Provider understandings of and attitudes towards integration: Implementing an HIV and sexual and reproductive health service integration model, South Africa

African Journal of AIDS Research : AJAR
Cecilia MilfordJenni A Smit

Abstract

In South Africa, a lack of integration between sexual and reproductive health (SRH) and HIV services has led to lost opportunities in the treatment cascade. In a context of high HIV, tuberculosis (TB) and unplanned pregnancies, a model for integrating SRH and HIV services was implemented in a hospital and six feeder clinics in KwaZulu-Natal, South Africa. Changes in healthcare provider knowledge, attitudes and understandings were explored following model implementation. Baseline data were collected via focus group discussions (FGDs) and a cross-sectional survey, and were used to inform the development of a model for integrating SRH and HIV services. Following the implementation of the model, an endline survey was conducted to explore any changes. Four FGDs were conducted with healthcare providers at study facilities. A total of 46 providers participated in the baseline survey, and 44 in the endline survey. Qualitative data were thematically analysed using NVivo 11, and quantitative data were descriptively analysed using SPSS 24. The understanding of integration improved by endline. Integration of services was considered important for reducing stigma and increasing access to and improving quality of care. Concerns raised were th...Continue Reading

References

Jan 15, 2010·Bulletin of the World Health Organization·Clare DickinsonNel Druce
Oct 4, 2011·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Rose J KosgeiJames Kiarie
Dec 2, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Rebecca HopeTill Bärnighausen
Apr 24, 2015·The Journal of Family Planning and Reproductive Health Care·Sam PhiriUNKNOWN Lighthouse Group
Sep 16, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Ingrid V BassettElena Losina
Mar 25, 2017·Studies in Family Planning·Sabina A HaberlenCaitlin E Kennedy
May 5, 2017·Studies in Family Planning·Kathryn ChurchUNKNOWN Integra Initiative

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