Evidence map›Paper›PMID 22043837›Full record

Trial reportGlobal public health2012

Acceptability and feasibility of integration of HIV care services into antenatal clinics in rural Kenya: a qualitative provider interview study.

Lena E Winestone, Elizabeth A Bukusi, Craig R Cohen, Daniel Kwaro, Nicole C Schmidt, Janet M Turan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Global public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lena E WinestoneDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA. lenawine@stanford.edu
Elizabeth A Bukusi
Craig R Cohen
Daniel Kwaro
Nicole C Schmidt
Janet M Turan

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Monica Gandhi · 1988 to 2026
$93.6M
The Effects of HIV/AIDS Stigma on Use of Services by Pregnant Women in KenyaK01MH081777 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI TURAN, JANET M. · 2007 to 2011
$842k
NIAID NIH HHS P30 AI027763NIMH NIH HHS 5K01MH81777NIMH NIH HHS K01 MH081777
6 · The paper itself

Abstract

The aim of this study was to explore the perspectives of healthcare providers on the advantages and disadvantages of integrating HIV care services, including highly active antiretroviral therapy (HAART), into antenatal care (ANC) clinics in rural Kenya. We conducted a qualitative study using in-depth interviews and thematic analysis; 36 healthcare providers from six health centres in Nyanza Province, Kenya participated. Effects on service providers included increased workload due to the incorporation of specialised HIV services into ANC clinics. Providers observed that integration results in decreased patient time spent at the health facility, increased efficiency and closer provider-patient relationships; all leading to increased patient satisfaction. Providers also said that women would be more likely to receive HAART and adhere to their treatment as a result of improved confidentiality and decreased stigma. However, a minority of providers noted that integration could result in longer appointment times for HIV-positive women at ANC clinics leading to inadvertent disclosure. Integration could lead to strengthened ANC, postpartum care, prevention of mother-to-child transmission and HIV care for women and their families. However, integration efforts need to take into account potential negative effects on ANC provider workload, disclosure and the quality of care.

Indexed as

Attitude of Health PersonnelMaternal Health ServicesPrenatal CareAdultDelivery of Health Care, IntegratedFeasibility StudiesFemaleHIV InfectionsHumansInterviews as TopicKenyaMaleMiddle AgedPregnancyRural Health Services

Identifiers

PMID22043837
PMCPMC3493571

What OpenQuestion holds

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Registered trials

None linked

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.