Sexual and reproductive health services for people living with HIV: A systematic review

Deborah Bain Brickley, Lucy Almers, Caitlin E. Kennedy, Alicen B. Spaulding, Joy Mirjahangir, Gail E. Kennedy, Laura Packel, Kevin Osborne, Michael Mbizvo, Lynn Collins

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)303-314
Number of pages12
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume23
Issue number3
DOIs
StatePublished - Mar 2011

Keywords

  • living with HIV
  • reproductive health services
  • sexual health

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health

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