlight the need for safer conception counseling (SCC). Provider attitudes about counseling PLHA on the use of safer conception methods (SCM) have been explored in qualitative studies, but published quantitative investigations are scarce. Data from 57 Ugandan providers were collected to examine providers' attitudes about childbearing among PLHA and engagement in discussions about childbearing, as well as their knowledge, interest, self-efficacy, and intentions to provide SCC. Correlates of self-efficacy for the provision of SCC were explored to inform the development of training programs. Providers reported a general awareness of most SCM, especially timed unprotected intercourse (TUI); but just over half felt they knew enough to counsel clients in the future and all wanted more training. Childbearing was discussed with less than a third of reproductive aged patients and was mostly initiated by patients. Most providers saw value in providing SCC and believed that most aspects of SCM would be acceptable to their clients, but numerous barriers were endorsed. Self-efficacy was greatest among providers who had had more childbearing conversations, greater SCM awareness, perceived fewer barriers and greater intentions to counsel on TUI. Providers evidence fewer stigmatizing attitudes than in the past. However, those who endorsed more stigmatizing attitudes evidenced a trend for reporting lower self-efficacy for providing SCC. Training will need to simultaneously focus on increasing providers' SCC knowledge and skills while instilling a more realistic appraisal of the risks of assisting couples to employ SCM versus doing nothing.
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spelling pubmed-46846552015-12-22 Attitudes, Knowledge, and Correlates of Self-Efficacy for the Provision of Safer Conception Counseling Among Ugandan HIV Providers Goggin, Kathy Finocchario-Kessler, Sarah Staggs, Vincent Woldetsadik, Mahlet Atakilt Wanyenze, Rhoda K. Beyeza-Kashesya, Jolly Mindry, Deborah Khanakwa, Sarah Wagner, Glenn J. AIDS Patient Care STDS Clinical and Epidemiologic Research High rates of childbearing desires (59%) and serodiscordant partnerships (50%) among people living with HIV (PHLA) in Uganda highlight the need for safer conception counseling (SCC). Provider attitudes about counseling PLHA on the use of safer conception methods (SCM) have been explored in qualitative studies, but published quantitative investigations are scarce. Data from 57 Ugandan providers were collected to examine providers' attitudes about childbearing among PLHA and engagement in discussions about childbearing, as well as their knowledge, interest, self-efficacy, and intentions to provide SCC. Correlates of self-efficacy for the provision of SCC were explored to inform the development of training programs. Providers reported a general awareness of most SCM, especially timed unprotected intercourse (TUI); but just over half felt they knew enough to counsel clients in the future and all wanted more training. Childbearing was discussed with less than a third of reproductive aged patients and was mostly initiated by patients. Most providers saw value in providing SCC and believed that most aspects of SCM would be acceptable to their clients, but numerous barriers were endorsed. Self-efficacy was greatest among providers who had had more childbearing conversations, greater SCM awareness, perceived fewer barriers and greater intentions to counsel on TUI. Providers evidence fewer stigmatizing attitudes than in the past. However, those who endorsed more stigmatizing attitudes evidenced a trend for reporting lower self-efficacy for providing SCC. Training will need to simultaneously focus on increasing providers' SCC knowledge and skills while instilling a more realistic appraisal of the risks of assisting couples to employ SCM versus doing nothing. Mary Ann Liebert, Inc. 2015-12-01 /pmc/articles/PMC4684655/ /pubmed/26588429 http://dx.doi.org/10.1089/apc.2015.0089 Text en © The Author(s) 2015; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons Attribution Noncommercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Clinical and Epidemiologic Research
Goggin, Kathy
Finocchario-Kessler, Sarah
Staggs, Vincent
Woldetsadik, Mahlet Atakilt
Wanyenze, Rhoda K.
Beyeza-Kashesya, Jolly
Mindry, Deborah
Khanakwa, Sarah
Wagner, Glenn J.
Attitudes, Knowledge, and Correlates of Self-Efficacy for the Provision of Safer Conception Counseling Among Ugandan HIV Providers
title Attitudes, Knowledge, and Correlates of Self-Efficacy for the Provision of Safer Conception Counseling Among Ugandan HIV Providers
title_full Attitudes, Knowledge, and Correlates of Self-Efficacy for the Provision of Safer Conception Counseling Among Ugandan HIV Providers
title_fullStr Attitudes, Knowledge, and Correlates of Self-Efficacy for the Provision of Safer Conception Counseling Among Ugandan HIV Providers
title_full_unstemmed Attitudes, Knowledge, and Correlates of Self-Efficacy for the Provision of Safer Conception Counseling Among Ugandan HIV Providers
title_short Attitudes, Knowledge, and Correlates of Self-Efficacy for the Provision of Safer Conception Counseling Among Ugandan HIV Providers
title_sort attitudes, knowledge, and correlates of self-efficacy for the provision of safer conception counseling among ugandan hiv providers
topic Clinical and Epidemiologic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4684655/
https://www.ncbi.nlm.nih.gov/pubmed/26588429
http://dx.doi.org/10.1089/apc.2015.0089
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