HIV risk and pre‐exposure prophylaxis interest among women seeking post‐abortion care in Kenya: a cross‐sectional study

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dc.contributor.authorHeffron, Renee
dc.contributor.authorCasmir, Edinah
dc.contributor.authorAswani, Linda
dc.contributor.authorNgure, Kenneth
dc.contributor.authorKwach, Benn
dc.contributor.authorOgello, Vallery
dc.contributor.authorKiptinness, Catherine
dc.contributor.authorAmbiyo, Faith
dc.contributor.authorWairimu, Njeri
dc.contributor.authorOssome, Ethel
dc.contributor.authorMachafu, Hilda
dc.contributor.authorZia, Yasaman
dc.contributor.authorThomas, Dorothy
dc.contributor.authorScoville, Caitlin
dc.contributor.authorBarker, Taryn
dc.contributor.authorBukusi, Elizabeth
dc.contributor.authorMugo, Nelly
dc.date.accessioned2022-11-18T05:30:54Z
dc.date.available2022-11-18T05:30:54Z
dc.date.issued2021-05-10
dc.description.abstractIntroduction: Post‐abortion clinics located in regions with high HIV burden may ideal locations to integrate counselling and delivery of HIV pre‐exposure prophylaxis (PrEP), aligning with normative goals for integrated delivery of HIV and reproductive health care. The objective of this study was to gauge the degree to which Kenyan women seeking care for a pregnancy loss, including induced abortion, are at risk for HIV and whether women would welcome an introduction to PrEP prior to discharge from post‐abortion care. Methods: We conducted a mixed‐methods study from August 2019 to February 2020 with women ages 15 to 30 recruited sequentially as they were accessing post‐abortion care at public and private facilities in Thika and Kisumu, Kenya. Data collection was through a cross‐sectional survey and laboratory testing for common sexually transmitted infections (N = 200), and in‐depth interviews (N = 30). Descriptive statistics summarize PrEP knowledge and referrals and a multivariable log‐link binomial model estimated correlates of receiving a referral for PrEP. Qualitative data were analysed using inductive and deductive approaches. Results: Among 200 HIV‐negative women (median age 21.0, interquartile range 19.0 to 22.0), the prevalence of Chlamydia trachomatis was 18.2% and Neisseria gonorrhoeae was 2.0%. Half of the women scored ≥5 on a validated tool that would correspond to an expected HIV incidence of 9.5% per year. Approximately half (55.8%) of women were familiar with PrEP prior to the study and 33.3% received a referral from study staff to a clinic offering PrEP. In qualitative interviews, women expressed interest in accessing PrEP from the gynaecology ward that provided post‐abortion care but they preferred alternative locations for PrEP refills. Conclusions: Kenyan women accessing post‐abortion care have substantial HIV risk and were favourable about the idea of receiving support to initiate PrEP as part of care offered during post‐abortion care. These settings can be integrated into national PrEP programmes as locations providing PrEP referrals and initiation.en_US
dc.identifier.citationHeffron, R., Casmir, E., Aswani, L., Ngure, K., Kwach, B., Ogello, V., Kiptinness, C., Ambiyo, F., Wairimu, N., Ossome, E., Machafu, H., Zia, Y., Thomas, D., Scoville, C., Barker, T., Bukusi, E., & Mugo, N. (2021). HIV risk and pre-exposure prophylaxis interest among women seeking post-abortion care in Kenya: a cross-sectional study. Journal of the International AIDS Society, 24(5), e25703. https://doi.org/10.1002/jia2.25703en_US
dc.identifier.otherDOI: 10.1002/jia2.25703
dc.identifier.urihttps://hdl.handle.net/20.500.14041/3770
dc.language.isoen_USen_US
dc.publisherJournal of the International AIDS Societyen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subjectPrEPen_US
dc.subjectAbortionen_US
dc.subjectKenyaen_US
dc.subjectYoung Womenen_US
dc.subjectHIV Preventionen_US
dc.titleHIV risk and pre‐exposure prophylaxis interest among women seeking post‐abortion care in Kenya: a cross‐sectional studyen_US
dc.typeArticleen_US
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