Perceptions and Experiences of Integrated Service Delivery Among Women Living with HIV Attending Reproductive Health Services in Kenya: A Mixed Methods Study

This is one of the few studies that explores preferences of and experiences with integrated sexual and reproductive health (SRH)-HIV care among users of mainstream family planning and postnatal care services who are women living with HIV (WLWH). This paper reports on the quantitative data from 179 c...

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Bibliographic Details
Published in:	AIDS and behavior Vol. 20; no. 9; pp. 2130 - 2140
Main Authors:	Colombini, M., Mayhew, S. H., Mutemwa, R., Kivunaga, J., Ndwiga, C.
Format:	Journal Article
Language:	English
Published:	New York Springer US 01-09-2016 Springer Nature B.V
Subjects:	Acquired immune deficiency syndrome Adult AIDS Anti-HIV Agents - therapeutic use Clients Communication Decisions Delivery of Health Care, Integrated - organization & administration Family planning Family Planning Services - organization & administration Female Females Health care Health Psychology Health services Health services utilization HIV HIV Infections - drug therapy HIV Infections - psychology Human immunodeficiency virus Humans Infectious Diseases Interviews as Topic Kenya Lentivirus Management systems Medical decision making Medicine Medicine & Public Health Original Paper Patient Acceptance of Health Care - ethnology Patient Acceptance of Health Care - psychology Perception Perceptions Public Health Public sector Qualitative analysis Qualitative Research Reproduction Reproductive health Reproductive Health Services - organization & administration Sexual Behavior Sexual health Sexually transmitted diseases Social integration Social services delivery Social Stigma STD Women Womens health Kenya Perceptions Integration HIV Clients’ experiences Kenya
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Summary:	This is one of the few studies that explores preferences of and experiences with integrated sexual and reproductive health (SRH)-HIV care among users of mainstream family planning and postnatal care services who are women living with HIV (WLWH). This paper reports on the quantitative data from 179 clients attending public sector clinics and from 30 qualitative in-depth interviews with WLHIV in Kenya. Quantitative data show that integration is happening for the vast majority of these clients at their last HIV visit. However, qualitative data show that very often the care received by WLWH is fragmented as providers do not offer multiple same-day appointments for FP and ARV refills. Our study has shown factors that could either prevent or enable receipt of integrated SRH and HIV care for WLWH. To address these factors, management systems need to be able to support providers to make flexible decisions and facilitate better coordination and communication across clinics within facilities.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1090-7165 1573-3254
DOI:	10.1007/s10461-016-1373-2