Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Acceptability and effectiveness of linking hiv-positive family planning clients to treatment and care services among health care providers in kenya
Journal of AIDS and Clinical Research, Volume 4, No. 8, Year 2013
Notification
URL copied to clipboard!
Description
Although there has been growing interest in the provision of integrated reproductive health and HIV services in sub-Saharan Africa in recent decades, there is limited evidence on effectiveness of linking family planning clients who test HIV-positive to comprehensive care centers with respect to such outcomes as uptake of care and support services as well as initiation of clients to antiretroviral therapy for those eligible. This paper examined the acceptability and effectiveness of linking HIV-positive family planning (FP) clients to treatment and care services among health care providers in Kenya. Data are from a pre- and post-intervention study without a comparison group. Intervention activities included modifying the referral system, reviewing and updating training materials and job aids, training service providers on the updated tools, and conducting support supervision. Data collection involved facility assessment, provider interviews, and record reviews. Analysis entails descriptive statistics including frequencies, percentages and scores with significant tests of means and proportions to determine if there were any significant differences between baseline and endline. The results show that although most facilities were not adequately prepared in terms of infrastructure to support linking HIV-positive family planning clients to treatment and care services, there was significant improvement in provider acceptance of referral practices after than before the interventions. For example, the proportion of providers who used a directory for referral rose from 8% at baseline to 58% at endline (p<0.01) while the proportion of providers who discussed referral of HIV-positive FP clients improved from 71% at baseline to 96% at the endline (p<0.05). In addition, whereas there was initially no referral of HIV-positive FP clients to comprehensive care centers (CCCs), most of the HIV-positive FP clients received at CCCs (93%) were from within the Maternal-Child-Health (MCH)/FP unit of the same facility during the intervention period indicating that the referral system was effective. © 2013 Liambila W, et al.
Authors & Co-Authors
Liambila, Wilson N.
Kenya, Nairobi
Population Council Nairobi
Obare, Francis O.
Kenya, Nairobi
Population Council Nairobi
Birungi, Harriet
Kenya, Nairobi
Population Council Nairobi
Kuria, Shiphrah Njeri
Kenya
Division of Reproductive Health Drh
Muia, Ruth
Kenya
Division of Reproductive Health Drh
Awuor, Christine
Kenya, Nairobi
Ministry of Health Nairobi
Maina, Joyce W.
Unknown Affiliation
Maina, Mary N.
Unknown Affiliation
Statistics
Citations: 8
Authors: 8
Affiliations: 3
Identifiers
Doi:
10.4172/2155-6113.1000232
e-ISSN:
21556113
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cross Sectional Study
Quasi Experimental Study
Grounded Theory
Study Approach
Quantitative
Study Locations
Kenya