ArticleHealth policy and planning2017
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.
Article in Health policy and planning, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Integration of HIV testing services into family planning services: a systematic review.Reproductive health · 2019Pooled it
- Methods and Measures to Assess Health Care Provider Behavior and Behavioral Determinants in Reproductive, Maternal, Newborn, and Child Health: A Rapid Review.Global health, science and practice · 2023Review
- 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
- 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
- An intervention to improve provider-patient interaction at methadone maintenance treatment in China.Journal of substance abuse treatment · 2019Article
- Integration of HIV and reproductive health services in public sector facilities: analysis of client flow data over time in Kenya.BMJ global health · 2018Article
- Building integrated health systems: lessons from HIV, sexual and reproductive health integration.Health policy and planning · 2017Article
- 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
- Impact of integration of sexual and reproductive health services on consultation duration times: results from the Integra Initiative.Health policy and planning · 2017Article
- How linked are national HIV and SRHR strategies? A review of SRHR and HIV strategies in 60 countries.Health policy and planning · 2017Review
- The Current Status of Research on the Integration of Sexual and Reproductive Health and HIV Services.Studies in family planning · 2017Article
- Innovation in Evaluating the Impact of Integrated Service-Delivery: The Integra Indexes of HIV and Reproductive Health Integration.PloS one · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this study was to investigate association between HIV and family planning integration and technical quality of care. The study focused on technical quality of client-provider consultation sessions. The cross-sectional study observed 366 client-provider consultation sessions and interviewed 37 health care providers in 12 public health facilities in Kenya. Multilevel random intercept and linear regression models were fitted to the matched data to investigate relationships between service integration and technical quality of care as well as associations between facility-level structural and provider factors and technical quality of care. A sensitivity analysis was performed to test for hidden bias. After adjusting for facility-level structural factors, HIV/family planning integration was found to have significant positive effect on technical quality of the consultation session, with average treatment effect 0.44 (95% CI: 0.63-0.82). Three of the 12 structural factors were significantly positively associated with technical quality of consultation session including: availability of family planning commodities (9.64; 95% CI: 5.07-14.21), adequate infrastructure (5.29; 95% CI: 2.89-7.69) and reagents (1.48; 95% CI: 1.02-1.93). Three of the nine provider factors were significantly positively associated with technical quality of consultation session: appropriate provider clinical knowledge (3.14; 95% CI: 1.92-4.36), job satisfaction (2.02; 95% CI: 1.21-2.83) and supervision (1.01; 95% CI: 0.35-1.68), while workload (-0.88; 95% CI: -1.75 to - 0.01) was negatively associated. Technical quality of the client-provider consultation session was also determined by duration of the consultation and type of clinic visit and appeared to depend on whether the clinic visit occurred early or later in the week. Integration of HIV care into family planning services can improve the technical quality of client-provider consultation sessions as measured by both health facility structural and provider factors.
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