ArticleThe journal of family planning and reproductive health care2016
Integrating reproductive health services into HIV care: strategies for successful implementation in a low-resource HIV clinic in Lilongwe, Malawi.
Article in The journal of family planning and reproductive health care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.
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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
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Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- 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 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
- Health System Strategies to Improve the Uptake of Cervical Cancer Screening in Sub-Saharan Africa: A Scoping Systematic Review.Health promotion practice · 2026Article
- Strategies to integrate non-communicable disease interventions in HIV and tuberculosis care contexts in low- and middle-income countries: a scoping review.BMJ global health · 2026Article
- Integration of cervical cancer screening into healthcare facilities in low- and middle-income countries: A scoping review.PLOS global public health · 2024Article
- Advancing the use of Long-Acting Extended Delivery formulations for HIV prevention in sub-Saharan Africa: challenges, opportunities, and recommendations.Journal of the International AIDS Society · 2023Article
- Results from Two HPV-Based Cervical Cancer Screening-Family Planning Integration Models in Malawi: A Cluster Randomized Trial.Cancers · 2023Article
- Redefining HIV care: a path toward sustainability post-UNAIDS 95-95-95 targets.Frontiers in public health · 2023Article
- Integrated delivery of family planning and childhood immunization services: a qualitative study of factors influencing service responsiveness in Malawi.Health policy and planning · 2022Article
- Mobile-Social Learning for Continuing Professional Development in Low- and Middle-Income Countries: Integrative Review.JMIR medical education · 2022Review
- Use of implementation science to advance family planning programs in low- and middle-income countries: A systematic review.Frontiers in global women's health · 2022Review
- A one-stop shop model for improved efficiency of pre-exposure prophylaxis delivery in public clinics in western Kenya: a mixed methods implementation science study.Journal of the International AIDS Society · 2021Article
- National action towards a world free of cervical cancer for all women.Preventive medicine · 2021Article
- Health care workers' experiences with implementation of "screen and treat" for cervical cancer prevention in Malawi: A qualitative study.Implementation science communications · 2020Article
- Improving uptake of cervical cancer screening services for women living with HIV and attending chronic care services in rural Malawi.BMJ open quality · 2020Article
- Changing Childbearing Norms During an Era of ART Expansion in Malawi, 2009 to 2015.AIDS and behavior · 2020Article
- A couple-focused, integrated unplanned pregnancy and HIV prevention program in urban and rural Zambia.American journal of obstetrics and gynecology · 2020Article
- 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
- [Contraceptive practices of HIV-infected women followed up on an ambulatory basis at the Treichville University Hospital (Abidjan, Ivory Coast)].The Pan African medical journal · 2019Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 3 countries.
Funding
Abstract
backgroundLighthouse Trust operates two public HIV testing, treatment and care clinics in Lilongwe, Malawi, caring for over 26 000 people living with HIV, 23 000 of whom are on antiretroviral treatment (ART). In August 2010, Lighthouse Trust piloted a step-wise integration of sexual and reproductive health (SRH) services into routine HIV care at its Lighthouse clinic site. The objectives were to increase uptake of family planning (FP), promote long-term reversible contraceptive methods, and increase access, screening and treatment for cervical cancer using visual inspection with acetic acid. METHODS AND
resultsPatients found integrated SRH/ART services acceptable; service availability appeared to increase uptake. Between August 2010 and May 2014, over 6000 women at Lighthouse received FP education messages. Of 859 women who initiated FP, 55% chose depot medroxyprogesterone acetate, 19% chose an intrauterine contraceptive device, 14% chose oral contraceptive pills, and 12% chose an implant. By May 2014, 21% of eligible female patients received cervical cancer screening: 11% (166 women) had abnormal cervical findings during screening for cervical cancer and underwent further treatment.
conclusionsSeveral lessons were learned in overcoming initial concerns about integration. First, our integrated services required minimal additional resources over those needed for provision of HIV care alone. Second, patient flow improved during implementation, reducing a barrier for clients seeking multiple services. Lastly, analysis of routine data showed that the proportion of women using some form of modern contraception was 45% higher at Lighthouse than at Lighthouse's sister clinic where services were not integrated (42% vs 29%), providing further evidence for promotion of SRH/ART integration.
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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.