Evidence map›Paper›PMID 30631638›Full record

ReviewInternational journal of MCH and AIDS2018

Integration of Neonatal and Child Health Interventions with Pediatric HIV Interventions in Global Health.

Brianna L Smith, Sara Zizzo, Anouk Amzel, Sarah Wiant, Molly C Pezzulo, Sarah Konopka, Rachel Golin, Alexandra C Vrazo

Abstract readReview
In one paragraph

Review in International journal of MCH and AIDS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
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.

Brianna L SmithOffice of Sustainable Development, Africa Bureau, United States Agency for International Development, 1300 Pennsylvania Ave NW, Washington, District of Columbia, 20004, USA.
Sara ZizzoOffice of Sustainable Development, Africa Bureau, United States Agency for International Development, 1300 Pennsylvania Ave NW, Washington, District of Columbia, 20004, USA.
Anouk AmzelOffice of HIV/AIDS, United States Agency for International Development, Washington, District of Columbia, 20004, USA.
Sarah WiantOffice of HIV/AIDS, United States Agency for International Development, Washington, District of Columbia, 20004, USA.
Molly C PezzuloOffice of HIV/AIDS, United States Agency for International Development, Washington, District of Columbia, 20004, USA.
Sarah KonopkaManagement Sciences for Health, Arlington, VA, 22203, USA.
Rachel GolinOffice of HIV/AIDS, United States Agency for International Development, Washington, District of Columbia, 20004, USA.
Alexandra C VrazoOffice of HIV/AIDS, United States Agency for International Development, Washington, District of Columbia, 20004, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesIn the last decade, many strategies have called for integration of HIV and child survival platforms to reduce missed opportunities and improve child health outcomes. Countries with generalized HIV epidemics have been encouraged to optimize each clinical encounter to bend the HIV epidemic curve. This systematic review looks at integrated child health services and summarizes evidence on their health outcomes, service uptake, acceptability, and identified enablers and barriers.

methodsDatabases were systematically searched for peer-reviewed studies. Interventions of interest were HIV services integrated with: neonatal/child services for children <5 years, hospital care of children <5 years, immunizations, and nutrition services. Outcomes of interest were: health outcomes of children <5 years, integrated services uptake, acceptability, and enablers and barriers. PROSPERO ID: CRD42017082444.

resultsTwenty-eight articles were reviewed: 25 (89%) evaluated the integration of HIV services into child health platforms, while three articles (11%) investigated the integration of child health services into HIV platforms. Studies measured health outcomes of children (n=9); service uptake (n=18); acceptability of integrated services (n=8), and enablers and barriers to service integration (n=14). Service integration had positive effects on child health outcomes, HIV testing, and postnatal service uptake. Integrated services were generally acceptable, although confidentiality and stigma were concerns. CONCLUSION AND GLOBAL HEALTH IMPLICATIONS: Each clinical "touch point" with infants and children is an opportunity to provide comprehensive health services. In the current era of flat funding levels, integration of HIV and child health services is an effective, acceptable way to achieve positive child health outcomes.

Indexed as

AfricaChild health servicesHIVImmunization programLiterature reviewneonatal healthPITCPMTCT

Identifiers

PMID30631638
PMCPMC6322631

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

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.