Figure 1
PRISMA-ScR flow diagram.
Table 1
Integration Process: Approaches Used to Contact Clients to Initiate FP Services.
| AUTHORS (REF) | CLIENT ENGAGEMENT APPROACH | SERVICE PROVISION APPROACH |
|---|---|---|
| Integration with HIV | ||
| Baumgartner et al., 2014 [29] | Clients screened for unintended pregnancy and counselled during HIV visits. | FP offered via co-located HIV care |
| Demissie and Mmusi-Phetoe, 2021 [37] | Health workers counselled women in HIV clinic waiting areas. | Referral to FP unit within same facility. |
| Dulli et al., 2019 [38] | Peer educators informed clients about dual methods and FP availability. | Clients received same-day FP services. |
| Grossman et al., 2013 [41] | Group talks conducted in waiting areas by peer educators. | Clients accessed FP services within clinic. |
| Hawkins et al., 2021 [42] | Announcements made during HIV care visits for FP availability. | Referral to FP provider within clinic for unavailable methods. |
| Joshi et al., 2016 [44] | Staff assessed fertility desire and referred eligible women. | FP services provided by trained providers. |
| Malama et al., 2020 [48] | Staff from another department (trained to promote services) generate demand for FP | The client, with the invitation, visited the clinic and availed of services. |
| Medley et al., 2022 [50] | Counsellors initiated fertility discussions during health talks. | Nurses provided FP in private HIV clinic spaces. |
| Mudiope et al., 2017 [53] | FP champions provided group and individual education. | Referrals made to co-located FP services. |
| Thyda et al., 2015 [62] | Screening for FP needs in waiting rooms. | Referral to FP counselling rooms. |
| Integration with Postabortion and postpartum care | ||
| Belemsaga et al., 2018 [64] | Integrated postpartum care scheduled with immunisation visits (days 6–10, 6–8 weeks, 9 months). | — |
| Pradhan et al., 2019 [58] | Counselling for PPIUD offered during ANC/PNC and post-delivery. | PPIUD provided post-delivery upon consent. |
| Tawfik et al., 2014 [60] | Counselling in separate room for woman and family. | Referral to FP service near postpartum ward. |
| Integrating FP with Immunisation services | ||
| Cooper et al., 2020 [35] | Same-day education provided by community-level assistants. | FP services/referrals offered by nurses. |
| Cooper et al., 2015- [66] | Vaccinators used job aids for one-on-one messaging. | Referral to co-located FP room; same-day services provided. |
| Dulli et al., 2016 [39] | FP education via pre-immunisation talks. | Referrals to FP provider for counselling and method choice. |
| Erhardt-Ohren et al., 2020 [40] | Referral cards distributed during immunisation wait time. | Same-day FP services at same facility. |
| Ijarotimi et al., 2023 [43] | FP education at each infant vaccination visit (group/individual). | Referral to FP clinic same day or later. |
| Nelson et al., 2019 [55] | Brief FP discussion and referral during immunisation. | Tracking referrals and leaflet distribution. |
| Vance et al., 2014 [63] | Vaccinators screened for pregnancy risk with job aids. | Referral to co-located FP services. |
| Integrating FP with Maternal Health services | ||
| Mutisya et al., 2019 [54] | PIFP model: providers initiated FP discussions during HIV care. | FP method offered by same provider. |
| Mackenzie et al., 2018 [47] | Multiple provider interactions in ANC/PNC settings. | FP provided in ANC or PNC by designated staff. |
| Memon et al., [52] | Establishment of private FP counselling corners. | — |