Integrating HIV services and other health services: A systematic review and meta-analysis

Caroline Bulstra, Jan Hontelez, Moritz Otto, Anna Stepanova, Erik Lamontagne (), Anna Yakusik, Wafaa El-Sadr, Tsitsi Apollo, Miriam Rabkin, Rifat Atun and Till Bärnighausen
Additional contact information
Caroline Bulstra: HIGH - Heidelberg Institute of Global Health - University of Heidelberg, Medical Faculty, Erasmus MC - Erasmus University Medical Center [Rotterdam]
Jan Hontelez: Erasmus MC - Erasmus University Medical Center [Rotterdam]
Erik Lamontagne: Joint United Nations Programme On HIV and AIDS, AMSE - Aix-Marseille Sciences Economiques - EHESS - École des hautes études en sciences sociales - AMU - Aix Marseille Université - ECM - École Centrale de Marseille - CNRS - Centre National de la Recherche Scientifique
Anna Yakusik: Joint United Nations Programme On HIV and AIDS
Wafaa El-Sadr: Columbia University [New York]

Post-Print from HAL

Abstract: Background Integration of HIV services with other health services has been proposed as an important strategy to boost the sustainability of the global HIV response. We conducted a systematic and comprehensive synthesis of the existing scientific evidence on the impact of service integration on the HIV care cascade, health outcomes, and cost-effectiveness. Methods and findings We reviewed the global quantitative empirical evidence on integration published between 1 January 2010 and 10 September 2021. We included experimental and observational studies that featured both an integration intervention and a comparator in our review. Of the 7,118 unique peer-reviewed English-language studies that our search algorithm identified, 114 met all of our selection criteria for data extraction. Most of the studies (90) were conducted in sub-Saharan Africa, primarily in East Africa (55) and Southern Africa (24). The most common forms of integration were (i) HIV testing and counselling added to non-HIV services and (ii) non-HIV services added to antiretroviral therapy (ART). The most commonly integrated non-HIV services were maternal and child healthcare, tuberculosis testing and treatment, primary healthcare, family planning, and sexual and reproductive health services. Values for HIV care cascade outcomes tended to be better in integrated services: uptake of HIV testing and counselling (pooled risk ratio [RR] across 37 studies: 1.67 [95% CI 1.41–1.99], p

Date: 2021-11
References: Add references at CitEc
Citations: View citations in EconPapers (1)

Published in PLoS Medicine, 2021, 18 (11), pp.e1003836. ⟨10.1371/journal.pmed.1003836⟩

There are no downloads for this item, see the EconPapers FAQ for hints about obtaining it.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-03449212

DOI: 10.1371/journal.pmed.1003836

Access Statistics for this paper

More papers in Post-Print from HAL
Bibliographic data for series maintained by CCSD ().