Perceptions and Experiences of Integrated Service Delivery Among Women Living with HIV Attending Reproductive Health Services in Kenya: A Mixed Methods Study
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 c...
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Published in | AIDS and behavior Vol. 20; no. 9; pp. 2130 - 2140 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
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New York
Springer US
01.09.2016
Springer Nature B.V |
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Abstract | 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. |
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AbstractList | 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. |
Author | Mutemwa, R. Mayhew, S. H. Ndwiga, C. Kivunaga, J. Colombini, M. |
Author_xml | – sequence: 1 givenname: M. surname: Colombini fullname: Colombini, M. email: manuela.colombini@lshtm.ac.uk organization: Department of Global Health and Development, London School of Hygiene and Tropical Medicine – sequence: 2 givenname: S. H. surname: Mayhew fullname: Mayhew, S. H. organization: Department of Global Health and Development, London School of Hygiene and Tropical Medicine – sequence: 3 givenname: R. surname: Mutemwa fullname: Mutemwa, R. organization: Health Systems Strengthening & Primary Health Care, Centre for Infectious Disease Research Zambia (CIDRZ) – sequence: 4 givenname: J. surname: Kivunaga fullname: Kivunaga, J. organization: Population Council – sequence: 5 givenname: C. surname: Ndwiga fullname: Ndwiga, C. organization: Reproductive Health Program, Population Council |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27071390$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_3390_ijerph20043374 crossref_primary_10_1007_s10461_019_02685_4 crossref_primary_10_4236_ojcd_2019_93006 crossref_primary_10_1093_heapol_czx097 crossref_primary_10_1108_JICA_06_2022_0033 crossref_primary_10_2989_16085906_2018_1478314 crossref_primary_10_1111_sifp_12024 crossref_primary_10_1093_heapol_czx052 crossref_primary_10_1371_journal_pone_0269690 crossref_primary_10_3389_frph_2022_981845 crossref_primary_10_1002_ijgo_13690 crossref_primary_10_1007_s11904_021_00576_9 crossref_primary_10_1186_s12889_017_4514_2 crossref_primary_10_1136_bmjgh_2018_000867 |
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SubjectTerms | Acquired immune deficiency syndrome Adult AIDS Anti-HIV Agents - therapeutic use Clients Communication Decisions Delivery of Health Care, Integrated - organization & administration Family planning Family Planning Services - organization & administration Female Females Health care Health Psychology Health services Health services utilization HIV HIV Infections - drug therapy HIV Infections - psychology Human immunodeficiency virus Humans Infectious Diseases Interviews as Topic Kenya Lentivirus Management systems Medical decision making Medicine Medicine & Public Health Original Paper Patient Acceptance of Health Care - ethnology Patient Acceptance of Health Care - psychology Perception Perceptions Public Health Public sector Qualitative analysis Qualitative Research Reproduction Reproductive health Reproductive Health Services - organization & administration Sexual Behavior Sexual health Sexually transmitted diseases Social integration Social services delivery Social Stigma STD Women Womens health |
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Title | Perceptions and Experiences of Integrated Service Delivery Among Women Living with HIV Attending Reproductive Health Services in Kenya: A Mixed Methods Study |
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