ReviewJournal of acquired immune deficiency syndromes (1999)2014
Health systems integration of sexual and reproductive health and HIV services in sub-Saharan Africa: a scoping study.
Review 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 45 papers, 3 of them syntheses that pooled 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.
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
45 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effectiveness of Integrating HIV Oral Pre-exposure Prophylaxis (PrEP) and Family Planning: A Systematic Review of Initial Implementation Efforts in Low- and Middle-Income Countries.AIDS and behavior · 2026Pooled 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
- Risk Factors for Incidence of Sexually Transmitted Infections Among Women in a Human Immunodeficiency Virus Chemoprevention Trial: VOICE (MTN-003).Sexually transmitted diseases · 2017Trial
- Challenges and prospects in integrating abortion care with HIV/family planning services as a one-stop maternal health service in Ethiopia.BMC health services research · 2025Article
- Understanding stakeholder perspectives on integrating and sustaining a vertical HIV prevention programme into routine health services in Zimbabwe: a qualitative study.BMJ global health · 2025Article
- Use of integrated services in antenatal care: A case study of Mabvuku Polyclinic, Zimbabwe.African journal of primary health care & family medicine · 2025Article
- Integrating HIV prevention with family planning services for adolescent girls and young women in Uganda: perspectives of adolescent girls and young women, health care providers, and policymakers.Frontiers in reproductive health · 2025Article
- Forbidden Conversations: A Comprehensive Exploration of Taboos in Sexual and Reproductive Health.Cureus · 2024Review
- Integration of cervical cancer screening into healthcare facilities in low- and middle-income countries: A scoping review.PLOS global public health · 2024Article
- Provider and female client economic costs of integrated sexual and reproductive health and HIV services in Zimbabwe.PloS one · 2024Article
- Information-Driven Integrated Healthcare: An Analysis of the Cooperation Strategy of County Medical Community Based on Multi-Subject Simulation.Healthcare (Basel, Switzerland) · 2023Article
- Strengthening integrated sexual reproductive health and rights and HIV services programs to achieve sustainable development goals 3 and 5 in Africa.Reproductive health · 2022Article
- Rationale for integration of services for diabetes mellitus and diabetic retinopathy in Kenya.Eye (London, England) · 2022Article
- Influence of family planning and immunization services integration on contraceptive use and family planning information and knowledge among clients: A cross-sectional analysis in urban Nigeria.Frontiers in global women's health · 2022Article
- Article
- Fertility desires of people living with HIV: does the implementation of a sexual and reproductive health and HIV integration model change healthcare providers' attitudes and clients' desires?BMC health services research · 2021Article
- Unmet need for family planning and associated factors among women living with HIV in Gondar city, Northwest Ethiopia: cross-sectional study.The Pan African medical journal · 2021Article
- Exporting bad policy: an introduction to the special issue on the GGR's impact.Sexual and reproductive health matters · 2020Article
- Integration of sexual and reproductive health services in the provision of primary health care in the Arab States: status and a way forward.Sexual and reproductive health matters · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectiveBoth sexual and reproductive health (SRH) services and HIV programs in sub-Saharan Africa are typically delivered vertically, operating parallel to national health systems. The objective of this study was to map the evidence on national and international strategies for integration of SRH and HIV services in sub-Saharan Africa and to develop a research agenda for future health systems integration.
methodsWe examined the literature on national and international strategies to integrate SRH and HIV services using a scoping study methodology. Current policy frameworks, national HIV strategies and research, and gray literature on integration were mapped. Five countries in sub-Saharan Africa with experience of integrating SRH and HIV services were purposively sampled for detailed thematic analysis, according to the health systems functions of governance, policy and planning, financing, health workforce organization, service organization, and monitoring and evaluation.
resultsThe major international health policies and donor guidance now support integration. Most integration research has focused on linkages of SRH and HIV front-line services. Yet, the common problems with implementation are related to delayed or incomplete integration of higher level health systems functions: lack of coordinated leadership and unified national integration policies; separate financing streams for SRH and HIV services and inadequate health worker training, supervision and retention.
conclusionsRigorous health systems research on the integration of SRH and HIV services is urgently needed. Priority research areas include integration impact, performance, and economic evaluation to inform the planning, financing, and coordination of integrated service delivery.
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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.