Back to Resources

Integra Project Dev (dev)

(PDF)

Innovation in Evaluating the Impact of Integrated Service-Delivery: The Integra Indexes of HIV and Reproductive Health Integration

An introduction to the Integra Index
[PlosOne 11(1)]

2016. Susannah H. Mayhew, George B. Ploubidis, Andy Sloggett, Kathryn Church, Carol D. Obure, Isolde Birdthistle, Sedona Sweeney, Charlotte E. Warren, Charlotte Watts, Anna Vassall, Integra ...

(PDF)

Designing a package of SRH & HIV outreach services to meet the preferences of young people in Malawi

Designing a package of SRH and HIV outreach services...
[Health Economics Review, 5(9)]

2015. Christine Michaels-Igbokwe, Mylene Lagarde, John Cairns, the Integra Initiative Research Team and Fern Terris-Prestholt

(PDF)

The costs of delivering integrated HIV and sexual reproductive health services in limited resource settings

[PLOS One, 10(5)]

2015. C E Warren, Darsamo V, Guinness L, Integra Initative, mayhew, Michaels-Igbokwe C, Muketo E, Obure CD, Sweeney S, Terris-Prestholt F, Vassall A, Watts C, Z ...

(PDF)

Exploring risk of experiencing intimate partner violence after HIV infection: a qualitative study among women with HIV attending postnatal services in Swaziland

[BMJ Open]

2015. Colombini M, Howard N., J Kikuvi, Mayhew S, Mulrenan C.

(PDF)

Family planning use and fertility desires among women living with HIV in Kenya

[BMC Public Health, 15(909)]

2015. Kimani J. Warren C., Abuya T., Ndwiga C., Mayhew S., Vassall A., Mutemwa R., Askew I. and the Integra Initiative

(PDF)

Steps to Integration 1: Introduction

Integration of sexual and reproductive health and HIV services


Part of the Steps to Integration Series: Strengthening the evidence base and good practice for integrating HIV and SRH services

(PDF)

Steps to Integration 2: Peer Mentoring

Peer mentoring - an effective strategy for integrating HIV and SRH services


Part of the Steps to Integration Series: Strengthening the evidence base and good practice for integrating HIV and SRH services

(PDF)

Steps to Integration 3: Stigma

SRH and HIV service integration and stigma.


Part of the Steps to Integration Series: Strengthening the evidence base and good practice for integrating HIV and SRH services

(PDF)

Steps to Integration 4: Cost

Cost and technical efficiency of integrated HIV and SRH services in Kenya and Swaziland


Part of the Steps to Integration Series: Strengthening the evidence base and good practice for integrating HIV and SRH services

(PDF)

Steps to Integration 5: Postnatal Care

The effect of integrating HIV services on quality of postnatal care


Part of the Steps to Integration Series: Strengthening the evidence base and good practice for integrating HIV and SRH services

(PDF)

Steps to Integration 6: Family Planning & HIV

Contraceptive use and fertility intentions among women living with HIV in Kenya and Swaziland


Part of the Steps to Integration Series: Strengthening the evidence base and good practice for integrating HIV and SRH services

(PDF)

How does HIV/SRH service integration impact workload?  A descriptive analysis from the Integra Initiative in two African settings

[Human Resources for Health 12:42. doi:10.1186/1478-4491-12-42. 2014]

Sweeney S, Obure C.D., Terris-Prestholt F., Darsamo V., Michaels-Igbokwe C., Muketo E., Nhlabatsi Z., the Integra Research Team, Mayhew S, Warren C, Watts C, Vassall A.

(PDF)

Intervention Report: Assessing the Benefits of Integrated HIV & SRH Services in Public Health Facilities in Kenya & Swaziland

Assessing the benefits of integrated HIV and SRH services in public health facilities in Kenya and Swaziland

Charlotte Warren, Charity Ndwiga, Timothy Abuya, Jacqueline Kivunaga, Joshua Kikuvi and Lawrence Oteba. 2012.

(PDF)

Study protocol for the Integra Initiative

An outline of the Integra Study in Kenya and Swaziland, assessing the benefits and costs of integrating sexual and reproductive health and HIV services

Warren, C., Mayhew, S.H., Vassall, A., Kimani, J.K., Church, K., Obure, C.D., Friend du-Preez, N., Abuya, T., Mutemwa, R., Colombini, M.

