Efficacy of enhanced HIV counseling for risk reduction during pregnancy and in the postpartum period : a randomized controlled trial

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dc.contributor.authorMaman, Suzanneen_ZA
dc.contributor.authorMoodley, Dhayendreen_ZA
dc.contributor.authorMcNaughton-Reyes, Heathe Luzen_ZA
dc.contributor.authorGroves, Allison K.en_ZA
dc.contributor.authorKagee, Ashrafen_ZA
dc.contributor.authorMoodley, Prashinien_ZA
dc.date.accessioned2016-03-01T10:56:47Z
dc.date.available2016-03-01T10:56:47Z
dc.date.issued2014-05-13
dc.descriptionCITATION: Maman, S. et al. 2014. Efficacy of enhanced HIV counseling for risk reduction during pregnancy and in the postpartum period: a randomized controlled trial. PLoS ONE, 9(5):e97092, doi:10.1371/journal.pone.0097092.
dc.descriptionThe original publication is available at http://journals.plos.org/plosone
dc.description.abstractIntroduction: Pregnancy and the postpartum period present important intervention opportunities. Counseling can leverage the motivation women have during this time to change behaviors that may negatively affect their health and the heath of their infants. Methods: Pregnant women attending an antenatal clinic in South Africa were randomly allocated to treatment (n = 733) and control arms (n = 747). Treatment arm participants received enhanced HIV pre- and post-test counseling, legal support and access to support groups at baseline, which occurred at the first antenatal visit, and then six and ten weeks postpartum. Control arm participants received standard HIV testing and counseling (HTC) and two postpartum attention control sessions. Outcomes were incidence of sexually transmitted infection (STI) by 14 weeks postpartum and past 30-day inconsistent condom use at 14 weeks and 9 months postpartum. Results: There were no intervention effects on incident STIs for either HIV-negative (adjusted risk ratio (aRR) 1.01, 95% CI 0.71–1.44) or HIV-positive participants (aRR 0.86, 95% CI 0.61–1.23). The intervention was associated with a 28% decrease in risk of past 30-day inconsistent condom use at nine-months among HIV-negative women (aRR 0.72,95% CI 0.59–0.88), but did not affect inconsistent condom use among HIV-positive women (aRR1.08; 95% CI 0.67–1.75). Discussion: An enhanced counseling intervention during pregnancy and the postpartum period can lead to reductions in inconsistent condom use among HIV-negative women. Results underscore the importance of the counseling that accompanies HIV HTC. More work is needed to understand how to promote and sustain risk reduction among HIV-positive women.en_ZA
dc.description.urihttp://journals.plos.org/plosone/article?id=10.1371/journal.pone.0097092
dc.description.versionPublisher's version
dc.format.extent9 pages
dc.identifier.citationMaman, S. et al. 2014. Efficacy of enhanced HIV counseling for risk reduction during pregnancy and in the postpartum period: a randomized controlled trial. PLoS ONE, 9(5):e97092, doi:10.1371/journal.pone.0097092.
dc.identifier.issn1932-6203 (online)
dc.identifier.otherdoi:10.1371/journal.pone.0097092
dc.identifier.urihttp://hdl.handle.net/10019.1/98242
dc.language.isoen_ZAen_ZA
dc.publisherPLoS
dc.rights.holderAuthors retain copyright
dc.subjectHIV infectionsen_ZA
dc.subjectPregnancyen_ZA
dc.titleEfficacy of enhanced HIV counseling for risk reduction during pregnancy and in the postpartum period : a randomized controlled trialen_ZA
dc.typeArticleen_ZA
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