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5th International AIDS Society Conference on HIV Pathogenesis and TreatmentCape Town - July 19 - 22, 2009 |
WOMEN ACCESSING INTEGRATED SERVICES: WHO ARE THEY AND WHAT DO THEY NEED?
IAS Conf HIV Pathog Treat 2009 Jul 19-22;5th: Abstract No. MOAD103
S. Adamchak
1, B. Janowitz1, R. Homan2, T. Grey1, E. Keyes1
1Family Health International, Research Triangle Park, United States, 2Family Health International, Nairobi, Kenya
Background: Responding to the growing interest in integrated FP-HIV services, in 2007-2008 an assessment of three integration models (family planning in care and treatment services, family planning in counselling and testing, and HIV services in family planning) was carried out in 5 countries: Ethiopia, Kenya, Rwanda, South Africa and Uganda. The goal was to provide donors and local programs information needed to improve and expand integrated services. One objective was to examine client characteristics and calculate unmet need for the newly-added service.
METHODS: 1961 women attending clinics sponsored by 21 programs participated in the study, and were interviewed using structured questionnaires. Data were analyzed using a case study approach; each cluster of integration models represents a case. Analysis used bivariate statistics and summary measures including percentages, means and medians.
RESULTS: Women accessing integrated services differed in average age, marital status and sexual activity. Unmet need for contraception ranged from 17 to 46% among women in counseling and testing services, and reached 18% among women in care and treatment. Assessing need for HIV services among women in family planning services was complicated by not knowing their partner's sexual history. Women reported incomplete screening for their need for the newly integrated service, with many attending HIV services not being asked about their sexual activity, fertility desires, or current method use. No more than half the women in FP services were asked about sexual activity, or discussed risk reduction, condom use, dual method use, or having an HIV test.
CONCLUSIONS: Screening women for their call for complementary services to address unmet need for contraception or HIV testing is not routinely taking place, though services are nominally integrated. Providers must become more systematic in routinely assessing clients for the need for services, and deliver services or make appropriate referrals.
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2009-07-22
MOAD103
Oral Abstract Session: MOAD1 - Innovative Methods for Effectively Delivering HIV Care Interventions
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