title: Sexual and reproductive health services for people living with HIV: a systematic review.
abstract: People living with HIV often have unmet needs for sexual and reproductive health (SRH) services. We present results of a systematic review of studies offering SRH services targeted to people living with HIV. Studies were selected from a broader SRH and HIV linkages review. Inclusion criteria included: (1) peer-reviewed journal articles with a pre-post or multiple-arm study design; (2) reported post-intervention evaluation data; and (3) published 1 January 1990 through 31 December 2007. Nine studies were identified with an average rigour score of 5.1 out of 9. Services included family planning (one study), sexually transmitted infection (STI) services (two studies), combined family planning and STI services (three studies) and multiple services (three studies). The review identified mostly positive effects on the outcomes measured, including condom and contraceptive use and quality of services. Yet gaps remain in the research to establish the best approaches for addressing needs and choices of people living with HIV. There is a need for high-quality intervention studies to determine the most successful and cost-effective strategies for providing SRH services to people living with HIV.
authors.affiliation: Global Health Sciences, University of California, San Francisco, USA. dbain@psg.ucsf.edu
authors.forename: Deborah Bain
authors.initials: DB
authors.lastname: Brickley
authors.forename: Lucy
authors.initials: L
authors.lastname: Almers
authors.forename: Caitlin E
authors.initials: CE
authors.lastname: Kennedy
authors.forename: Alicen B
authors.initials: AB
authors.lastname: Spaulding
authors.forename: Joy
authors.initials: J
authors.lastname: Mirjahangir
authors.forename: Gail E
authors.initials: GE
authors.lastname: Kennedy
authors.forename: Laura
authors.initials: L
authors.lastname: Packel
authors.forename: Kevin
authors.initials: K
authors.lastname: Osborne
authors.forename: Michael
authors.initials: M
authors.lastname: Mbizvo
authors.forename: Lynn
authors.initials: L
authors.lastname: Collins
mesh_terms: D002755:Choice Behavior; D003695:Delivery of Health Care / Q000458:organization & administration / Q000592:standards*; D005260:Female; D015658:HIV Infections; D006679:HIV Seropositivity / Q000175:diagnosis; D006801:Humans; D008297:Male; D020380:Needs Assessment / Q000458:organization & administration* / Q000592:standards; D010353:Patient Education as Topic; D034121:Reproductive Health Services / Q000458:organization & administration* / Q000592:standards; D021841:Safe Sex; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000628:therapy