{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T03:42:05Z","timestamp":1792640525963,"version":"4.5.0"},"reference-count":53,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2022,12,29]],"date-time":"2022-12-29T00:00:00Z","timestamp":1672272000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004423","name":"World Health Organization","doi-asserted-by":"publisher","award":["53405"],"award-info":[{"award-number":["53405"]}],"id":[{"id":"10.13039\/100004423","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Sex Reprod Health"],"accepted":{"date-parts":[[2022,11,12]]},"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>The aim of this review was to map evidence of integrating pre-exposure prophylaxis (PrEP) for HIV prevention into family planning services. A comprehensive package, using a combination of PrEP and contraceptive delivery, could reduce the number of new HIV infections and\/or unintended pregnancies for at-risk women and adolescent girls.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A scoping literature search was conducted between August 2020 and October 2020. After developing the review question, electronic databases (MEDLINE, Embase, Cochrane Library, Global Health, Web of Science) were systematically reviewed. All types of articles published from 2012 to August 2020 in English were included. The intended outcome was to identify barriers and enablers of integrating services at the client-level and provider-level.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>38 articles met inclusion criteria, with 16 from low-and middle-income countries and 22 from high-income countries. Barriers at the client-level included a lack of risk perception associated with low uptake and continuation of PrEP and pill burden; and at the provider-level, barriers included a lack of studies on cost-effectiveness of integrating services and provider training and knowledge. Facilitators included the initiation of PrEP and contraception at the same time and by the same provider or HIV self-testing.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Mapping and synthesising current evidence, this review identified key barriers and facilitators for the integration of PrEP into family planning services for women and adolescent girls. In order to address these factors, more implementation research in a variety of settings is needed to meet women\u2019s sexual and reproductive health needs globally.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsrh-2021-201356","type":"journal-article","created":{"date-parts":[[2022,12,29]],"date-time":"2022-12-29T13:25:43Z","timestamp":1672320343000},"page":"210-218","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":20,"title":["Integrating pre-exposure prophylaxis of HIV infection into family planning services: a scoping review"],"prefix":"10.1136","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4986-8575","authenticated-orcid":false,"given":"Caroline I","family":"Gotsche","sequence":"first","affiliation":[{"name":"Department of Sexual and Reproductive Health and Research, UNDP\/UNFPA\/UNICEF\/WHO\/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneve, Switzerland"},{"name":"Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8300-7985","authenticated-orcid":false,"given":"Petrus S","family":"Steyn","sequence":"additional","affiliation":[{"name":"Department of Sexual and Reproductive Health and Research, UNDP\/UNFPA\/UNICEF\/WHO\/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneve, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0598-6887","authenticated-orcid":false,"given":"Manjulaa","family":"Narasimhan","sequence":"additional","affiliation":[{"name":"Department of Sexual and Reproductive Health and Research, UNDP\/UNFPA\/UNICEF\/WHO\/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneve, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Rodolph","sequence":"additional","affiliation":[{"name":"Global HIV, Hepatitis and STIs Programmes, World Health Organization, Geneve, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6320-3444","authenticated-orcid":false,"given":"Rachel","family":"Baggaley","sequence":"additional","affiliation":[{"name":"Global HIV, Hepatitis and STIs Programmes, World Health Organization, Geneve, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4180-7858","authenticated-orcid":false,"given":"James N","family":"Kiarie","sequence":"additional","affiliation":[{"name":"Department of Sexual and Reproductive Health and Research, UNDP\/UNFPA\/UNICEF\/WHO\/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneve, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,12,29]]},"reference":[{"key":"2025090222044756000_49.3.210.1","doi-asserted-by":"crossref","DOI":"10.1186\/s12978-019-0714-9","article-title":"Integration of HIV testing services into family planning services: a systematic review","volume":"16","author":"Narasimhan","year":"2019","journal-title":"Reprod Health"},{"key":"2025090222044756000_49.3.210.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31288-7"},{"key":"2025090222044756000_49.3.210.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1108524"},{"key":"2025090222044756000_49.3.210.4","doi-asserted-by":"publisher","DOI":"10.1007\/s40265-019-01143-8"},{"key":"2025090222044756000_49.3.210.5","unstructured":"IPPF, UNFPA, WHO . 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