The combined intervention groups used appropriate reproductive methods more than usual care, and SCC1 reported a higher rate than SCC2. The primary outcome was self-reported use of appropriate reproductive method (SCM if trying to conceive modern contraceptives if not) over 12 months or until pregnancy. Three hundred eighty-nine HIV clients considering childbearing with an HIV-negative partner enrolled. In a hybrid, cluster randomized controlled trial, six HIV clinics were randomly assigned to implement the SCC intervention Our Choice using either a high (SCC1) or low intensity (SCC2) approach (differentiated by amount of training and supervision), or existing family planning services (usual care). Furthermore, it is unknown whether standard methods commonly used in resource constrained settings to integrate new services would be sufficient, or if enhanced training and supervision would result in a more efficacious approach to implementing SCC. Guidelines for the use of SCM have been published, but to date there are no published controlled evaluations of SCC. Safer conception counseling (SCC) to promote the use of safer conception methods (SCM) is not yet part of routine family planning or HIV care.
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