Does service integration improve technical quality of care in low-resource settings? An evaluation of a model integrating HIV care into family planning services in Kenya

Health Policy and Planning

Volumn 32, Issue , 2017, Pages iv91-iv101

  Mutemwa, Richard ^a   Mayhew, Susannah H ^a   Warren, Charlotte E ^b   Abuya, Timothy ^c   Ndwiga, Charity ^c   Kivunaga, Jackline ^c   Vassall, Anna ^d   Birdthistle, Isolde ^d   Church, Kathryn ^d   Colombini, Manuela ^d   Collumbien, Martine ^d   Friend DuPreez, Natalie ^d   Howard, Natasha ^d   Mak, Joelle ^d   Obure, Dayo ^d   Sweeney, Sedona ^d   Watts, Charlotte ^d   Askew, Ian ^d   Kikuvi, Joshua ^d   Kimani, James ^d   Mdawida, Brian ^d   Oweya, Erick ^d   Hopkins, Jonathan ^d   Oteba, Lawrence ^d   Stackpool Moore, Lucy ^d   Trossero, Ale ^d   Nhlabatsi, Zelda ^d   Simelane, Dudu ^d   Muketo, Esther ^d   Chatuluka, Mathias ^d   more..

^a LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

^b POPULATION COUNCIL   (United States)

^c POPULATION COUNCIL   (Kenya)

^d NONE

Author keywords

Family planning; HIV; Service integration; Technical quality of care

Indexed keywords

ARTICLE; CONSULTATION; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; FAMILY PLANNING; HEALTH CARE PERSONNEL; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS; JOB SATISFACTION; KENYA; LINEAR REGRESSION ANALYSIS; NONHUMAN; SENSITIVITY ANALYSIS; WORKLOAD; EVALUATION STUDY; HEALTH CARE FACILITY; HEALTH CARE PLANNING; HEALTH CARE QUALITY; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INTEGRATED HEALTH CARE SYSTEM; ORGANIZATION AND MANAGEMENT; PATIENT REFERRAL; PROCEDURES; STANDARDS; STATISTICS AND NUMERICAL DATA;

CROSS-SECTIONAL STUDIES; DELIVERY OF HEALTH CARE, INTEGRATED; FAMILY PLANNING SERVICES; HEALTH FACILITIES; HEALTH PERSONNEL; HEALTH RESOURCES; HIV INFECTIONS; HUMANS; JOB SATISFACTION; KENYA; QUALITY OF HEALTH CARE; REFERRAL AND CONSULTATION;

EID: 85053356462     PISSN: 02681080     EISSN: 14602237     Source Type: Journal    
DOI: 10.1093/heapol/czx090     Document Type: Article

References (58)

