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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 (two test...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5518195/ https://www.ncbi.nlm.nih.gov/pubmed/28470971 http://dx.doi.org/10.1111/sifp.12022 |
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author | 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. |
author_facet | 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. |
author_sort | Church, Kathryn |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5518195 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-55181952017-08-03 Impact of Integrated Services on HIV Testing: A Nonrandomized Trial among Kenyan Family Planning Clients 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. Stud Fam Plann Special Issue 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. John Wiley and Sons Inc. 2017-05-04 2017-06 /pmc/articles/PMC5518195/ /pubmed/28470971 http://dx.doi.org/10.1111/sifp.12022 Text en © 2017 The Authors. Studies in Family Planning published by Wiley Periodicals, Inc. on behalf of The Population Council, Inc. This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Special Issue 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. Impact of Integrated Services on HIV Testing: A Nonrandomized Trial among Kenyan Family Planning Clients |
title | Impact of Integrated Services on HIV Testing: A Nonrandomized Trial among Kenyan Family Planning Clients |
title_full | Impact of Integrated Services on HIV Testing: A Nonrandomized Trial among Kenyan Family Planning Clients |
title_fullStr | Impact of Integrated Services on HIV Testing: A Nonrandomized Trial among Kenyan Family Planning Clients |
title_full_unstemmed | Impact of Integrated Services on HIV Testing: A Nonrandomized Trial among Kenyan Family Planning Clients |
title_short | Impact of Integrated Services on HIV Testing: A Nonrandomized Trial among Kenyan Family Planning Clients |
title_sort | impact of integrated services on hiv testing: a nonrandomized trial among kenyan family planning clients |
topic | Special Issue |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5518195/ https://www.ncbi.nlm.nih.gov/pubmed/28470971 http://dx.doi.org/10.1111/sifp.12022 |
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