Journal of Reproductive Health, Gender, and HIV in Africa | 03 July 2023
A Systematic Review of Clinic-Based Motivational Interviewing for Postpartum Family Planning Uptake Among HIV-Positive Women in Nairobi, Kenya
A, m, i, n, a, O, c, h, i, e, n, g, ,, J, o, a, n, C, o, o, p, e, r
Abstract
HIV-positive women in the postpartum period have distinct family planning needs, balancing reproductive intentions with the prevention of mother-to-child transmission and maternal health. Clinic-based interventions in Nairobi, Kenya, are key for integrated service delivery, but the efficacy of motivational interviewing within this specific context remains unclear. This systematic review aimed to synthesise evidence on the effect of clinic-based motivational interviewing interventions on postpartum family planning uptake among HIV-positive women attending healthcare facilities in Nairobi, Kenya. A systematic search was conducted across multiple electronic databases for peer-reviewed studies. Predefined inclusion criteria focused on interventions using motivational interviewing within clinical settings in Nairobi, targeting postpartum women living with HIV. Study quality was assessed using appropriate critical appraisal tools, and data were extracted and synthesised narratively. The search identified a limited number of eligible studies. Synthesis indicates a positive association between motivational interviewing and increased uptake of long-acting reversible contraceptives. One included study reported a higher proportion of participants adopting an effective contraceptive method post-intervention compared to those receiving standard counselling. Clinic-based motivational interviewing shows potential for improving postpartum family planning adoption among HIV-positive women in Nairobi. The current evidence base, however, is limited, underscoring a significant gap in robust, context-specific research. Future research should prioritise high-quality, randomised controlled trials to establish causal efficacy. Programme planners should consider piloting and evaluating integrated motivational interviewing training for healthcare providers within prevention of mother-to-child transmission and postnatal clinics in Nairobi. motivational interviewing, postpartum family planning, HIV, women, Nairobi, systematic review, contraception This review consolidates the scarce existing evidence on a targeted intervention for a high-priority population. It identifies a critical evidence gap and informs priorities for future research and programme design in Kenya and similar settings.