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Perceptions and Experiences of Integrated Service Delivery Among Women Living with HIV Attending Reproductive Health Services in Kenya

A Mixed Methods Study

Bibliographic Data

ID15338207
AuthorsThe Integra Team (London School of Hygiene & Tropical Medicine, corresponding author), M Colombini (0000-0001-7487-9634, London School of Hygiene & Tropical Medicine), Susannah H Mayhew (0000-0002-2433-3809, Centre for Infectious Disease Research in Zambia), Richard Mutemwa (0000-0002-3658-0233, Centre for Infectious Disease Research in Zambia), Jackie Kivunaga (British Council), Charity Ndwiga (0000-0001-9926-1486)
Year2016
Volume20
Issue9
Pages2130-2140
Publication date2016-04-12
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAIDS and Behavior (JOURNAL)
Journal identifiersISSN: 1090-7165 • E-ISSN: 1573-3254
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10461-016-1373-2
PMID27071390
OpenAlexW2338773650
LanguageEN
Citations received8
References cited39

This is one of the few studies that explores preferences of and experiences with integrated sexual and reproductive health (SRH)-HIV care among users of mainstream family planning and postnatal care services who are women living with HIV (WLWH). This paper reports on the quantitative data from 179 clients attending public sector clinics and from 30 qualitative in-depth interviews with WLHIV in Kenya. Quantitative data show that integration is happening for the vast majority of these clients at their last HIV visit. However, qualitative data show that very often the care received by WLWH is fragmented as providers do not offer multiple same-day appointments for FP and ARV refills. Our study has shown factors that could either prevent or enable receipt of integrated SRH and HIV care for WLWH. To address these factors, management systems need to be able to support providers to make flexible decisions and facilitate better coordination and communication across clinics within facilities

Business · Environmental health · Family medicine · Health psychology · Human immunodeficiency virus (HIV · Population · Public health · Qualitative property · Qualitative research · Receipt · Reproductive health · Service (business · Service delivery framework · Service provider · Sociology · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine · Nursing

  • Building integrated health systems

    Open Access•Susannah H Mayhew, Jonathan Hopkins et al.•Health Policy and Planning•2017

  • Pre-Incarceration Healthcare Use and Access Barriers among Men with HIV and those at-Risk for Contracting HIV

    Open Access•Victoria Phillips, Jacob A Pluznik et al.•AIDS and Behavior•2025

  • Changing Childbearing Norms During an Era of ART Expansion in Malawi, 2009 to 2015

    Open Access•Sarah Garver, J Trinitapoli et al.•AIDS and Behavior•2019

  • Provider understandings of and attitudes towards integration

    Cecilia Milford, Letitia Rambally Greener et al.•African Journal of AIDS Research•2018

  • Fertility intentions and contraceptive practices among clinic-users living with HIV in Kenya

    Open Access•for the Integra Initiative, Susannah H Mayhew et al.•BMC Public Health•2017

  • Health systems and the SDGs

    Open Access•Charlotte E Warren, Charlotte Warren et al.•Health Policy and Planning•2017

  • Numbers, systems, people

    Open Access•Susannah H Mayhew, Stuart Sweeney et al.•Health Policy and Planning•2017

  • The Current Status of Research on the Integration of Sexual and Reproductive Health and HIV Services

    Open Access•Charlotte E Warren, Charlotte Warren et al.•Studies in Family Planning•2017

  • A review of reproductive health research, guidelines and related gaps for women living with HIV

    Mona Loutfy, Mona R Loutfy et al.•AIDS Care•2013

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    Poloko Kebaabetswe, P M Kebaabetswe•AIDS Care•2007

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    Baotran N Vo, Craig R Cohen et al.•AIDS Care•2012

  • Clients’ perspectives on HIV/Aids care and treatment and reproductive health services in South Africa

    Phyllis Orner, Diane Cooper et al.•AIDS Care•2008

  • Acceptability and feasibility of integration of HIV care services into antenatal clinics in rural Kenya

    Open Access•Lena E Winestone, Elizabeth A Bukusi et al.•Global Public Health•2011

  • Patient and provider perspectives on improving the linkage of HIV-positive pregnant women to long-term HIV care and treatment in eastern Uganda

    Haneefa T Saleem, Robert Kyeyagalire et al.•African Journal of AIDS Research•2014

  • Program synergies and social relations

    Open Access•Selena J An, Asha George et al.•BMC Public Health•2015

  • Study protocol for the Integra Initiative to assess the benefits and costs of integrating sexual and reproductive health and HIV services in Kenya and Swaziland

    Open Access•Charlotte E Warren, Charlotte Warren et al.•BMC Public Health•2012

  • Integration of HIV and cervical cancer screening perceptions of healthcare providers and policy makers in Uganda

    Open Access•Edward Kumakech, Sören Andersson et al.•BMC Public Health•2014

  • Integration of STI and HIV Prevention, Care, and Treatment into Family Planning Services

    Open Access•Kathryn Church, Susannah H Mayhew•Studies in Family Planning•2009

  • Integrating HIV treatment with primary care outpatient services

    Open Access•Stephanie M Topp, Julien M Chipukuma et al.•Health Policy and Planning•2013

  • Contextual Factors in the Health of People With Serious Mental Illness

    Open Access•L J Cabassa, Elizabeth Siantz et al.•Qualitative Health Research•2014

Unique citing works8
Citations per year0,89
Citation span2017 - 2025 (9)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 8
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