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AIDS Behav ; 20(9): 2130-40, 2016 09.
Artículo en Inglés | MEDLINE | ID: mdl-27071390

RESUMEN

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.


Asunto(s)
Prestación Integrada de Atención de Salud/organización & administración , Servicios de Planificación Familiar/organización & administración , Infecciones por VIH/psicología , Servicios de Salud Reproductiva/organización & administración , Adulto , Fármacos Anti-VIH/uso terapéutico , Femenino , Infecciones por VIH/tratamiento farmacológico , Humanos , Entrevistas como Asunto , Kenia , Aceptación de la Atención de Salud/etnología , Aceptación de la Atención de Salud/psicología , Percepción , Investigación Cualitativa , Conducta Sexual , Estigma Social
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