ArticleJournal of acquired immune deficiency syndromes (1999)2011
Impact of integrated family planning and HIV care services on contraceptive use and pregnancy outcomes: a retrospective cohort study.
Article in Journal of acquired immune deficiency syndromes (1999), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 9 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
40 citing papers in PubMed, 9 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Pooled it
- Health facility-based interventions and the uptake of contraception among people living with HIV: A systematic review & meta-analysis.The Indian journal of medical research · 2023Pooled it
- Integration of family planning into HIV services: a systematic review.Annals of medicine · 2022Pooled it
- Integrating HIV services and other health services: A systematic review and meta-analysis.PLoS medicine · 2021Pooled it
- Integration of Family Planning Services into HIV Care and Treatment Services: A Systematic Review.Studies in family planning · 2017Pooled it
- Behavioral interventions for improving contraceptive use among women living with HIV.The Cochrane database of systematic reviews · 2016Pooled it
- Integrating prevention interventions for people living with HIV into care and treatment programs: a systematic review of the evidence.Journal of acquired immune deficiency syndromes (1999) · 2015Pooled it
- Behavioral interventions for improving condom use for dual protection.The Cochrane database of systematic reviews · 2013Pooled it
- Family planning counseling for women living with HIV: a systematic review of the evidence of effectiveness on contraceptive uptake and pregnancy incidence, 1990 to 2011.BMC public health · 2013Pooled it
- Does Integrating Family Planning into HIV Services Improve Gender Equitable Attitudes? Results from a Cluster Randomized Trial in Nyanza, Kenya.AIDS and behavior · 2016Trial
- Trial
- Contraception and intersection with HIV services in 11 high HIV burden sub-Saharan African countries: Results from the population-based HIV Impact Assessment cross-sectional studies conducted from 2015 to 2018.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023Article
- Contraception use and HIV outcomes among women initiating dolutegravir-containing antiretroviral therapy in Kenya: a retrospective cohort study.Journal of the International AIDS Society · 2022Article
- The causal effect of a family planning intervention on women's contraceptive use and birth spacing.Proceedings of the National Academy of Sciences of the United States of America · 2022Article
- Integration of family planning services into health care for HIV-positive women in Botswana.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021Article
- Factors Associated with Condom Knowledge, Attitude, and Use among Black Heterosexual Men in Ontario, Canada.TheScientificWorldJournal · 2021Article
- Higher contraceptive uptake in HIV treatment centers offering integrated family planning services: A national survey in Kenya.Contraception · 2020Article
- Status of family planning integration to HIV care in Amhara regional state, Ethiopia.BMC pregnancy and childbirth · 2020Article
- Using Evidence to Drive Impact: Developing the FP Goals Impact Matrix.Studies in family planning · 2019Article
- Availability of integrated family planning services in HIV care and support sites in sub-Saharan Africa: a secondary analysis of national health facility surveys.Reproductive health · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 7 institutions in 2 countries.
Funding
Abstract
objectiveTo determine the impact of routine care (RC) and integrated family planning (IFP) and HIV care service on family planning (FP) uptake and pregnancy outcomes.
designRetrospective cohort study conducted between October 10, 2005, and February 28, 2009.
settingUnited States Agency for International Development-Academic Model Providing Access To Healthcare (USAID-AMPATH) in western Kenya. SUBJECTS: Records of adult HIV-infected women.
interventionIntegration of FP into one of the care teams. PRIMARY OUTCOMES MEASURES: Incidence of FP methods and pregnancy.
resultsFour thousand thirty-one women (1453 IFP; 2578 RC) were eligible. Among the IFP group, there was a 16.7% increase (P < 0.001) [95% confidence interval (CI): 13.2% to 20.2%] in incidence of condom use, 12.9% increase (P < 0.001) (95% CI: 9.4% to 16.4%) in incidence of FP use including condoms, 3.8% reduction (P < 0.001) (95% CI: 1.9% to 5.6%) in incidence of FP use excluding condoms, and 0.1% increase (P = 0.9) (95% CI: -1.9% to 2.1%) in incidence of pregnancies. The attributable risk of the incidence rate per 100 person-years of IFP and RC for new condom use was 16.4 (95% CI: 11.9 to 21.0), new FP use including condoms was 13.5 (95% CI: 8.7 to 18.3), new FP use excluding condoms was -3.0 (95% CI: -4.6 to -1.4) and new cases of pregnancies was 1.2 (95% CI: -0.6 to 3.0).
conclusionsIntegrating FP services into HIV care significantly increased the use of modern FP methods but no impact on pregnancy incidence. HIV programs need to consider integrating FP into their program structure.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.