1. Banfield M, Jowsey T, Parkingson A et al. 2017. Experiencing integration: a qualitative pilot study of consumer and provider experiences of integrated primary health care in Australia. BMC Family Practice 18: 2.
2. Blumenthal D. 1996. Quality of care – what is it?. Quality of Health Care 335: 891–4.
3. Church K, Mayhew SH. 2009. Integration of STI and HIV prevention, care, and treatment into FP services: a review of literature. Studies in Family Planning 40: 171–86.
4. Church K, Warren CE, Birdthistle I et al. 2017. Impact of integrated services on HIV testing: a nonrandomized trial among Kenyan family planning clients. Studies in Family Planning, 48:201–18.
5. Cohen CR, Grossman D, Onono M et al. 2017. Integration of family planning services into HIV care clinics: results one year after a cluster randomized controlled trial in Kenya. PLOS One 12: e0172992.
6. Curtis JR, Paauw DS, Wenrich MD, Carline JD, Ramsey PG. 1995a. Ability of primary care physicians to diagnose and manage pneumocystis carinii pneumonia. Journal of General Internal Medicine 10: 395–9.
7. Curtis JR, Paauw DS, Wenrich MD, Carline JD, Ramsey PG. 1995b. Physicians’ ability to provide initial primary care to an HIV-infected patient. Archives of Internal Medicine 155: 1613–8.
8. Ditekemena J, Koole O, Engmann C et al. 2012. Determinants of male involvement in maternal and child health services in sub-Saharan Africa: a review. Reproductive Health 9: 32.
9. Donabedian A. 1966. Evaluating the quality of medical care. The Milbank Quarterly 44: 166–203.
10. Donabedian A. 1988. The quality of care: how can it be assessed?. Journal of the American Medical Association 260: 1743–8.
11. Dudley L, Garner P. 2011. Strategies for integrating primary health services low- and middle-income countries at the point of delivery. Cochrane Database Syst Rev 7: CD003318.
12. Elmore N, Burt J, Abel G et al. 2016. Investigating the relationship between consultation length and patient experience: a cross-sectional study in primary care. British Journal of General Practice December:e896–903.
13. Evans DB, Edejer TT, Lauer J, Frenk J, Murray CJL. 2001. Measuring quality: from system to the provider. International Journal Quality in Health Care 13: 439–46.
14. Foreit F, Hardee K, Agarwal K. 2002. When does it make sense to consider integrating STI and HIV services with family planning services? International Family Planning Perspectives 28: 105–7.
15. Grossman D, Onono M, Newman SJ et al. 2013. Integration of family planning services into HIV care and treatment in Kenya: a cluster-randomized trial. Aids 27 Suppl,1: S77–65.
16. Guo S, Fraser MW. 2010. Propensity Score Analysis: Statistical Methods and Applications. London: SAGE.
17. Hardee K, Yount KM. 1996. From Rhetoric to Reality: Delivering Reproductive Health Promises Through Integrated Services. Family Health International Working Paper. Durham: Family Health International USA.
18. Herrel LA, Kaufman SR, Yan P et al. 2017. Health care integration and quality among men with prostate cancer. 197: 55–60.
19. Kimani J, Warren CE, Abuya T et al. 2015a. Use of HIV counselling and testing and family planning services among postpartum women in Kenya: a multicentre, non-randomised trial. BMC Women’s Health 15: 104.
20. Kimani J, Warren CE, Abuya T et al. 2015b. Family planning use and fertility desires among women living with HIV in Kenya. BMC Public Health 15: 909.
21. Holmes WC. 1997. Quality in HIV/AIDS care: speciality-related or experience-related?. Journal of General Internal Medicine 12: 195–7.
22. Hwang W, Chang J, LaClair M, Paz H. 2013. Effects of integrated delivery system on cost and quality. Am J Manag Care 19: e175–84.
23. Islam M. (ed.). 2007. Health systems assessment approach: a how-to manual. Submitted to the U.S. Agency for International Development in collaboration with Health Systems 20/20, Partners for Health Reform plus, Quality Assurance Project, & Rational Pharmaceutical Management Plus. Arlington, VA.
24. Jordan KL. 2012. Preventive detention and out-of-home placement: a propensity score matching and multilevel modelling approach. Journal of Juvenile Justice 2: 41–53.
25. Kaba M, Alem A. 2006. Integrating youth friendly VCT to youth reproductive health service provision: experience from Family Guidance Association of Ethiopia (FGAE) youth centers. Paper presented at conference on Linking Reproductive Health, Family Planning, and HIV/AIDS in Africa, Addis Ababa, 9–10 October (http://www.iasociety.org/Abstracts/A200717462.aspx).
26. Kim YM, Kols A, Mucheke S. 1998. Informed choice and decision-making in family planning counselling in Kenya. International Family Planning Perspectives 30: 4–11 & 42.
27. King G, Tomz M, Wittenberg J. 2000. Making the most of statistical analyses: improving interpretation and presentation. American Journal of Political Science 44: 341–55.
28. Kitahata MM, Koepsell TD, Deyo RA et al. 1996. Physicians’ experience with the acquired immunodeficiency syndrome as a factor in patients’ survival. The New England Journal of Medicine 334: 701–6.
29. Kodner DL, Spreeuwenberg C. 2002. Integrated care: meaning, logic, applications, and implications – a discussion paper. International Journal of Integrated Care, 14th November vol. 2.
30. Kwambai TK, Dellicour S, Desai M et al. 2013. Perspectives of men on antenatal and delivery care service utilisation in rural western Kenya: a qualitative study. BMC Pregnancy& Childbirth 13: 134.