(PDF)

Preferences for clinic characteristics among young people in Malawi

Dissemination of Integra findings: Integra Malawi

Integra Dissemination Meeting May 2013

(PDF)

Delivering integrated HIV services: time for a client centred approach…

Delivering integrated HIV services: time for a client centred approach to meet the sexual and reproductive health needs of people ...
[AIDS 2010, 24: 189-193]

Kathryn Church, Simon Lewin

(PDF)

The People Living with HIV Stigma Index – Kenya

The People Living with HIV Stigma Index, a community-based research initiative measuring HIV-related stigma and discrimination, was implemented in Kenya ...

National Network for Empowerment of People Living with HIV in Kenya (NEPHAK)

(PDF)

Strengthening Postnatal Care Services Including Postpartum Family Planning in Kenya

[Frontiers in Reproductive Health, Population Council]

Mwangi A., Warren C., Koksei N., Blanchard, H

(PDF)

Feasibility, Acceptability, Effect and Cost of Integrating Counseling and Testing for HIV within Family Planning Services in Kenya

[Frontiers in Reproductive Health, Population Council]

Liambila W., Warren C., et al.

(PDF)

Mentoring Toolkit for RH/HIV Integrated Service Provision in Kenya

Mentees Guide. First Edition February 2013

Ministry of Health, Republic of Kenya

(PDF)

Mentoring Toolkit for RH/HIV Integrated Service Provision in Kenya

Mentors Guide. First Edition February 2013

Ministry of Health, Republic of Kenya

(PDF)

Mentoring Toolkit for RH/HIV Integrated Service Provision in Kenya

Overview. First Edition February 2013

Ministry of Health, Republic of Kenya

(PDF)

Minimum Package for Reproductive Health and HIV Integration in Kenya

The use of this package will guide the delivery of standardized, coordinated and integrated services

Ministry of Public Health and Sanitation and the Ministry of Medical Services, Kenya

(PDF)

Experiences of stigma among women living with HIV attending SRH services in Kenya: a qualitative study

Colombini M., Mutemwa R., Kivunaga J., Stackpool-Moore L., Mayhew S.H.

Innovation in measurement of service integration over time: The Integra Index of sexual and reproductive health integration

Forthcoming

Mayhew S.H., Ploubidis G., Church K., Obure D., Birdthistle I. et al.

(PDF)

Cost analysis of integrated HIV and Sexual Reproductive Health Services in Kenya and Swaziland

Dissemination of Integra findings. London dissemination meeting. July 2013

Anna Vassall presenting work by: Carol Dayo Obure, Sedona Sweeney, Fern Terris-Prestholt, Christine MichaelsIgbokwe, Integra Research Initiative, Anna Vassall, Charlotte Watts

(PDF)

Development of the Integra Index

Innovation in measuring health service Integration: The Integra Index. London dissemination meeting. July 2013

Susannah Mayhew, George Ploubidis, Kathryn Church, Dayo Obure, Weiwei Zhou, Isolde Birdthistle, Natalie Friend-duPreez, Sedona Sweeney, Charlotte Watts, Ian Askew, Charlotte Warren, INTEGRA Research Team, ...

(PDF)

Stigma

Client perspectives: preferences and stigma. London dissemination meetings. July 2013

Kathryn Church, Manuela Colombini, Phelele Fakuzde, Joshua Kikuvi, Jackie Kivunaga, Zelda Nhlabatsi, George Ploubidis, Isolde Birdthistle, Natalie Friend du-Preez, Ian Askew Charlotte Warren, Susannah Mayhew, ...

(PPTX)

Unintended pregnancies

Analysis of Cohort Data (Kenya PNC) Unintended Pregnancy. Dissemination of Integra findings

Weiwei Zhou, Isolde Birdthistle, Susannah Mayhew

(PDF)

Condom Use

Unmet need for prevention: Analysis of condom use

Justin Fenty

(PDF)

HIV Testing

Impact of integration on HIV testing outcomes in FP
and PNC cohorts in Kenya

Kathryn Church, Weiwei Zhou, George Ploubidis, Isolde Birdthistle, Jackie Kivunaga, Ian Askew, Charlotte Warren, Susannah Mayhew for the INTEGRA Research Team

(PDF)

Quality of Care

Impact of integration on quality of care. London dissemination meeting. July 2013.

Richard Mutemwa, Timothy Abuya, Susannah Mayhew, Charlotte Warren

(PDF)

Community Survey Data from Kenya and Swaziland

Community context Kenya and Swaziland: trends in unmet needs, service use, demand/receipt of integrated services. London dissemination meeting. July 2013

Joelle Mak, Natalie Friend du-Preez, Kathryn Church, Isolde Birdthistle, Jackie Kivunaga, Joshua Kikuvi, Susannah Mayhew, for the INTEGRA Research Team

(PDF)

Trends in service use from study clinics

Trends in integrated service delivery: findings from client flow data. Dissemination of Integra findings

IPPF, Population Council, LSHTM

(PDF)

Does integration impact the costs and efficiency of delivering SRH and HIV Services?

