title: HIV-positive men's experiences with integrated family planning and HIV services in western Kenya: integration fosters male involvement.
abstract: A growing body of evidence indicates that integrating family planning (FP) services into HIV care is effective at improving contraceptive uptake among HIV-positive women in resource-poor settings, yet little research has examined HIV-positive men's experiences with such integration. We conducted in-depth interviews with 21 HIV-positive men seeking care at HIV clinics in Nyanza, Kenya. All clinics were intervention sites for a FP/HIV service integration cluster-randomized trial. Grounded theory was used to code and analyze the data. Our findings highlight men's motivations for FP, reasons why men prefer obtaining their FP services, which include education, counseling, and commodities, at HIV care clinics, and specific ways in which integrated FP/HIV services fostered male inclusion in FP decision-making. In conclusion, men appear invested in FP and their inclusion in FP decision-making may bolster both female and male agency. Men's positive attitudes towards FP being provided at HIV care clinics supports the programmatic push towards integrated delivery models for FP and HIV services.
authors.affiliation: 1 Division of Infectious Diseases, University of California San Francisco , San Francisco, California.
authors.forename: Rena
authors.initials: R
authors.lastname: Patel
authors.forename: Sarah
authors.initials: S
authors.lastname: Baum
authors.forename: Daniel
authors.initials: D
authors.lastname: Grossman
authors.forename: Rachel
authors.initials: R
authors.lastname: Steinfeld
authors.forename: Maricianah
authors.initials: M
authors.lastname: Onono
authors.forename: Craig
authors.initials: C
authors.lastname: Cohen
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Bukusi
authors.forename: Sara
authors.initials: S
authors.lastname: Newmann
mesh_terms: D000328:Adult; D003268:Contraception Behavior / Q000523:psychology*; D003376:Counseling; D003430:Cross-Sectional Studies; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration* / Q000706:statistics & numerical data; D005193:Family Planning Services / Q000458:organization & administration; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology* / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D007630:Kenya; D008297:Male; D008875:Middle Aged; D009042:Motivation; D057240:Patient Preference; D017060:Patient Satisfaction; D011369:Professional-Patient Relations; D036301:Qualitative Research