SAIA Family Planning
Integration of HIV treatment and prevention with family planning services is a promising approach for optimizing delivery of comprehensive healthcare for HIV+ women, as well as prevention services for those who are negative.
Family Planning in Kenya
Testing for HIV is the gateway to care and prevention (1). Integrating HIV testing into FP clinics could open this essential gateway, decreasing stigma associated with seeking HIV testing while reducing costs. The antenatal setting provides a useful example. In many African countries, testing for HIV in antenatal clinics (ANCs) has become routine (2). Diagnosis of HIV during pregnancy has paved the way to substantial reductions in mother-to-child transmission of HIV and AIDS-related deaths in women of reproductive age. These achievements demonstrate the feasibility and impact of wide-scale HIV testing through existing reproductive health services. In contrast to ANCs, integration of HIV testing into FP services remains at a formative stage in much of Africa (3). Recent reviews support the feasibility of integrating these services (3-5), but invariably conclude that additional research is needed. In Kenya, the National AIDS and STD Control Program (NASCOP) states that the FP clinic is a setting in which, “Failure to offer HIV testing and counseling is unacceptable, and will be considered negligent (6).” However, there has been almost no operational assessment of HIV testing in Kenyan FP clinics.
In Mombasa County, the USAID-supported AIDS Population and Health Integrated Assistance II Program revised the FP Clinic Register to capture HIV testing in 2008. However, the rate of HIV testing in FP clinics remains low. Our overarching objective is to assess the effectiveness, costs, and budget impact of implementing the systems analysis and improvement approach (SAIA) to increase HIV testing in FP clinics in Mombasa County.
Recent Publications and Posters
Study Location
SAIA-FP is currently being implemented in family planning health clinics across Mombasa County in Kenya.
SAIA-FP Team
Scott McClelland, MD, MPH
Co-Principal Investigator
Contact: mcclell@uw.edu
Jessica Long, PhD
Co-Investigator
Contact:
McKenna C. Eastment, MD, MPH
Co-Lead
Contact: mceast@uw.edu
George Wanje, MPH
Co-Lead
Contact: gwanje@uw.edu
SAIA-FP clinic staff together with the SAIA-FP program staff.
Donors
Partners
Mombasa County Collaborators
University of Nairobi
Kenyatta National Hospital
Women’s Health Project
Interested in collaborating? Contact us!
References:
Oberzaucher N, Baggaley R. HIV voluntary counselling and testing: a gateway to prevention and care. Geneva, Switzerland: UNAIDS, 2002 June, 2002.
UNAIDS. The GAP Report. Geneva: Joint United National Programme on HIV/AIDS (UNAIDS), 2014.
Lindegren ML, Kennedy CE, Bain-Brickley D, Azman H, Creanga AA, Butler LM, Spaulding AB, Horvath T, Kennedy GE. Integration of HIV/AIDS services with maternal, neonatal and child health, nutrition, and family planning services. Cochrane Database Syst Rev. 2012;9:CD010119. 10.1002/14651858.CD010119. PubMed PMID: 22972150.
Kennedy CE, Spaulding AB, Brickley DB, Almers L, Mirjahangir J, Packel L, Kennedy GE, Mbizvo M, Collins L, Osborne K. Linking sexual and reproductive health and HIV interventions: a systematic review. J Int AIDS Soc. 2010;13:26. PubMed PMID: 20642843; PubMed Central PMCID: PMC2918569.
Spaulding AB, Brickley DB, Kennedy C, Almers L, Packel L, Mirjahangir J, Kennedy G, Collins L, Osborne K, Mbizvo M. Linking family planning with HIV/AIDS interventions: a systematic review of the evidence. AIDS. 2009;23 Suppl 1:S79-88. PubMed PMID: 20081392.
National AIDS/STD Control Programme MoPHaS. Guidelines for HIV testing and counselling in Kenya. Nairobi: NASCOP, 2008.