Family Health International, Global HIV/AIDS Initiative Nigeria, Abuja, Nigeria.
AIDS. 2009 Nov;23 Suppl 1:S97-S103. doi: 10.1097/01.aids.0000363782.50580.d8.
To measure changes in service utilization of a model integrating family planning with HIV counselling and testing (HCT), antiretroviral therapy (ART) and prevention of mother-to-child transmission (PMTCT) in the Nigerian public health facilities.
It is a retrospective survey of attendance and family planning commodity uptake in 71 health facilities in Nigeria that analyzes the preintegration and postintegration periods between March 2007 and January 2009.
A prepost retrospective comparison of mean attendance at family planning clinics and couple-years of protection (CYP) compared 6 months preintegration with 9 months postintegration period. An analysis of service ratios was conducted, relating completed referrals at family planning clinics to service utilization at the referring HIV clinics.
Mean attendance at family planning clinics increased significantly from 67.6 in preintegration to 87.0 in postintegration. The mean CYP increased significantly from 32.3 preintegration to 38.2 postintegration. Service ratio of referrals from each of the HIV clinics was low but increased in the postintegration period by 4, 34 and 42 per 1000 clients from HCT, ART and PMTCT clinics, respectively. Service ratios were higher in primary healthcare settings than in secondary or tertiary hospitals. Attendance by men at family planning clinics was significantly higher among clients referred from HIV clinics.
Family planning-HIV integration using the referral model improved family planning service utilization by clients accessing HIV services, but further improvement is possible. Male utilization of family planning services also improved. The government of Nigeria should review the family planning user fee policy and scale up the integration in primary healthcare facilities.
测量将计划生育与艾滋病毒咨询和检测（HCT）、抗逆转录病毒疗法（ART）和母婴传播预防（PMTCT）整合到尼日利亚公共卫生机构后的服务利用变化情况。
这是对 2007 年 3 月至 2009 年 1 月期间 71 个尼日利亚卫生设施的出勤率和计划生育商品使用情况进行的回顾性调查，分析了整合前和整合后的时期。
采用 6 个月整合前和 9 个月整合后期间的计划生育诊所平均出勤率和夫妇生育保护年数（CYP）的预后回顾性比较，对服务比率进行了分析，即将计划生育诊所的完成转诊与转介艾滋病毒诊所的服务利用联系起来。
计划生育诊所的平均出勤率从整合前的 67.6 显著增加到整合后的 87.0。CYP 的平均值从整合前的 32.3 显著增加到整合后的 38.2。来自每个艾滋病毒诊所的转诊服务比率较低，但在整合后期分别增加了 4、34 和 42 每 1000 名来自 HCT、ART 和 PMTCT 诊所的客户。初级保健环境中的服务比率高于二级或三级医院。从艾滋病毒诊所转介的客户中，男性参加计划生育诊所的比例显著更高。
使用转诊模式将计划生育与艾滋病毒整合提高了接受艾滋病毒服务的客户的计划生育服务利用率，但仍有进一步提高的空间。男性对计划生育服务的利用也有所改善。尼日利亚政府应审查计划生育用户收费政策，并在初级保健设施中扩大整合。
