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Perceptions and Experiences of Integrated Service Delivery Among Women Living with HIV Attending Reproductive Health Services in Kenya: A Mixed Methods Study
- Source :
- AIDS and Behavior
- Publication Year :
- 2016
- Publisher :
- Springer Science and Business Media LLC, 2016.
-
Abstract
- 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.
- Subjects :
- Clients’ experiences
Adult
0301 basic medicine
medicine.medical_specialty
Social Psychology
Anti-HIV Agents
Service delivery framework
Sexual Behavior
Social Stigma
Population
Integration
HIV Infections
Qualitative property
Interviews as Topic
03 medical and health sciences
0302 clinical medicine
Nursing
Perceptions
Humans
Medicine
030212 general & internal medicine
education
Qualitative Research
Reproductive health
Original Paper
education.field_of_study
Delivery of Health Care, Integrated
business.industry
Public health
Public sector
Public Health, Environmental and Occupational Health
HIV
Patient Acceptance of Health Care
Kenya
030112 virology
Infectious Diseases
Family planning
Family Planning Services
Female
Perception
Reproductive Health Services
business
Qualitative research
Subjects
Details
- ISSN :
- 15733254 and 10907165
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- AIDS and Behavior
- Accession number :
- edsair.doi.dedup.....60ba734c9d063251ef226ec3cde3c316
- Full Text :
- https://doi.org/10.1007/s10461-016-1373-2