ArticleJournal of acquired immune deficiency syndromes (1999)2014
Qualitative assessment of the integration of HIV services with infant routine immunization visits in Tanzania.
Article in Journal of acquired immune deficiency syndromes (1999), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- How to assess and prepare health systems in low- and middle-income countries for integration of services-a systematic review.Health policy and planning · 2018Pooled it
- Review
- Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence.The Cochrane database of systematic reviews · 2023Article
- Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence.The Cochrane database of systematic reviews · 2023Article
- What mechanisms drive uptake of family planning when integrated with childhood immunisation in Ethiopia? A realist evaluation.BMC public health · 2021Article
- Marginalization and social change processes among lesbian, gay, bisexual and transgender persons in Swaziland: implications for HIV prevention.AIDS care · 2018Article
- Integration of Neonatal and Child Health Interventions with Pediatric HIV Interventions in Global Health.International journal of MCH and AIDS · 2018Review
- Integration of HIV Testing into Maternal, Newborn, and Child Health Weeks for Improved Case Finding and Linkage to Prevention of Mother-to-Child Transmission Services in Benue State, Nigeria.Frontiers in public health · 2017Article
- Fragmentation of maternal, child and HIV services: A missed opportunity to provide comprehensive care.African journal of primary health care & family medicine · 2016Article
- Strengthening routine immunization systems to improve global vaccination coverage.British medical bulletin · 2015Review
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 1 institution in 1 country.
Funding
Abstract
backgroundIn 2009, a project was implemented in 8 primary health clinics throughout Tanzania to explore the feasibility of integrating pediatric HIV prevention services with routine infant immunization visits.
methodsWe conducted interviews with 64 conveniently sampled mothers of infants who had received integrated HIV and immunization services and 16 providers who delivered the integrated services to qualitatively identify benefits and challenges of the intervention midway through project implementation.
findingsMothers' perceived benefits of the integrated services included time savings, opportunity to learn their child's HIV status and receive HIV treatment, if necessary. Providers' perceived benefits included reaching mothers who usually would not come for only HIV testing. Mothers and providers reported similar challenges, including mothers' fear of HIV testing, poor spousal support, perceived mandatory HIV testing, poor patient flow affecting confidentiality of service delivery, heavier provider workloads, and community stigma against HIV-infected persons; the latter a more frequent theme in rural compared with urban locations.
interpretationFuture scale-up should ensure privacy of these integrated services received at clinics and community outreach to address stigma and perceived mandatory testing. Increasing human resources for health to address higher workloads and longer waiting times for proper patient flow is necessary in the long term.
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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.