title: Impact of family planning health talks by lay health workers on contraceptive knowledge and attitudes among HIV-infected patients in rural Kenya.
abstract: OBJECTIVE
  To determine if a health talk on family planning (FP) by community clinic health assistants (CCHAs) will improve knowledge, attitudes and behavioral intentions about contraception in HIV-infected individuals.
  
  
  METHODS
  A 15-min FP health talk was given by CCHAs in six rural HIV clinics to a sample of 49 HIV-infected men and women. Effects of the health talk were assessed through a questionnaire administered before the health talk and after completion of the participant's clinic visit.
  
  
  RESULTS
  Following the health talk, there was a significant increase in knowledge about contraceptives (p<.0001), side-effects (p<.0001), and method-specific knowledge about IUCDs (p<.001), implants (p<.0001), and injectables (p<.05). Out of 31 women and 18 men enrolled, 14 (45%) women and 6 (33%) men intended to try a new contraceptive. Participant attitudes toward FP were high before and after the health talk (median 4 of 4).
  
  
  CONCLUSIONS
  A health talk delivered by CCHAs can increase knowledge of contraception and promote the intention to try new more effective contraception among HIV-infected individuals.
  
  
  CONCLUSIONS
  FP health talks administered by lay-health providers to HIV-infected individuals as they wait for HIV services can influence FP knowledge and intention to use FP.
authors: Kenya Medical Research Institute (KEMRI), Family Aids Care and Education Services (FACES), Kisumu, Kenya. Electronic address: maricianah@yahoo.com.
authors: Maricianah
authors: M
authors: Onono
authors: Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, USA.
authors: Cinthia
authors: C
authors: Blat
authors: Department of Internal Medicine, University of California, San Francisco, USA.
authors: Sondra
authors: S
authors: Miles
authors: Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, USA.
authors: Rachel
authors: R
authors: Steinfeld
authors: Kenya Medical Research Institute (KEMRI), Family Aids Care and Education Services (FACES), Kisumu, Kenya.
authors: Pauline
authors: P
authors: Wekesa
authors: Kenya Medical Research Institute (KEMRI), Family Aids Care and Education Services (FACES), Kisumu, Kenya.
authors: Elizabeth A
authors: EA
authors: Bukusi
authors: Kenya Medical Research Institute (KEMRI), Family Aids Care and Education Services (FACES), Kisumu, Kenya.
authors: Kevin
authors: K
authors: Owuor
authors: Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, USA; Ibis Reproductive Health, Oakland, CA, USA.
authors: Daniel
authors: D
authors: Grossman
authors: Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, USA.
authors: Craig R
authors: CR
authors: Cohen
authors: Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, USA.
authors: Sara J
authors: SJ
authors: Newmann
mesh_terms: D000328:Adult; D003150:Community Health Workers; D003268:Contraception Behavior; D003430:Cross-Sectional Studies; D005193:Family Planning Services / Q000458:organization & administration*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007630:Kenya; D008297:Male; D010353:Patient Education as Topic; D015397:Program Evaluation; D012424:Rural Population; D011795:Surveys and Questionnaires
keywords: Community health workers; Contraception; Family planning; HIV; Health talk; Knowledge