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ISSN 2155-6113

Journal of AIDS & Clinical Research
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Research Article

Acceptability and Effectiveness of Linking HIV-Positive Family Planning Clients to Treatment and Care Services among Health Care Providers in Kenya

Wilson Liambila1*, Francis Obare1, Harriet Birungi1, Shiphrah Njeri Kuria2, Ruth Wayua Muia2, Christine Awuor3, Joyce W Maina4 and Mary N Maina4

1Population Council-Nairobi Office, Kenya

2Ministry of Health - Division of Reproductive Health (DRH), Kenya

3Ministry of Health - National AIDS and STI Control program (NASCOP), Kenya

4District Health Management Teams- Nyeri and Kiambu Counties of Central Region -Kenya

*Corresponding Author:
Wilson Liambila
Population Council-Nairobi Office
Nairobi, Kenya
Tel: 254-2-2713480
Fax: 254-2-2713479
E-mail: [email protected]

Received Date: June 26, 2013; Accepted Date: August 20, 2013; Published Date: August 25, 2013

Citation: Liambila W, Obare F, Birungi H, Kuria SN, Muia RW, et al. (2013) Acceptability and Effectiveness of Linking HIV-Positive Family Planning Clients to Treatment and Care Services among Health Care Providers in Kenya. J AIDS Clin Res 4:232. doi:10.4172/2155-6113.1000232

Copyright: © 2013 Liambila W, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

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 HIVpositive 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.

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