A Landscape Analysis of Offering HIV Testing Services Within Family Planning Service Delivery

Frontiers in Reproductive Health

卷:3

Euphemia Sibanda¹  Magdalena Barr-DiChiara²  Rachel Baggaley²  Caitlin Quinn²  Muhammad S. Jamil²  Michelle Rodolph²  Cheryl Johnson²  Alison L. Drake³  James Kiarie⁴  Mary E. Gaffield⁴  Petrus Steyn⁴  Nancy Kidula⁵ 

[1] Centre for Sexual Health and HIV/AIDS Research, Harare, Zimbabwe;

[2] Department of Global HIV, Hepatitis and Sexually Transmitted Infections Programmes, World Health Organization, Geneva, Switzerland;

[3] Department of Global Health, University of Washington, Seattle, WA, United States;

[4] The United Nations Development Programme/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP Research), Geneva, Switzerland;

[5] WHO Regional Office for Africa, Intercounty Support Team for Eastern and Southern Africa, Harare, Zimbabwe;

关键词: HIV testing services;    family planning;    sexual and reproctive health;    service delivery;    service integration;   

DOI  :  10.3389/frph.2021.657728

来源: DOAJ

【 摘 要 】

Introduction: Offering HIV testing services (HTS) within sexual and reproductive health (SRH) services is a priority, especially for women who have a substantial risk. To reach women with HIV who do not know their status and prevent mother-to-child HIV transmission, the World Health Organization (WHO) recommends routinely offering HTS as part of family planning (FP) service delivery in high HIV burden settings. We conducted a landscape analysis to assess HTS uptake and HIV positivity in the context of FP/SRH services.Assessment of Research and Programs: We searched records from PubMed, four gray literature databases, and 13 organization websites, and emailed 24 organizations for data on HTS in FP/SRH services. We also obtained data from International Planned Parenthood Federation (IPPF) affiliates in Eswatini, Kenya, Lesotho, Malawi, Namibia, Uganda, Zambia, and Zimbabwe. Unique programs/studies from records were included if they provided data on, or barriers/facilitators to, offering HTS in FP/SRH. Overall, 2,197 records were screened and 12 unique programs/studies were eligible, including 10 from sub-Saharan Africa. Four reported on co-delivery of SRH services (including FP), with reported HTS uptake between 17 and 94%. Six reported data on HTS in FP services: four among general FP clients; one among couples; and one among female sex workers, adolescent girls, and young women. Two of the six reported HTS uptake >50% (51%, 419/814 Kenya; 63%, 5,930/9,439 Uganda), with positivity rates of 2% and 4.1%, respectively. Uptake was low (8%, 74/969 Kenya) in the one FP program offering pre-exposure prophylaxis. In the IPPF program, seven countries reported HTS uptake in FP services and ranged from 4% in Eswatini to 90% in Lesotho; between 0.6% (Uganda) and 8% (Eswatini) of those tested were HIV positive.Implications: Data on providing HTS in FP/SRH service delivery were sparse and HTS uptake varied widely across programs.Actionable Recommendations: As countries expand HTS in FP/SRH appropriate to epidemiology, they should ensure data are reported and monitored for progress and impact.

【 授权许可】

Unknown