Integration of HIV/AIDS services with maternal, neonatal and child health, nutrition, and family planning services

Lindegren, Mary Lou; Kennedy, Caitlin E.; Bain-Brickley, Deborah; Azman, Hana; Creanga, Andreea A.; Butler, Lisa; Spaulding, Alicen B; Horváth, Hacsi; Kennedy, Gail

doi:10.1002/14651858.cd010119

Cited by 109 publications

(115 citation statements)

References 43 publications

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“…While there has been an expressed need for more cost-effectiveness studies in this area (Lindegren et al 2012), a systematic review of the costs and efficiencies of integrating HIV and other health services conducted in 2012 identifies 46 relevant studies, including cost analyses, cost-effectiveness analyses and least-cost analyses (Sweeney et al 2012). The review includes five studies of integrating HIV counselling and testing (HCT) services into other health services, all of which found that unit costs were consistently lower for integrated services compared with stand-alone facilities (savings range between 31% and 79%).…”

Section: Resultsmentioning

confidence: 99%

“…Implementation of prevention of mother-to-child transmission (PMTCT) of HIV services in ANC clinics has generally been shown at least not to have a negative impact on ANC (for example, Lindegren et al 2012, Delvaux et al 2008). In one case, adding PMTCT services both improved the quality of antenatal services and increased the uptake of HIV testing (Delvaux et al 2008).…”

Section: Antenatal Clinicsmentioning

confidence: 99%

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Integrating HIV services with other health services to improve care, retention and adherence

Heard¹,

Peterson²,

Modi³

et al. 2017

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The International Initiative for Impact Evaluation (3ie) is an international grant-making NGO promoting evidence-informed development policies and programmes. We are the global leader in funding and producing high-quality evidence of what works, how, why and at what cost. We believe that better and policy-relevant evidence will make development more effective and improve people's lives.3ie Scoping papers 3ie thematic window grant programmes typically start with a consultative process that includes a scoping study to identify the current state of impact evaluation evidence in a particular sector. Scoping studies identify the promising questions for future research synthesis and the priority questions for further impact evaluation research. They analyse the existing supply of impact evaluation and systematic review evidence, as well as the demand for such evidence from policymakers and programme managers. About this scoping paper3ie completed this scoping exercise in 2015. It helped to define the approaches to funding pilot interventions and their impact evaluations through a grant window on the integration of HIV services with other health services. This scoping paper identifies the current evidence base and evidence needs the HIV and AIDS care community. The paper looks at what types of service integration interventions have been evaluated and the types of outcomes that have been measured and reported. It includes information about how this work compares with perceptions of where there is good evidence, and evidence gaps identified by key stakeholders.All of the content in this paper is the sole responsibility of the authors and does not represent the opinions of 3ie, its donors or its Board of Commissioners. Any errors and omissions are also the sole responsibility of the authors. All author affiliations were correct when the paper was submitted for publication in 2016. Funding for this scoping report was provided by the Bill & Melinda Gates Foundation. For further information about this paper, please contact Anna Heard at aheard@3ieimpact.org. AcknowledgementsThe authors would like to acknowledge the helpful contributions of the members of two task forces, and assistance from Nancy Diaz in coordinating the production of inputs into the report. Kara Ingraham also provided valuable assistance in editing.ii SummaryAlthough HIV testing, care and treatment coverage have been improving in Sub-Saharan Africa (UNAIDS) 2012), significant numbers of HIV-positive individuals still drop out of HIV care at various stages along the care continuum. One approach to improving HIV and AIDS services along this continuum is to integrate them with other health services. Providers are beginning to use this approach, but often without testing whether their innovations are truly effective, particularly with regard to improving the outcomes for HIV in terms of linkage to care, as well as retention and adherence.In anticipation of our grant window to fund impact evaluations of interventions integrating HIV services, we conducted a lit...

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Section: Resultsmentioning

confidence: 99%

Section: Antenatal Clinicsmentioning

confidence: 99%

Integrating HIV services with other health services to improve care, retention and adherence

Heard¹,

Peterson²,

Modi³

et al. 2017

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show abstract

“…Long waiting times were identified as another major reason for refusing the test [31] . Several studies have demonstrated the positive effects of combining PMTCT programs with prenatal care [92][93][94] . There are several possible explanations for this: it may be that combining these services helps women by reducing the cost, time, and travel required to receive care.…”

Section: Health Care Provider Related Factorsmentioning

confidence: 99%

Women’s willingness to be tested for human immunodeficiency virus during pregnancy: A review

Ben-Natan

Hazanov

2015

WJV

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not receive prevention services. HIV testing of pregnant women is considered to be one of the key strategies for preventing mother-to-child-transmission of HIV, but HIV testing rates among pregnant women in various countries remain suboptimal. Understanding the factors relating to women's willingness to be tested for HIV during pregnancy is critical for developing strategies to increase HIV testing rates among pregnant women. Extensive research points to various factors relating to women's willingness to be tested for HIV during pregnancy, and various recommendations aimed at improving testing rates among pregnant women have been suggested based on the research. In light of the goals set by the United Nations to reduce the rate of infants infected with HIV, it is necessary to summarize what is currently known regarding factors related to women's willingness to be tested for HIV during pregnancy. The purpose of this review is therefore to examine factors related to women's willingness to be tested for HIV during pregnancy, and to summarize recommendations for practice and further research. Core tip: The willingness of women to be tested for human immunodeficiency virus (HIV) during pregnancy is a complex phenomenon. There is frequent inconsistence in research results; however, studies have shown that certain major factors are steadily identified over time as associated with the phenomenon. Numerous factors related to pregnant women's willingness to be tested suggest multiple possible interventions to maximize HIV testing efficiency and increase testing rates. There is a need in further research of the phenomenon, as the majority of the research literature focuses on sub-Saharan Africa.Women's willingness to be tested for human immunodeficiency virus during pregnancy: A review Ben-Natan M, Hazanov Y. Women's willingness to be tested for human immunodeficiency virus during pregnancy: A review.

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“…Despite the recognized clinical benefits of FP/HIV integration, evidence documenting its cost-efficiency is limited [6][7][8][9]. The recent Integra Initiative, funded by the Bill & Melinda Gates Foundation, partly addressed this evidence gap but it's costing studies considered integration of HIV services into various sexual and reproductive health (SRH) services, including Family Planning [10].…”

Section: Introductionmentioning

confidence: 99%

Costs and Efficiency of Integrating Family Planning into Anti retroviral Therapy Services in Zambia: A Mixed Method Comparison of the Fully Integrated Versus Referral Models

Faye¹,

Johns²,

Baruwa³

2017

J AIDS Clin Res

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Integration of HIV/AIDS services with maternal, neonatal and child health, nutrition, and family planning services

Cited by 109 publications

References 43 publications

Integrating HIV services with other health services to improve care, retention and adherence

Integrating HIV services with other health services to improve care, retention and adherence

Women’s willingness to be tested for human immunodeficiency virus during pregnancy: A review

Costs and Efficiency of Integrating Family Planning into Anti retroviral Therapy Services in Zambia: A Mixed Method Comparison of the Fully Integrated Versus Referral Models

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