Integrating Human Immunodeficiency Virus and Reproductive, Maternal and Child, and Tuberculosis Health Services Within National Health Systems View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2016-05-24

AUTHORS

Dvora Joseph Davey, Landon Myer, Elizabeth Bukusi, Doreen Ramogola-Masire, William Kilembe, Jeffrey D Klausner

ABSTRACT

Joint United Nations Programme on HIV/AIDS (UNAIDS) established 90–90–90 HIV treatment targets for 2020 including the following: 90 % of HIV-infected people know their HIV status, 90 % of HIV-infected people who know their status are on treatment, and 90 % of people on HIV treatment have a suppressed viral load. Integration of HIV and other programs into the national health system provides an important pathway to reach those targets. We examine the case for integrating HIV and other health services to ensure sustainability and improve health outcomes within national health systems. In this non-systematic review, we examined recent studies on integrating HIV, tuberculosis (TB), maternal-child health (MCH), and sexually transmitted infection (STI) programs. Existing evidence is limited about the effectiveness of integration of HIV and other services. Most studies found that service integration increased uptake of services, but evidence is mixed about the effect on health outcomes or quality of health services. More rigorous studies of different strategies to promote integration over a wider range of services and settings are needed. Research on how best to maximize benefits, including sustainability, of integrated services is necessary to help inform international and national policy. We recommend additional interventions to test how best to integrate HIV and MCH services, HIV and TB services, HIV testing and treatment, and STI testing and treatment. More... »

PAGES

170-176

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11904-016-0316-x

DOI

http://dx.doi.org/10.1007/s11904-016-0316-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1008629089

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/27221628


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