title: Does service integration improve the sexual and reproductive healthcare of women living with HIV?
abstract: The sexual and reproductive health (SRH) care needs of a cohort of HIV-positive women were studied pre- and post-integration of genitourinary medicine (GUM) and SRH services. Pre-integration, 24.9% of women at risk of pregnancy were using an effective method of contraception, with a non-significant improvement post-integration to 39.3%. Pre-integration, 47.6% of pregnancies were unplanned, whilst 50% were still unplanned post-integration. Cervical cytology uptake within the previous 12 months improved significantly. It appears that the integration of services alone does not improve all aspects of the SRH of women living with HIV and additional novel strategies should be explored.
authors.affiliation: Chalmers Centre, NHS Lothian, Edinburgh, UK sally.wielding@nhslothian.scot.nhs.uk.
authors.forename: S
authors.initials: S
authors.lastname: Wielding
authors.affiliation: Chalmers Centre, NHS Lothian, Edinburgh, UK.
authors.forename: B
authors.initials: B
authors.lastname: Flynn
mesh_terms: D015331:Cohort Studies; D003267:Contraception; D019033:Delivery of Health Care, Integrated; D005193:Family Planning Services / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000523:psychology*; D006801:Humans; D011247:Pregnancy; D034121:Reproductive Health Services / Q000458:organization & administration*
keywords: HIV; cervical cytology; contraception; pregnancy; service integration; women