Back to Search Start Over

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

Authors :
Susannah H. Mayhew
Richard Mutemwa
Manuela Colombini
Jackline Kivunaga
Charity Ndwiga
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.

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