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Jill M Hagey

Jill M Hagey

Assistant Professor of Obstetrics and Gynecology
Obstetrics and Gynecology, Women's Community & Population Health
jill.hagey@duke.edu
236 Baker House, Box 3084, Durham, NC 27710
236 Baker House, Box 3084, Durham, NC 27710

Selected Publications

Contraceptive method continuation among a prospective cohort study of Malawian women on antiretroviral treatment initiating the Levonorgestrel Implant or the Depot Medroxyprogesterone Acetate Injectable for pregnancy prevention (the FP-ART study).

Journal Article AIDS Care · September 17, 2025 Limited prospective data exist for long-term hormonal contraceptive continuation rates among women living with HIV. We conducted a prospective cohort study of women living with HIV in Lilongwe, Malawi from 2017 to 2021 and evaluated their contraceptive met ... Full text Link to item Cite

Evidence-Based Pain Control Strategies for IUD Insertion

Journal Article Topics in Obstetrics & Gynecology · August 31, 2025 Full text Cite

Pain Management for IUD Insertion: A Review of the Clinical Evidence on Pharmacologic and Nonpharmacologic Options.

Journal Article Obstetrical & gynecological survey · August 2025 ImportanceIntrauterine devices (IUDs) are a safe and highly effective contraceptive method, but pain poses a significant barrier to IUD uptake and satisfaction. Data on existing modalities for insertional pain management are limited, and there rem ... Full text Cite

Effectiveness of levonorgestrel implant and depot medroxyprogesterone acetate injectable for women with HIV on efavirenz.

Journal Article AIDS (London, England) · July 2025 ObjectiveWe compared the contraceptive effectiveness of typical-use LNG implant and depot medroxyprogesterone acetate (DMPA) injectable during efavirenz use.DesignWe conducted a prospective cohort study of women with HIV (WHIV) on efavire ... Full text Cite

Long-Acting Reversible Contraception Use after Non-Receipt of Postpartum Permanent Contraception: A Retrospective Analysis.

Journal Article J Womens Health (Larchmt) · March 2025 Objective: To evaluate long-acting reversible contraception (LARC) use versus permanent contraception (PC) use at hospital discharge through 1 year postpartum after an unfulfilled immediate postpartum PC request. Study Design: We present a secondary analys ... Full text Link to item Cite

The Effect of Isoniazid for Tuberculosis Prevention on Pregnancy Risk Among Women Living With HIV on Antiretroviral Treatment and Progestin-Based Hormonal Contraception.

Conference Pharmacoepidemiol Drug Saf · February 2025 PURPOSE: Concomitant use of antiretroviral therapy (ART), hormonal contraception, and isonicotinic acid hydrazide (isoniazid) for tuberculosis prevention is common among women of reproductive age who are living with HIV in sub-Saharan Africa. We estimated ... Full text Link to item Cite

Contraceptive use following gestational trophoblastic disease: A systematic review.

Journal Article Contraception · September 2024 OBJECTIVE: To systematically review the effect of contraceptive methods following gestational trophoblastic disease (GTD) on timing of beta-human chorionic gonadotropin (hCG) remission, risk of post-molar gestational trophoblastic neoplasia (GTN), risk of ... Full text Link to item Cite

Timeliness of Delivery Care and Maternal and Neonatal Health Outcomes in Private Facilities in Masaka Area, Uganda: A Quasi-Experimental Study.

Journal Article Matern Child Health J · November 2023 OBJECTIVES: While access to basic emergency obstetric and newborn care is necessary to reduce maternal and neonatal morbidity in low- and middle-income countries, data on the timeliness and quality of care at lower-level facilities is limited. This study e ... Full text Link to item Cite

Clinical readiness for essential maternal and child health services in Kenya: A cross-sectional survey.

Journal Article PLOS Glob Public Health · 2023 High rates of maternal and neonatal morbidity and mortality in Kenya may be influenced by provider training and knowledge in emergency obstetric and neonatal care in addition to availability of supplies necessary for this care. While post-abortion care is ... Full text Link to item Cite

Clinical Update on Uses for Mifepristone in Obstetrics and Gynecology.

