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Does integration lead to an increase in HIV testing uptake?

Summary: Over a two year period, people with greater exposure to integrated facilities had better rates of using HIV counselling and testing services.

Detail: Results from the cohort study in Kenya and Swaziland suggest that an individuals’ exposure to integrated services does lead to better HIV testing outcomes:

  • 70% of FP clients and 60% of PNC clients had recommended 2 or more HIV tests over the 24 months follow up
  • Intervention had small effect on improving testing uptake (with weak significance) only in the PNC cohort.
  • In both cohorts, a woman’s individual cumulative exposure to integrated care over time (measured by the index) did increase testing uptake (significant in FP model at p=<0.001 and PNC model at p=0.01).


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