The Role of MCH and Family Planning Services in HIV/STD Control: Is Integration the Answer?

Lush, Louisiana; Walt, Gill; Cleland, John; Mayhew, Susannah

doi:10.2307/3583321

Cited by 21 publications

(11 citation statements)

References 26 publications

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“…31 Few care programs have integrated FP into HIV care due to funding restrictions, separate funding, independent running of both care programs and reluctance to integrate FP into HIV/AIDS funding. 24,25,32,33 The AMPATH program has been able to demonstrate the feasibility of integrating FP services into HIV care, by providing same-day “one-stop shop care” service provision of both FP services and HIV care in its integrated model.…”

Section: Discussionmentioning

confidence: 99%

Impact of Integrated Family Planning and HIV Care Services on Contraceptive Use and Pregnancy Outcomes

Kosgei

Lubano

Shen

et al. 2011

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Objective To determine the impact of routine care (RC) and integrated family planning (IFP) and HIV care service on family planning (FP) uptake and pregnancy outcomes. Design Retrospective cohort study conducted between October 10, 2005, and February 28, 2009. Setting United States Agency for International Development—Academic Model Providing Access To Healthcare (USAID-AMPATH) in western Kenya. Subjects Records of adult HIV-infected women. Intervention Integration of FP into one of the care teams. Primary Outcomes Measures Incidence of FP methods and pregnancy. Results Four thousand thirty-one women (1453 IFP; 2578 RC) were eligible. Among the IFP group, there was a 16.7% increase (P < 0.001) [95% confidence interval (CI): 13.2% to 20.2%] in incidence of condom use, 12.9% increase (P < 0.001) (95% CI: 9.4% to 16.4%) in incidence of FP use including condoms, 3.8% reduction (P < 0.001) (95% CI: 1.9% to 5.6%) in incidence of FP use excluding condoms, and 0.1% increase (P = 0.9) (95% CI: −1.9% to 2.1%) in incidence of pregnancies. The attributable risk of the incidence rate per 100 person-years of IFP and RC for new condom use was 16.4 (95% CI: 11.9 to 21.0), new FP use including condoms was 13.5 (95% CI: 8.7 to 18.3), new FP use excluding condoms was −3.0 (95% CI: −4.6 to −1.4) and new cases of pregnancies was 1.2 (95% CI: −0.6 to 3.0). Conclusions Integrating FP services into HIV care significantly increased the use of modern FP methods but no impact on pregnancy incidence. HIV programs need to consider integrating FP into their program structure.

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Section: Discussionmentioning

confidence: 99%

Impact of Integrated Family Planning and HIV Care Services on Contraceptive Use and Pregnancy Outcomes

Kosgei

Lubano

Shen

et al. 2011

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…The integration of HIV and other health services potentially meets most of these requirements. First, HIV and TB/SRH/maternal and child health services are complementary services as they address co-infections, are provided at similar health services levels and may affect the same persons 26. Second, there is a potentially low marginal cost of integrated services where clinic space exists and staff already have much of the essential knowledge and skills 15.…”

Section: Introductionmentioning

confidence: 99%

Costs and efficiency of integrating HIV/AIDS services with other health services: a systematic review of evidence and experience

et al. 2011

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Objectives To review the literature on the potential efficiency gains of integrating HIV services with other health services. Design Systematic literature review. Search of electronic databases, manual searching and snowball sampling. Studies that presented results on cost, efficiency or cost-effectiveness of integrated HIV services were included, focusing on low-and middleincome countries. Evidence was analysed and synthesised through a narrative approach and the quality of studies assessed. Results Of 666 citations retrieved, 46 were included (35 peer reviewed and 11 from grey literature).

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“…Six (8.5%) papers addressed policy‐level strategies involving the integration of HIV services with immunisation in Tanzania and with maternal–child health and reproductive health services in Ghana, Kenya, Zambia and South Africa . These papers identified benefits to patients (e.g.…”

Section: Resultsmentioning

confidence: 99%

“…Integration of services may be important and remains high on the agenda for HIV and TB control . However, consideration of the risks and benefits of integration is essential (some services may be better delivered using a vertical approach), and integration should be part of a comprehensive primary healthcare approach .…”

Section: Discussionmentioning

confidence: 99%

Scoping review: strategies of providing care for children with chronic health conditions in low‐ and middle‐income countries

Graham

Tokhi

Duke

2016

Tropical Med Int Health

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Abstractobjectives To identify and review strategies of providing care for children living with chronic health conditions in low-and middle-income countries.methods We searched MEDLINE and Cochrane EPOC databases for papers evaluating strategies of providing care for children with chronic health conditions in low-or middle-income countries. Data were systematically extracted using a standardised data charting form, and analysed according to Arksey and O'Malley's 'descriptive analytical method' for scoping reviews.results Our search identified 71 papers addressing eight chronic conditions; two chronic communicable diseases (HIV and TB) accounted for the majority of papers (n = 37, 52%). Nine (13%) papers reported the use of a package of care provision strategies (mostly related to HIV and/or TB in sub-Saharan Africa). Most papers addressed a narrow aspect of clinical care provision, such as patient education (n = 23) or task-shifting (n = 15). Few papers addressed the strategies for providing care at the community (n = 10, 15%) or policy (n = 6, 9%) level. Low-income countries were under-represented (n = 24, 34%), almost exclusively involving HIV interventions in sub-Saharan Africa (n = 21). Strategies and summary findings are described and components of future models of care proposed.conclusions Strategies that have been effective in reducing child mortality globally are unlikely to adequately address the needs of children with chronic health conditions in low-and middle-income settings. Current evidence mostly relates to disease-specific, narrow strategies, and more research is required to develop and evaluate the integrated models of care, which may be effective in improving the outcomes for these children.keywords chronic disease, delivery of health care, child, adolescent, review

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The Role of MCH and Family Planning Services in HIV/STD Control: Is Integration the Answer?

Cited by 21 publications

References 26 publications

Impact of Integrated Family Planning and HIV Care Services on Contraceptive Use and Pregnancy Outcomes

Impact of Integrated Family Planning and HIV Care Services on Contraceptive Use and Pregnancy Outcomes

Costs and efficiency of integrating HIV/AIDS services with other health services: a systematic review of evidence and experience

Scoping review: strategies of providing care for children with chronic health conditions in low‐ and middle‐income countries

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