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AIDS and Behavior
Published in: AIDS and Behavior 3/2017

01-03-2017 | Original Paper

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

Authors: J. E. Mantell, D. Cooper, T. M. Exner, J. Moodley, S. Hoffman, L. Myer, C.-S. Leu, D. Bai, E. A. Kelvin, K. Jennings, Z. A. Stein, D. Constant, V. Zweigenthal, N. Cishe, N. Nywagi

Published in: AIDS and Behavior | Issue 3/2017

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Abstract

Integration 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.
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Metadata
Title
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
Authors
J. E. Mantell
D. Cooper
T. M. Exner
J. Moodley
S. Hoffman
L. Myer
C.-S. Leu
D. Bai
E. A. Kelvin
K. Jennings
Z. A. Stein
D. Constant
V. Zweigenthal
N. Cishe
N. Nywagi
Publication date
01-03-2017
Publisher
Springer US
Published in
AIDS and Behavior / Issue 3/2017
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1562-z

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