Journal Article Obstet Gynecol Surv · October 2022 IMPORTANCE: Mifepristone (RU-486) is a selective progesterone receptor modulator that has antagonist properties on the uterus and cervix. Mifepristone is an effective abortifacient, prompting limitations on its use in many countries. Mifepristone has many ... Full text Link to item Cite

Data from: Clinical knowledge among health care providers of essential maternal and child health services in Kenya: A cross-sectional survey

Dataset · September 14, 2022 We conducted a cross-sectional survey of providers at health facilities in western Kenya providing inpatient maternity services. Providers estimated facility capacity through perceived availability of both general and specialized supplies. Providers report ... Full text Cite

Food Insecurity and Intimate Partner Violence Among HIV-Positive Individuals in Rural Kenya.

Journal Article Am J Prev Med · April 2021 INTRODUCTION: Intimate partner violence and food insecurity are both structural drivers of HIV acquisition, care, and treatment, but little is known about how the 2 conditions intersect in the lives of those already living with HIV. METHODS: This study exa ... Full text Link to item Cite

Preferences of people living with HIV for differentiated care models in Kenya: A discrete choice experiment.

Journal Article PLoS One · 2021 INTRODUCTION: To improve retention on HIV treatment in Africa, public health programs are promoting a family of innovations to service delivery-referred to as "differentiated service delivery" (DSD) models-which seek to better meet the needs of both system ... Full text Open Access Link to item Cite

Understanding Sexual Complaints and History Taking: A Standardized Patient Case on Dyspareunia for Obstetrics and Gynecology Clerkship Students.

Journal Article MedEdPORTAL · October 29, 2020 INTRODUCTION: Learning to elicit a sexual history and counsel patients on sexual pain aligns with the Association of Professors of Gynecology and Obstetrics clerkship objectives. This topic can be challenging to cover due to lack of exposure in clinical en ... Full text Link to item Cite

Gabapentin for Perioperative Pain Management for Uterine Aspiration: A Randomized Controlled Trial.

Journal Article Obstet Gynecol · September 2019 OBJECTIVE: To evaluate the effect of oral gabapentin in conjunction with usual oral pain management regimens of lorazepam, ibuprofen, oxycodone, and acetaminophen for surgical abortion on pain 5 minutes postprocedure. METHODS: This was a randomized, double ... Full text Open Access Link to item Cite

Differentiated HIV care in sub-Saharan Africa: a scoping review to inform antiretroviral therapy provision for stable HIV-infected individuals in Kenya.

Journal Article AIDS Care · December 2018 Many gaps in care exist for provision of antiretroviral therapy (ART) in sub-Saharan Africa. Differentiated HIV care tailors provision of ART for patients based on their level of acuity, providing alternatives for where, by whom, and how often care occurs. ... Full text Link to item Cite

HIV status and treatment influence on fertility desires among women newly becoming eligible for antiretroviral therapy in western Kenya: insights from a qualitative study.

Journal Article Reprod Health · August 8, 2017 BACKGROUND: Factors influencing fertility desires among HIV-infected individuals remain poorly understood. With new recommendations for universal HIV treatment and increasing antiretroviral therapy (ART) access, we sought to evaluate how access to early AR ... Full text Link to item Cite

The Action Research Program: Experiential Learning in Systems-Based Practice for First-Year Medical Students.

Journal Article Teach Learn Med · 2016 PROBLEM: Systems-based practice focuses on the organization, financing, and delivery of medical services. The American Association of Medical Colleges has recommended that systems-based practice be incorporated into medical schools' curricula. However, exp ... Full text Link to item Cite

Pregnancy rates in HIV-positive women using contraceptives and efavirenz-based or nevirapine-based antiretroviral therapy in Kenya: a retrospective cohort study.

Journal Article Lancet HIV · November 2015 BACKGROUND: Concerns have been raised about efavirenz reducing the effectiveness of contraceptive implants. We aimed to establish whether pregnancy rates differ between HIV-positive women who use various contraceptive methods and either efavirenz-based or ... Full text Link to item Cite

Barriers and facilitators adolescent females living with HIV face in accessing contraceptive services: a qualitative assessment of providers' perceptions in western Kenya.

Journal Article J Int AIDS Soc · 2015 INTRODUCTION: Avoiding unintended pregnancies is important for the health of adolescents living with HIV and has the additional benefit of preventing potential vertical HIV transmission. Health facility providers represent an untapped resource in understan ... Full text Link to item Cite

Barriers and solutions for timely initiation of antenatal care in Kigali, Rwanda: health facility professionals' perspective.

Journal Article Midwifery · January 2014 OBJECTIVE: timely initiation of antenatal care (i.e. within the first trimester) is associated with attendance of the full recommended regimen of antenatal visits. This study assessed social and behavioural factors that affect timely initiation of antenata ... Full text Link to item Cite