Evidence map›Paper›PMID 23894070›Full record

ArticleHealth policy and planning2014

Integrating family planning services into HIV care and treatment clinics in Tanzania: evaluation of a facilitated referral model.

Joy Noel Baumgartner, Mackenzie Green, Mark A Weaver, Gottlieb Mpangile, Thecla W Kohi, Stella N Mujaya, Christine Lasway

Open access · bronzeAbstract readEvaluation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Health policy and planning, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 7 pooled it
1.6field-weighted citation impact, top 17% of its field
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

34 citing papers in PubMed, 7 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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  6. Guideline
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  19. 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 · 2021
    Article
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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

7 authors at 1 institution in 1 country.

Joy Noel BaumgartnerFHI 360, Washington, DC 20009, USA, FHI 360, Research Triangle Park, NC, USA, University of North Carolina at Chapel Hill,, Chapel Hill, NC, USA, TUNAJALI II, Deloitte, Dar es Salaam, Tanzania, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania and Futures Group, Dar es Salaam, Tanzania jbaumgartner@fhi360.org.
Mackenzie GreenFHI 360, Washington, DC 20009, USA, FHI 360, Research Triangle Park, NC, USA, University of North Carolina at Chapel Hill,, Chapel Hill, NC, USA, TUNAJALI II, Deloitte, Dar es Salaam, Tanzania, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania and Futures Group, Dar es Salaam, Tanzania.
Mark A WeaverFHI 360, Washington, DC 20009, USA, FHI 360, Research Triangle Park, NC, USA, University of North Carolina at Chapel Hill,, Chapel Hill, NC, USA, TUNAJALI II, Deloitte, Dar es Salaam, Tanzania, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania and Futures Group, Dar es Salaam, Tanzania.
Gottlieb MpangileFHI 360, Washington, DC 20009, USA, FHI 360, Research Triangle Park, NC, USA, University of North Carolina at Chapel Hill,, Chapel Hill, NC, USA, TUNAJALI II, Deloitte, Dar es Salaam, Tanzania, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania and Futures Group, Dar es Salaam, Tanzania.
Thecla W KohiFHI 360, Washington, DC 20009, USA, FHI 360, Research Triangle Park, NC, USA, University of North Carolina at Chapel Hill,, Chapel Hill, NC, USA, TUNAJALI II, Deloitte, Dar es Salaam, Tanzania, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania and Futures Group, Dar es Salaam, Tanzania.
Stella N MujayaFHI 360, Washington, DC 20009, USA, FHI 360, Research Triangle Park, NC, USA, University of North Carolina at Chapel Hill,, Chapel Hill, NC, USA, TUNAJALI II, Deloitte, Dar es Salaam, Tanzania, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania and Futures Group, Dar es Salaam, Tanzania.
Christine LaswayFHI 360, Washington, DC 20009, USA, FHI 360, Research Triangle Park, NC, USA, University of North Carolina at Chapel Hill,, Chapel Hill, NC, USA, TUNAJALI II, Deloitte, Dar es Salaam, Tanzania, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania and Futures Group, Dar es Salaam, Tanzania.
Muhimbili University of Health and Allied Sciences · TZ

Funding

UNC Clinical and Translational Science AwardUL1TR000083 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2012 to 2013
$11.6M
NCATS NIH HHS UL1TR000083
6 · The paper itself

Abstract

backgroundMany clients of HIV care and treatment services have unmet contraceptive needs. Integrating family planning (FP) services into HIV services is an increasingly utilized strategy for meeting those unmet needs. However, numerous models for services integration are potentially applicable for clients with diverse health needs. This study developed and tested a 'facilitated referral' model for integrating FP into HIV care and treatment in Tanzania with the primary outcome being a reduction in unmet need for contraception among female clients.

methodsThe facilitated referral model included seven distinct steps for service providers. A quasi-experimental, pre- and post-test, repeated cross-sectional study was conducted to evaluate the impact of the model. Female clients at 12 HIV care and treatment clinics (CTCs) were interviewed pre- and post-intervention and CTC providers were interviewed post-intervention.

resultsA total of 323 CTC clients were interviewed pre-intervention and 299 were interviewed post-intervention. Among all clients, the adjusted decrease in proportion with unmet need (3%) was not significant (P = 0.103) but among only sexually active clients, the adjusted decrease (8%) approached significance (P = 0.052). Furthermore, the proportion of sexually active clients using a contraceptive method post-intervention increased by an estimated 12% (P = 0.013). Dual method use increased by 16% (P = 0.004). Increases were observed for all seven steps of the model from pre- to post-intervention. All providers (n = 45) stated that FP integration was a good addition although there were implementation challenges.

conclusionThis study demonstrated that the facilitated referral model is a feasible strategy for integrating FP into HIV care and treatment services. The findings show that this model resulted in increased contraceptive use among HIV-positive female clients. By highlighting the distinct steps necessary for facilitated referrals, this study can help inform both programmes and future research efforts in services integration.

Indexed as

Contraception BehaviorFamily Planning ServicesAdolescentAdultCross-Sectional StudiesDelivery of Health CareFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansMiddle AgedReferral and ConsultationTanzaniaYoung Adultfamily planningHIVreferralsservice integrationTanzania

Identifiers

PMID23894070
PMCPMC4184336
OpenAlexW2126737928

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.