Trial reportStudies in family planning2017
Impact of Integrated Services on HIV Testing: A Nonrandomized Trial among Kenyan Family Planning Clients.
Trial report in Studies in family planning, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 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
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Systematic Review of HIV Testing Implementation Strategies in Sub-Saharan African Countries.AIDS and behavior · 2022Pooled it
- Integration of HIV testing services into family planning services: a systematic review.Reproductive health · 2019Pooled it
- Can personalized digital counseling improve consumer search for modern contraceptive methods?Science advances · 2023Trial
- The cost of implementing the Systems Analysis and Improvement Approach for a cluster randomized trial integrating HIV testing into family planning services in Mombasa County, Kenya.BMC health services research · 2022Trial
- Assessing the sustainability of the Systems Analysis and Improvement Approach to increase HIV testing in family planning clinics in Mombasa, Kenya: results of a cluster randomized trial.Implementation science : IS · 2022Trial
- Integration measurement and its applications in low- and middle-income country health systems: a scoping review.BMC public health · 2023Article
- Perceptions of quality and the integrated delivery of family planning with childhood immunisation services in Kenya and Uganda.PloS one · 2022Article
- Implementation of HPV-based screening in Burkina Faso: lessons learned from the PARACAO hybrid-effectiveness study.BMC women's health · 2021Article
- A Landscape Analysis of Offering HIV Testing Services Within Family Planning Service Delivery.Frontiers in reproductive health · 2021Article
- Uptake of long acting reversible contraception following integrated couples HIV and fertility goal-based family planning counselling in Catholic and non-Catholic, urban and rural government health centers in Kigali, Rwanda.Reproductive health · 2020Observational
- A couple-focused, integrated unplanned pregnancy and HIV prevention program in urban and rural Zambia.American journal of obstetrics and gynecology · 2020Article
- Performance of family planning clinics in conducting recommended HIV counseling and testing in Mombasa County, Kenya: a cross-sectional study.BMC health services research · 2019Article
- Optimal HIV testing strategies for South Africa: a model-based evaluation of population-level impact and cost-effectiveness.Scientific reports · 2019Article
- Strengthening integration of family planning with HIV/AIDS and other services: experience from three Kenyan cities.Reproductive health · 2019Article
- How can we evaluate the cost-effectiveness of health system strengthening? A typology and illustrations.Social science & medicine (1982) · 2019Article
- Developing a model for integrating sexual and reproductive health services with HIV prevention and care in KwaZulu-Natal, South Africa.Reproductive health · 2018Article
- Article
- Integration of HIV and reproductive health services in public sector facilities: analysis of client flow data over time in Kenya.BMJ global health · 2018Article
- Numbers, systems, people: how interactions influence integration. Insights from case studies of HIV and reproductive health services delivery in Kenya.Health policy and planning · 2017Article
- Does service integration improve technical quality of care in low-resource settings? An evaluation of a model integrating HIV care into family planning services in Kenya.Health policy and planning · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The impact of integrated reproductive health and HIV services on HIV testing and counseling (HTC) uptake was assessed among 882 Kenyan family planning clients using a nonrandomized cohort design within six intervention and six "comparison" facilities. The effect of integration on HTC goals (two tests over two years) was assessed using conditional logistic regression to test four "integration" exposures: a training and reorganization intervention; receipt of reproductive health and HIV services at recruitment; a functional measure of facility integration at recruitment; and a woman's cumulative exposure to functionally integrated care across different facilities over time. While recent receipt of HTC increased rapidly at intervention facilities, achievement of HTC goals was higher at comparison facilities. Only high cumulative exposure to integrated care over two years had a significant effect on HTC goals after adjustment (aOR 2.94, 95%CI 1.73-4.98), and programs should therefore make efforts to roll out integrated services to ensure repeated contact over time.
Indexed as
Identifiers
What OpenQuestion holds
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.