Cochrane · systematic review · CD003318
Strategies for integrating primary health services in low‐ and middle‐income countries at the point of delivery
Dudley, L, Garner, P · Cochrane Database of Systematic Reviews · 2011 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
27
current version
GRADE rated
24
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 3 · 11.1%Very low 7 · 25.9%Low 7 · 25.9%Moderate 4 · 14.8%High 6 · 22.2%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Summary Table: Add on of family planning services
Population: Facilities providing primary health services
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Change in number of mothersaccepting family planningservices | no estimate extracted | 16 participants | Low Downgraded: risk of bias |
Couples initiating non barrier contraception | RR 2.39 | 251 participants | Moderate Downgraded: risk of bias |
Incident pregnancies occurring during a one year | RR 0.89 | 251 participants | Moderate Downgraded: risk of bias |
Change in % of women accepting family planning methods | no estimate extracted | 19 participants | Very low Downgraded: risk of bias |
Summary Table: Add on of HIV Counseling and Testing
Population: Facilities providing primary health services
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Patients offered HIV testing in STI clinics1 Â | RR 1.35 | 9080 participants | Moderate |
Patients who received HIV testing in STI clinics1 Â | RR 1.23 | 9080 participants | Moderate |
New adult TB patients received HIV counselling in TB clinics2 | RR 2.69 | 754 participants | High |
New adult TB patients received HIV testing in TB clinics2 | RR 3.12 | 754 participants | High |
Leon 2010 2. Pope 2008 | no estimate extracted | 1 participants | Ungraded |
Summary Table: Add on of Nutrition and Child Health Services
Population: Children under 3 years of age in rural villages
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Perinatal mortality (deaths per 1000 live and stillbirths) Â | no estimate extracted | 10 participants | Very low |
Neonatal mortality (deaths per 1000 live births) Â | no estimate extracted | 10 participants | Very low |
Infant mortality2 (deaths per 1000 live births) Â | no estimate extracted | 10 participants | Very low |
Summary Table: Integration of Sexually Transmitted Infection Services
Population: Women living around truck stops
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Utilisation of STI services [Number of visits to STI services per women assessed over a one year period] Â | no estimate extracted | 7 participants | Low |
Women referred to and attended STI services | RR 0.54 | 7 participants | Low |
Women satisfied with STI services [Number of women interviewed who were satisfied] Â | RR 0.84 | 7 participants | Low |
Nyamuryekung'e 1997 | no estimate extracted | 1 participants | Ungraded |
Summary Table: Integration of family planning, maternal and child health care
Population: Couples, women and children in villages and districts
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Change in % of women using family planning  | no estimate extracted | NR | Low |
Change in knowledge of family planning  | no estimate extracted | NR | Low |
Change in Infant Mortality Rate per 1000 live births1 | RR 0.53 | NR | Low |
Perinatal mortality1 (deaths per 1000 live and stillbirths) Â | no estimate extracted | 10 participants | Very low |
Neonatal mortality1 (deaths per 1000 live births) Â | no estimate extracted | 10 participants | Very low |
Infant mortality1 (deaths per 1000 live births) Â | no estimate extracted | 10 participants | Very low |
Summary Table: Integration of HIV Prevention and Control
Population: Communities and health centres
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
STI treatment effectiveness Reported as symptoms stopped since STI treatment in past year  | 2.49 | 11980 participants | High |
Health seeking behaviour Sought treatment within 3 days of STI symptoms in last year  | 1.13 | 11980 participants | High |
STI incidence Urethral or vaginal discharge in last year  | 1.41 | 11980 participants | High |
HIV Incidence/1000 person years at risk  | IRR 1.36 | 11980 participants | High |
Gregson 2007 | no estimate extracted | 1 participants | Ungraded |