Houses of Parliament, London, 20th March 2013

Carol Dayo Obure, Anna Vassall, Sedona Sweeney, Christine Michaels, Fern Terris-Prestholt, the Integra Research Initiative, Charlotte Watts

(PDF)

Integrated postnatal care in Kenya and Swaziland: effect on quality of care and health outcomes

Houses of Parliament. London, 20th March 2013

Ian Askew, Charlotte Warren, Timothy Abuya, James Kimani, Charity Ndwiga, Jackie Kivunaga,
Brian Mdawida, Susannah Mayhew, for the INTEGRA Research Team

(PDF)

Innovation in measurement to assess health service Integration & effect over time

Innovation in measurement to assess health service
Integration & effect over time. Houses of Parliament, London 20th March 2013

Susannah Mayhew, George Ploubidis, Anna Vassall, Kathryn Church, Natalie Friend du-Preeze, Isolde Birdthistle, Joelle Mak, Weiwei Zhou, Dayo Obure, Richard Mutemwa, Manuela Colombini, Charlotte Watts, ...

(PDF)

A Perfect Match

Evaluating the effectiveness of integrating sexual and reproductive Health (SRH) and HIV services

Zelda Nhlabatsi

Integra Partners Meeting

To find more about the Integra’s research findings, visit Integra Partners Meeting page.

(PDF)

SRH services with HIV interventions in practice

A background paper at the 26th Meeting of the UNAIDS Programme Coordinating Board. June 2010, Geneva, Switzerland

UNAIDS

(PDF)

Reliance on condoms for contraceptive protection among HIV care and treatment clients: a mixed methods study

[Sex Transm Infect 2014;0:1–7]

Church, K., Wringe, A., Fakudze, P., Kikuvi, J., Nhlabatsi, Z., Masuku, R., Mayhew, S.H.,

(PDF)

Are integrated HIV services less stigmatizing than stand-alone models of care? A comparative case study from Swaziland

This study investigated the relationship between integrated care and felt stigma. The study design was a comparative case study of ...
[J Int AIDS Soc,16(17981)]

Church, K., Wringe, A., Fakudze, P., Kikuvi, J., Simelane, D., Mayhew, S.H.

(PDF)

Integration of HIV and maternal health care in a high HIV-prevalence setting: Analysis of client flow data over time in Swaziland

Maternal and child health (MCH) care may provide an entry point for HIV services in high HIV prevalence settings. The ...
[BMJ Open]

Birdthistle, Isolde J., Susannah Mayhew, Joshua Kikuvi, Weiwei Zhou, Kathryn Church, et al.

(PDF)

Exploring experiences in peer mentoring as a strategy for capacity building in sexual reproductive health and HIV service integration in Kenya

This paper describes providers’ experiences in mentoring as a method of capacity building.
[BMC Health Serv Res, 14(98)]

Ndwiga C., Abuya T., Mutemwa R., Kimani J.K., Colombini M., Mayhew S., Baird A., Muia R.W., et al.

(PDF)

Experiences of health care providers with integrated HIV and reproductive health services in Kenya: a qualitative study

This qualitative study was conducted among frontline health workers to explore provider experiences with integration...
[BMC Health Serv Res, 13(18)]

Mutemwa, R., Mayhew, S.H., Colombini, M., Busza, J., Kivunaga, J., Ndwiga, C.

(PDF)

Family planning practices and pregnancy intentions among HIV-positive and HIV-negative postpartum women in Swaziland

This study describes family planning (FP) practices and fertility desires of HIV-positive and HIV-negative postpartum women in Swaziland.
[BMC Pregnancy and Childbirth. 2013 (150)]

Warren, C.E., Abuya, T., Askew, I., Integra Initiative

(PDF)

Need, demand and missed opportunities for integrated RH-HIV care in Kenya & Swaziland: evidence from household surveys

Descriptive data analysis of household surveys collected by the Integra Initiative
[AIDS 27(Suppl1):S55-S63]

Mak, J., Birdthistle, I., Church, K., Friend du-Preez, N., Kivunaga, J., Kikuvi, J., Masuku, R., et al.

The relationship between service integration and client satisfaction: a mixed methods case study

[AIDS Patient Care STDS, 26, 662-673]

Church, K., Wringe, A., Fakudze, P., Kikuvi, J., Simelane, D., Mayhew, S.H.

