PERCEIVED STUDY BENEFITS AND SUGGESTIONS FOR FUTURE BENEFICIARIES ACROSS RANDOMIZATION ARMS AMONG PARTICIPANTS IN ZEHRP'S FAMILY PLANNING EXIT INTERVIEW QUESTIONNAIRE Público

Chouinard, Christina Marie (2011)

Permanent URL: https://etd.library.emory.edu/concern/etds/jm214p484?locale=es
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Abstract

Background: HIV/AIDS is an issue affecting millions of people worldwide. Not only does this pandemic threaten the lives of those infected with the virus, but it leaves both families and communities devastated as well. In Zambia, the prevalence rate of HIV/AIDS is alarmingly high where, in urban areas, the rate is nearly 20 percent. In a country where heterosexual sex accounts for approximately 90 percent of new infections, Zambian women are left particularly vulnerable. To address the challenges faced by HIV serodiscordant and concordant couples in Zambia, the integration of future planning services, family planning services, and HIV programs has been suggested in previous research.

Purpose: The purpose of this study was to develop an understanding of the beliefs and opinions reported by study participants after having been enrolled into and completing participation in the Zambia-Emory HIV Research Group's (ZEHRP) Family Planning study.

Methods:
This study is a secondary data analysis of data compiled from an Exit Interview Questionnaire administered at the conclusion of the Family Planning study. Study participants had been randomized to different groups at enrollment in the study to examine the impact of a video-based motivational intervention on future planning behaviors among concordant HIV-positive and discordant couples in Lusaka, Zambia. In this study, participant responses were examined across intervention groups to determine whether or not the intervention participants received was associated with the responses they provided during participation in the Exit Interview Questionnaire.

Results: Significant differences were found across intervention groups among all study participants and across gender. Those with exposure to the video-based motivational intervention alone or in combination with a methods intervention were significantly more likely to indicate variables related to future planning as beneficial in comparison to those who had not received exposure to the motivational intervention.

Discussion: Exposure to a video-based motivational intervention modeling desirable outcomes coupled with access to an advisor may positively influence ZEHRP clinic beneficiaries' opinions of the information and services they receive. It may also indicate an existing need for the inclusion of future planning information and access to advisors in clinic services among this population.

Table of Contents

CHAPTER I: INTRODUCTION 1
Introduction and Rationale 1
HIV/AIDS in Zambia 1
Zambia-Emory HIV Research Project 2
Purpose 3
Theory 4
Significance 5


CHAPTER II: REVIEW OF LITERATURE 6
Brief Overview of Zambia 6
Geography 6
Demographics 6
Education and Literacy 7
History and Government 7
HIV/AIDS 8
Physical Effects of HIV/AIDS 10
Social Effects of HIV/AIDS 12
Stigma 13
HIV/AIDS in Zambia 14
Family Planning 15
Future Planning 18


CHAPTER III: METHODS 20
Study Overview and Objectives 20
Null Hypotheses 20
Research Design 20
Study Sample 22
Participant Demographics 24
Data Collection 25
Data Analysis 27

CHAPTER IV: RESULTS 29
Study Question 1 29
Study Question 2 32


CHAPTER V: DISCUSSION 34
Interpretation of Results 34
Limitations 38
Recommendations for Future Research 39


REFERENCES 40

TABLES & FIGURES 44

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