Impact of Integrated Services on HIV Testing
A Nonrandomized Trial among Kenyan Family Planning Clients
Bibliographic Data
| ID | 10795771 |
|---|---|
| Authors | Kathryn Church (0000-0001-8378-6069, British Council, corresponding author), Charlotte E Warren, Charlotte Warren (0000-0002-1361-2618, British Council), Isolde Birdthistle (0000-0001-5742-6588, Population Council), George Ploubidis (0000-0002-8198-5790, London School of Hygiene & Tropical Medicine), George B Ploubidis (0000-0002-7065-1875), Keith Tomlin (0000-0003-0870-5147, Population Council), Weiwei Zhou (0000-0002-5588-9172, London School of Hygiene & Tropical Medicine), James Kimani (0009-0007-9668-9760, Population Council), Timothy Abuya (0000-0001-8815-8299, London School of Hygiene & Tropical Medicine), Charity Ndwiga (0000-0001-9926-1486, London School of Hygiene & Tropical Medicine), Stuart Sweeney (0000-0003-4233-9080, Population Council), Sedona Sweeney, Susannah H Mayhew (0000-0002-2433-3809, British Council), the Integra Initiative |
| Year | 2017 |
| Volume | 48 |
| Issue | 2 |
| Pages | 201-218 |
| Publication date | 2017-06-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Studies in Family Planning (JOURNAL) |
| Journal identifiers | ISSN: 0039-3665 • E-ISSN: 1728-4465 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/sifp.12022 |
| PMID | 28470971 |
| OpenAlex | W2610938533 |
| Language | EN |
| Citations received | 6 |
| References cited | 29 |
The impact of integrated reproductive health and HIV services on HIV testing and counseling (HTC) uptake was assessed among 882 Kenyan family planning clients using a nonrandomized cohort design within six intervention and six “comparison” facilities. The effect of integration on HTC goals (two tests over two years) was assessed using conditional logistic regression to test four “integration” exposures: a training and reorganization intervention; receipt of reproductive health and HIV services at recruitment; a functional measure of facility integration at recruitment; and a woman's cumulative exposure to functionally integrated care across different facilities over time. While recent receipt of HTC increased rapidly at intervention facilities, achievement of HTC goals was higher at comparison facilities. Only high cumulative exposure to integrated care over two years had a significant effect on HTC goals after adjustment (aOR 2.94, 95%CI 1.73‐4.98), and programs should therefore make efforts to roll out integrated services to ensure repeated contact over time
Business · Cohort · Developing country · Economic growth · Environmental health · Family medicine · Family planning · Health care · Health facility · Health services · Integrated care · Intervention (counseling · Kenya · Logistic regression · Population · Program evaluation · Receipt · Reproductive health · Research methodology · Test (biology · Voluntary counseling and testing · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine · Nursing · Gerontology
Provider understandings of and attitudes towards integration
The mediating effect of individual beliefs between self-testing knowledge and HIV self-testing use
Integrated Diagnosis in Africa’s Low- and Middle-Income Countries
Does service integration improve technical quality of care in low-resource settings? An evaluation of a model integrating HIV care into family planning services in Kenya
Numbers, systems, people
The Current Status of Research on the Integration of Sexual and Reproductive Health and HIV Services
HIV Voluntary Counseling and Testing and Behavioral Risk Reduction in Developing Countries
HIV testing attitudes, Aids stigma, and voluntary HIV counselling and testing in a black township in Cape Town, South Africa
A systematic review of qualitative findings on factors enabling and deterring uptake of HIV testing in Sub-Saharan Africa
The Institutionalization of Global Aids and the Creation of the Joint United Nations Programme on HIV/Aids (Unaids)
HIV and family planning service integration and voluntary HIV counselling and testing client composition in Ethiopia
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
Acceptance of Routine Testing for HIV among Adult Patients at the Medical Emergency Unit at a National Referral Hospital in Kampala, Uganda
The Contribution of Sexual and Reproductive Health Services to the Fight against HIV/Aids
The Utilization of Testing and Counseling for HIV
Integrating family planning services into HIV care and treatment clinics in Tanzania
Numbers, systems, people
| Unique citing works | 6 |
|---|---|
| Citations per year | 0,67 |
| Citation span | 2017 - 2025 (9) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 6 |