(PDF)

Demand and service-use patterns for integrated SRH-HIV services

Findings from community surveys in Kenya & Swaziland
[Poster]

Joelle Mak, Natalie Friend-du Preez, Jackline Kivunaga, Susannah H Mayhew, Integra research team, London School of Hygiene & Tropical Medicine, Population Council, Nairobi

(PDF)

Gaps in knowledge and practice among postpartum women living with HIV in Swaziland

[International FP Conference Senegal 2011]

Charlotte Warren Rachel Shongwe, Nelisiwe Sikhosana, Joshua Kikuvi, and Erick Oweya on behalf of INTEGRA Research Team

(PDF)

Provider perspectives on integrated SRH services into ART clinics in Swaziland

Do integrated services perform better than stand-alone sites in promoting FP among people living with HIV?
[International FP Conference, Dakar 2011]

Church, K; Fakudze, P; Kikuvi, J; Sikhosana, N; Simelane, D; Wringe, A; Mayhew, S; INTEGRA research team

(PDF)

Experiences of HIV clients receiving integrated services in Swaziland

Poster

Do integrated services perform better than specialist sites at meeting the SRH needs of people living with HIV? Experiences of ...
[Poster]

Church K,1 Fakudze P, Masuku S, Mayhew S, for the Integra research team

(PDF)

Research overview in Swaziland

Overview of Research Components in Swaziland, 2011

Charlotte Warren, Anna Vassall, Susannah Mayhew on behalf of the Integra Research Team

(PDF)

The costs of expanding integrated services to reach youth in Malawi

Reaching rural youth with sexual and reproductive health and HIV services in Malawi through mobile clinics: the costs of expanding ...
[Poster]

Christine Michaels, Mathias Chatuluka, Fern Terris-Prestholt, Fredrick Chelewani, Alejandra Trossero, Charlotte Watts, and the Integra Research Team

(PDF)

Fertility intentions and family planning practices among HIV+ women in Kenya

Fertility intentions & family planning practices among HIV+ women in Kenya, 2011

Richard Mutemwa, Manuela Colombini, Jackie Kivunaga, Isolde Birdthistle & Susannah Mayhew on behalf of the Integra Team

(PDF)

Measuring unmet need for dual protection in Kenya: an analysis of community survey and family planning client cohort data sets

Measuring unmet need for dual protection in Kenya: an analysis of community survey and family planning client cohort datasets
[International FP Conference, Dakar 2011]

Church K, Friend du-Preez N, Zhou W, Abuya T, Warren C, Askew I, Mayhew S, for the INTEGRA Research Team

(PDF)

Patterns of family planning use among women living with HIV in Kenya: What are the gaps?

Patterns of family planning use among women living with HIV in Kenya: What are the gaps?
[International Conference on Family Planning, Dakar 2011]

Timothy Abuya and Charity Ndwiga on behalf of INTEGRA Research Team

(PDF)

Integrated FP-HIV services: findings from community surveys in Kenya

Integrated FP-HIV services: is there any demand and do people access more than one service? Findings from community surveys in ...
[Poster]

Susannah H Mayhew, Andy Sloggett, Natalie Friend-du Preez, Richard Mutemwa, Jackline Kivunaga, Emma Slaymaker, Integra research team

(PDF)

Optimising the cost and delivery of HIV counselling and testing services in Kenya and Swaziland

The relative costs of provider-initiated testing and counselling (PITC) services compared with voluntary counselling and testing (VCT) services in Kenya ...
[Sex Transm Infect, 88, 498-503]

Obure, C.D., Vassall, A., Michaels, C., Terris-Prestholt, F., Mayhew, S.H., Stackpool-Moore, L., et al.

(PDF)

Costs and efficiency of integrating HIV/AIDS services with other health services; a systemic review of evidence and experience

[Sex Transm Infect 88: 85-99]

Sweeney, S., Obure, C.D., Marier, C., Greener,R., Dehne, K., Vassall, A.

(PDF)

Cost, effectiveness and savings of integration

Integration can achieve efficiency gains, but there is no blueprint for integration
[Poster]

IPPF, LSHTM, Population Council

Factors affecting adherence to short-course ARV prophylaxis for preventing mother-to-child transmission of HIV in sub-Saharan Africa.

2014
[AIDS Care, 26, 914-926]

Colombini M., Mayhew S.H., Stockle H., Zimmerman C., Watts C.

(PDF)

Integration of STI and HIV prevention, care, and treatment into family planning services

A review of the literature Peer Mentoring & Provider Perspectives (Preliminary findings) 2009
[Studies in Family PLanning Volume:40,3]

Kathryn Church, Susannah H. Mayhew

(PDF)

Overview of Research Components

2011

Charlotte Warren, Anna Vassall, Susannah Mayhew on behalf of the Integra Research Team

PROJECTS

ICON KEY