Integration of Family Planning Services into HIV Care and Treatment Services: A Systematic Review.
Integration of Family Planning Services into HIV Care and Treatment Services: A Systematic Review.
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DOI：
10.1111/sifp.12018
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发表时间：
2017-06
影响因子：
2.1
通讯作者：
Kennedy CE
中科院分区：
文献类型：
--
作者：
Haberlen SA;Narasimhan M;Beres LK;Kennedy CE
自2004年《全球行动呼吁》以来，关于将计划生育和艾滋病毒服务相结合的可行性、有效性和成本效益的证据显著增加。这项系统的审查通过描述用于将计划生育纳入艾滋病毒护理和治疗的各种模式的特征，并综合关于艾滋病毒感染妇女的融合结果的证据，增加了知识库。14项研究符合我们的纳入标准，其中8项是在2013年对该专题进行最后一次系统审查后发表的。总体而言，一体化与更高的现代方法避孕普及率和知识有关，尽管没有足够的证据来评估其对意外怀孕或实现安全和健康怀孕的影响。尽管衡量未满足需求的三项评价中有两项建议可能与综合服务有关的改进，但对计划生育未满足需求的改变的证据有限。然而，通过一体化改善获得计划生育服务的机会并不总是足以增加想要避孕的妇女使用更有效的(非避孕套)现代方法。一体化努力，特别是在避孕用具使用率较低的情况下，必须解决社区范围内和艾滋病毒特有的障碍，以使用有效的计划生育方法，同时改善在常规艾滋病毒护理中获得信息、商品和服务的机会。
Evidence on the feasibility, effectiveness, and cost‐effectiveness of integrating family planning (FP) and HIV services has grown significantly since the 2004 Glion Call to Action. This systematic review adds to the knowledge base by characterizing the range of models used to integrate FP into HIV care and treatment, and synthesizing the evidence on integration outcomes among women living with HIV. Fourteen studies met our inclusion criteria, eight of which were published after the last systematic review on the topic in 2013. Overall, integration was associated with higher modern method contraceptive prevalence and knowledge, although there was insufficient evidence to evaluate its effects on unintended pregnancy or achieving safe and healthy pregnancy. Evidence for change in unmet need for FP was limited, although two of the three evaluations that measured unmet need suggested possible improvements associated with integrated services. However, improving access to FP services through integration was not always sufficient to increase the use of more effective (noncondom) modern methods among women who wanted to prevent pregnancy. Integration efforts, particularly in contexts where contraceptive use is low, must address community‐wide and HIV‐specific barriers to using effective FP methods alongside improving access to information, commodities, and services within routine HIV care.
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影响因子：
3.7
作者：
Church K;Wringe A;Lewin S;Ploubidis GB;Fakudze P;Integra Initiative;Mayhew SH
通讯作者：
Mayhew SH
影响因子：
1.4
作者：
Coyne, Katherine M.;Hawkins, F.;Desmond, N.
通讯作者：
Desmond, N.
影响因子：
2.9
作者：
Kost, Kathryn;Singh, Susheela;Bankole, Akinrinola
通讯作者：
Bankole, Akinrinola
DOI：
10.1097/qai.0b013e318237ca80
发表时间：
2011-12-15
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Kosgei RJ;Lubano KM;Shen C;Wools-Kaloustian KK;Musick BS;Siika AM;Mabeya H;Carter EJ;Mwangi A;Kiarie J
通讯作者：
Kiarie J
影响因子：
3.2
作者：
Baumgartner, Joy Noel;Green, Mackenzie;Lasway, Christine
通讯作者：
Lasway, Christine