Utilizing perspectives from HIV-infected women, male partners and healthcare providers to design family planning SMS in Kenya: a qualitative study.
Family planning
HIV
SMS
mHealth
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
21 Nov 2019
21 Nov 2019
Historique:
received:
13
02
2019
accepted:
05
11
2019
entrez:
23
11
2019
pubmed:
23
11
2019
medline:
4
3
2020
Statut:
epublish
Résumé
Short message service (SMS) presents an opportunity to expand the reach of care and improve reproductive health outcomes. SMS could increase family planning (FP) use through education, support and demand generation. The purpose of this analysis is to determine the perspectives of potential FP users to inform design of SMS. We conducted focus group discussions (FGD) with HIV-infected women and in-depth interviews (IDI) with male partners and health care workers (HCW) at urban and rural clinics in Kenya to design SMS content for a randomized controlled trial. Women and men indicated SMS could be used as a tool to discuss FP with their partners, and help decrease misconceptions about FP. Women stated SMS could make them more comfortable discussing sensitive topics with HCWs compared to in-person discussions. However, some women expressed concerns about FP SMS particularly if they used FP covertly or feared partner disapproval of FP use. These findings were common among women who had not disclosed their status. Providers viewed SMS as an important tool for tracking patients and clinical triage in conjunction with routine clinical visits. Our findings suggest that SMS has the potential to facilitate FP education, counselling, and interaction with HCWs around FP.
Sections du résumé
BACKGROUND
BACKGROUND
Short message service (SMS) presents an opportunity to expand the reach of care and improve reproductive health outcomes. SMS could increase family planning (FP) use through education, support and demand generation. The purpose of this analysis is to determine the perspectives of potential FP users to inform design of SMS.
METHODS
METHODS
We conducted focus group discussions (FGD) with HIV-infected women and in-depth interviews (IDI) with male partners and health care workers (HCW) at urban and rural clinics in Kenya to design SMS content for a randomized controlled trial.
RESULTS
RESULTS
Women and men indicated SMS could be used as a tool to discuss FP with their partners, and help decrease misconceptions about FP. Women stated SMS could make them more comfortable discussing sensitive topics with HCWs compared to in-person discussions. However, some women expressed concerns about FP SMS particularly if they used FP covertly or feared partner disapproval of FP use. These findings were common among women who had not disclosed their status. Providers viewed SMS as an important tool for tracking patients and clinical triage in conjunction with routine clinical visits.
CONCLUSION
CONCLUSIONS
Our findings suggest that SMS has the potential to facilitate FP education, counselling, and interaction with HCWs around FP.
Identifiants
pubmed: 31752872
doi: 10.1186/s12913-019-4708-7
pii: 10.1186/s12913-019-4708-7
pmc: PMC6873397
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
870Subventions
Organisme : NIAID NIH HHS
ID : K01 AI116298
Pays : United States
Organisme : NIH HHS
ID : R01HD080460
Pays : United States
Organisme : NIH HHS
ID : K01AI116298
Pays : United States
Organisme : NIH HHS
ID : K12HD001264
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI027757
Pays : United States
Organisme : NIH HHS
ID : K24HD54314
Pays : United States
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