Evidence map›Paper›PMID 36581443›Full record

ArticleBMJ sexual & reproductive health2023

Integrating pre-exposure prophylaxis of HIV infection into family planning services: a scoping review.

Caroline I Gotsche, Petrus S Steyn, Manjulaa Narasimhan, Michelle Rodolph, Rachel Baggaley, James N Kiarie

Open access · hybridAbstract readScoping Review
In one paragraph

Article in BMJ sexual & reproductive health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 19% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

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  15. Preventing HIV in women in Africa.Nature medicine · 2025
    Review
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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

6 authors at 1 institution in 6 countries.

Caroline I GotscheDepartment of Sexual and Reproductive Health and Research, UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneve, Switzerland caroline.gotsche@lshtm.ac.uk.ORCID 0000-0003-4986-8575
Petrus S SteynDepartment of Sexual and Reproductive Health and Research, UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneve, Switzerland.ORCID 0000-0001-8300-7985
Manjulaa NarasimhanDepartment of Sexual and Reproductive Health and Research, UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneve, Switzerland.ORCID 0000-0003-0598-6887
Michelle RodolphGlobal HIV, Hepatitis and STIs Programmes, World Health Organization, Geneve, Switzerland.
Rachel BaggaleyGlobal HIV, Hepatitis and STIs Programmes, World Health Organization, Geneve, Switzerland.ORCID 0000-0001-6320-3444
James N KiarieDepartment of Sexual and Reproductive Health and Research, UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneve, Switzerland.ORCID 0000-0003-4180-7858
World Health Organization - Pakistan · PK

Funding

World Health Organization 001
6 · The paper itself

Abstract

introductionThe aim of this review was to map evidence of integrating pre-exposure prophylaxis (PrEP) for HIV prevention into family planning services. A comprehensive package, using a combination of PrEP and contraceptive delivery, could reduce the number of new HIV infections and/or unintended pregnancies for at-risk women and adolescent girls.

methodsA scoping literature search was conducted between August 2020 and October 2020. After developing the review question, electronic databases (MEDLINE, Embase, Cochrane Library, Global Health, Web of Science) were systematically reviewed. All types of articles published from 2012 to August 2020 in English were included. The intended outcome was to identify barriers and enablers of integrating services at the client-level and provider-level.

results38 articles met inclusion criteria, with 16 from low-and middle-income countries and 22 from high-income countries. Barriers at the client-level included a lack of risk perception associated with low uptake and continuation of PrEP and pill burden; and at the provider-level, barriers included a lack of studies on cost-effectiveness of integrating services and provider training and knowledge. Facilitators included the initiation of PrEP and contraception at the same time and by the same provider or HIV self-testing.

conclusionMapping and synthesising current evidence, this review identified key barriers and facilitators for the integration of PrEP into family planning services for women and adolescent girls. In order to address these factors, more implementation research in a variety of settings is needed to meet women's sexual and reproductive health needs globally.

Indexed as

HIV InfectionsPre-Exposure ProphylaxisAdolescentContraceptionFamily Planning ServicesFemaleHumansPregnancySexual Behaviorcontraception behaviorfamily planning servicesHIVSexual Health

Identifiers

PMID36581443
PMCPMC10359582
OpenAlexW4313270875

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.