Evidence map›Paper›PMID 26406803›Full record

ArticleAIDS care2016

Integrating family planning into HIV care in western Kenya: HIV care providers' perspectives and experiences one year following integration.

Sara J Newmann, Jennifer M Zakaras, Amy R Tao, Maricianah Onono, Elizabeth A Bukusi, Craig R Cohen, Rachel Steinfeld, Daniel Grossman

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in AIDS care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 26 citations in OpenAlex.

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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

8 authors at 3 institutions in 2 countries.

Sara J Newmanna Department of Obstetrics, Gynecology and Reproductive Sciences , University of California , San Francisco , CA , USA.
Jennifer M Zakarasa Department of Obstetrics, Gynecology and Reproductive Sciences , University of California , San Francisco , CA , USA.
Amy R Taoa Department of Obstetrics, Gynecology and Reproductive Sciences , University of California , San Francisco , CA , USA.
Maricianah Ononob Kenya Medical Research Institute , Nairobi , Kenya.
Elizabeth A Bukusib Kenya Medical Research Institute , Nairobi , Kenya.
Craig R Cohena Department of Obstetrics, Gynecology and Reproductive Sciences , University of California , San Francisco , CA , USA.
Rachel Steinfelda Department of Obstetrics, Gynecology and Reproductive Sciences , University of California , San Francisco , CA , USA.
Daniel Grossmana Department of Obstetrics, Gynecology and Reproductive Sciences , University of California , San Francisco , CA , USA.
University of California, San Francisco · USKenya Medical Research Institute · KEIbis Reproductive Health · US

Funding

Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 2001 to 2026
$57.4M
Clinical and Transtional Science InstituteKL2TR000143 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$11.9M
NCATS NIH HHS KL2 TR000143NCATS NIH HHS KL2TR000143NIMH NIH HHS P30 MH062246
6 · The paper itself

Abstract

With high rates of unintended pregnancy in sub-Saharan Africa, integration of family planning (FP) into HIV care is being explored as a strategy to reduce unmet need for contraception. Perspectives and experiences of healthcare providers are critical in order to create sustainable models of integrated care. This qualitative study offers insight into how HIV care providers view and experience the benefits and challenges of providing integrated FP/HIV services in Nyanza Province, Kenya. Sixteen individual interviews were conducted among healthcare workers at six public sector HIV care facilities one year after the implementation of integrated FP and HIV services. Data were transcribed and analyzed qualitatively using grounded theory methods and Atlas.ti. Providers reported a number of benefits of integrated services that they believed increased the uptake and continuation of contraceptive methods. They felt that integrated services enabled them to reach a larger number of female and male patients and in a more efficient way for patients compared to non-integrated services. Availability of FP services in the same place as HIV care also eliminated the need for most referrals, which many providers saw as a barrier for patients seeking FP. Providers reported many challenges to providing integrated services, including the lack of space, time, and sufficient staff, inadequate training, and commodity shortages. Despite these challenges, the vast majority of providers was supportive of FP/HIV integration and found integrated services to be beneficial to HIV-infected patients. Providers' concerns relating to staffing, infrastructure, and training need to be addressed in order to create sustainable, cost-effective FP/HIV integrated service models.

Indexed as

Family Planning ServicesHIV InfectionsSex EducationContraceptionFemaleGrounded TheoryHumansKenyaMalePregnancydelivery of health carefamily planning serviceshealthcare providerHIVintegratedKenya

Identifiers

PMID26406803
PMCPMC4894498
OpenAlexW2155858577

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.