31. Lemon TI, Smith RH. 2014. Consultation content not consultation length improves patient satisfaction. Journal of Family Medicine and Primary Care 3: 333–9.
32. Liambila W, Warren C, Mullick S, Askew I, Homan R. 2008. Feasibility, acceptability, effect and cost of integrating counselling and testing for HIV within family planning services in Kenya. FRONTIERS Final Report. Washington, DC: Population Council; 2008.
33. Mayhew SH, Ploubidis GB, Sloggett A et al. 2016. Innovation in evaluating the impact of integrated service-delivery: The Integra indexes of HIV and reproductive health integration. PLoS ONE 11: e0146694.
34. Muchemi OM, Gichogo AW. 2014. Maternal mortality in Central Province, Kenya, 2009-2010. Pan African Medical Journal 17: 201.
35. Mullick S, Askew I, Maluka T, Khoza D, Menziwa M. 2006. Integrating counselling and testing into family planning services: What happens to the existing quality of family planning when HIV services are integrated in South Africa? Paper presented at conference on Linking Reproductive Health, Family Planning, and HIV/AIDS in Africa, Addis Ababa, 9–10 October. (www.jhsph.edu/research/. . .and. . .HIV/. . ./Mullick_ Addis_.pdf).
36. Mutemwa R, Mayhew S, Colombini M et al. 2013. Experiences of health care providers with integrated HIV and reproductive health services in Kenya: a qualitative study. BMC Health Services Research 13: 18.
37. Neamatalla GS, Verme CS. 1995. Post abortion women: factors influencing their family planning options. AVSC Working Paper Number 9.
38. Oliff M, Mayaud P, Brugha R, Semakafu AM. 2003. Integrating reproductive health services in a reforming health sector: the case of Tanzania. Reproductive Health Matters 11: 37–48.
39. Øvretveit J. 2002. Improving the quality of health services in developing countries: lessons for the west. Quality Safety in Health Care 11: 301–2.
40. Pfeiffer J, Montoya P, Baptista AJ et al. 2010. Integration of HIV/AIDS services into African primary health care: lessons learned for health system strengthening in Mozambique – a case study. Journal of the International AIDS Society 13: 3.
41. Rosenbaum PR. 2005. Sensitivity analysis in observational studies. In: Everitt BS and Howell DC (eds). Encyclopaedia of Statistics in Behavioural Science Volume 4. Chichester: John Wiley & Sons, 1809–1814.
42. Rosenbaum PR, Rubin DB. 1983. The central role of the propensity score in observational studies for causal effects. Biometrika 70: 41–55.
43. Rosenbaum PR, Rubin DB. 1985. Constructing a control group using multivariate matches sampling methods that incorporate the propensity score. American Statistician 39: 33–8.
44. Rull G, Tidy C. 2014. Consultation analysis. Patient Platform, www.patient.infor/doctor/consultation-analysis, accessed 15 May 2017.
45. Salzaberg AJ. 2012. Removable selection bias. The American Statistician 53: 103–7.
46. Schulz P, Bindman AB, Cooke M. 1994. Proficiency of internal medicine residents in outpatient care of patients with HIV infection. Journal of General Internal Medicine 9: 459–61.
47. Shortell SM, Gillies RR, Anderson DA et al. 2000. Remaking healthcare in America: the evolution of organized delivery systems, 2nd edn. San Francisco: Jossey-Bass.
48. Spaulding AB, Brickley DB, Kennedy C et al. 2009. Linking family planning with HIV/AIDS interventions: a systematic review of evidence. AIDS 23(suppl1): S79–88.
49. STATACORP. 2012. STATA 11.2 Statistics/Data Analysis. Texas: STATACORP.
50. Stephenson M, Campbell J, Lisy K et al. 2015. Providing Integrated Care: Experiences of Healthcare Providers. New South Wales, Australia: The Joanna Briggs Institute.
51. Stone-Jimenez M, Ojikutu B, Diese M, Blazer C. 2010. Integrating prevention of mother-to-child transmission of HIV interventions with maternal, newborn, and child health services. Technical Series 2010. Arlington, VA: USAID’s AIDS Support and Technical Assistance Resources, AIDSTAR-ONE Task Order 1.
52. UNDP. 2015. Transforming our World: The 2030 agenda for sustainable development, New York, https://sustainabledevelopment.un.org/post2015/transformingourworld.html, accessed 17 May 2017.
53. United Nations. 2016. The Sustainable Development Goals Report. New York, https://www.un.org/development/desa/publications/sustainable-development-goals-report-2016.html, accessed 17 May 2017.
54. Warren C, Mayhew S, Vassall A et al. 2013. Study protocol for the Integra initiative to assess the benefits and costs of integrating sexual and reproductive health and HIV services in Kenya. BMC Public Health 12: 973.
55. Warren CE, Hopkins J, Narasimhan M et al. 2017a. Health systems and the SDGs: lessons from an integrated HIV and SRHR health systems response. Health Policy & Planning 32: iv102–iv107.
56. Warren CE, Mayhew S, & Hopkins J. 2017b. The current status of research on the integration of sexual and reproductive health and HIV services. Studies in Family Planning, 48:91–105.
57. World Health Organization (WHO). 2008. Operations Manual for Delivery of HIV Prevention, Care and Treatment at Primary Health Centres in High Prevalence, Resource-Constrained Settings: Edition 1 for Field Testing and Country Adaptation. Geneva: World Health Organization.
58. Yoder PS, Amare Y. 2008. Integrated family planning and VCT services in Ethiopia: experiences of health care providers. Qualitative Research Studies 14: 4–39.