Impact of Integrated Services on HIV Testing: A Nonrandomized Trial among Kenyan Family Planning Clients

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...

Full description

Saved in:
Bibliographic Details
Published in:Studies in family planning 2017-06, Vol.48 (2), p.201-218
Main Authors: Church, Kathryn, Warren, Charlotte E., Birdthistle, Isolde, Ploubidis, George B., Tomlin, Keith, Zhou, Weiwei, Kimani, James, Abuya, Timothy, Ndwiga, Charity, Sweeney, Sedona, Mayhew, Susannah H.
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adjustment
Adult
AIDS
AIDS serodiagnosis
Attitude of Health Personnel
Clients
Condoms
Counseling
Cumulative indexing
Design analysis
Exposure
Family planning
Family Planning Services - organization & administration
Female
Functional anatomy
Health care
Health services
HIV
HIV Infections - diagnosis
HIV Infections - therapy
Human immunodeficiency virus
Humans
Inservice Training
Integrated care
Integration
Integrative medicine
Intervention
Kenya
Logistic Models
Mass Screening - organization & administration
Medical tests
Middle Aged
Objectives
Patient Satisfaction
Psychoeducational intervention
Recruitment
Regression
Reorganization
Reproductive health
Socioeconomic Factors
Special Issue
Tests
Training
Uptake
Waiting Lists
Women
Womens health
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:0039-3665
1728-4465
DOI:10.1111/sifp.12022