Integration of HIV prevention into sexual and reproductive health services in an urban setting in South Africa

Simple item page
dc.contributor.authorParker, Shireen
dc.contributor.authorScott, Vera
dc.date.accessioned2014-01-13T21:05:22Z
dc.date.available2014-01-13T21:05:22Z
dc.date.issued2013
dc.description.abstractBackground: The United Nations Political Declaration on HIV and AIDS of 2006 stressed the need to strengthen policy and programme linkages between HIV and Sexual and Reproductive Health (SRH). However, the effectiveness and best practices for strengthening SRH and HIV linkages are poorly researched in the context of family-planning services. In Cape Town, HIV-prevention services have been integrated into family-planning services. There are two models of service configuration: dedicated stand-alone reproductive health clinics and familyplanning services located in comprehensive primary-care facilities. Objective: To describe how reproductive health services are integrating HIV prevention and care strategies and to measure the coverage and quality of these integrated services. Methods: A cross-sectional study was conducted using structured interviews with facility managers; a facility-based checklist; and a patient record review to assess the availability of resources, training, access, quality and integration. Results: Facilities in Cape Town are equipped adequately to offer integrated HIV-prevention and SRH services. Overall there was poor coverage of integrated services with 54% of familyplanning clients having a known HIV status; 47% being screened for a sexually transmitted infection and 55% being offered HIV counselling and testing and receiving condoms. Quality and continuity of care seemed better at the dedicated clinics than at the comprehensive facilities, supported by better training coverage. Conclusion: Engaging middle-level management is crucial with regard to improving integration within a well-resourced setting.en_US
dc.identifier.citationParker, S., & Scott, V. (2013). Integration of HIV prevention into sexual and reproductive health services in an urban setting in South Africa. African Journal of Primary Health Care & Family Medicine, 5(1): Art. #522, 9 pagesen_US
dc.identifier.issn2071-2930
dc.identifier.urihttp://hdl.handle.net/10566/946
dc.language.isoenen_US
dc.privacy.showsubmitterfalse
dc.publisherAOSIS OpenJournalsen_US
dc.rights© 2013. The Authors. Licensee: AOSIS OpenJournals. This work is licensed under the Creative Commons Attribution License.
dc.source.urihttp://dx.doi.org/10.4102/phcfm.v5i1.522
dc.status.ispeerreviewedtrue
dc.subjectIntegrationen_US
dc.subjectHIV preventionen_US
dc.subjectSexual and Reproductive Healthen_US
dc.titleIntegration of HIV prevention into sexual and reproductive health services in an urban setting in South Africaen_US
dc.typeArticleen_US

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
ParkerHIVPrevention2013.pdf
Size:
519.09 KB
Format:
Adobe Portable Document Format
Description:
Published version
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.55 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Research Articles (School of Public Health)
Dr. Vera Scott (School of Public Health)