Impact of Integrated Family Planning and HIV Care Services on Contraceptive Use and Pregnancy Outcomes

OBJECTIVE: To determine the impact of routine care (RC) and integrated family planning and HIV care service (IFP) on family planning (FP) uptake and pregnancy outcomes. DESIGN: Retrospective cohort study conducted between 1-10-2005 and 28-02-2009. SETTING: United States Agency for International Development - Academic Model Providing Access To Healthcare (USAID-AMPATH) in western Kenya. SUBJECTS: Records of adult HIV-infected women. INTERVENTION: Integration of FP into one of the care teams. PRIMARY OUTCOMES MEASURES: Incidence of FP methods and pregnancy. RESULTS: Results: 4031 women (1453 IFP; 2578 RC) were eligible. Among the IFP group there was a: 16.7% increase (p