Original Research

Integration of HIV prevention into Sexual and Reproductive Health Services in an urban setting in South Africa

Shireen Parker, Vera Scott
African Journal of Primary Health Care & Family Medicine | Vol 5, No 1 | a522 | DOI: https://doi.org/10.4102/phcfm.v5i1.522 | © 2013 Shireen Parker, Vera Scott | This work is licensed under CC Attribution 4.0
Submitted: 15 February 2013 | Published: 23 August 2013

About the author(s)

Shireen Parker, School of Public Health, University of the Western Cape, South Africa
Vera Scott, School of Public Health, University of the Western Cape, South Africa


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Abstract

Background: 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 family planning 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 family planning 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.


Keywords

Quality, Integration, Reproductive Health Services, HIV prevention & care, South Africa

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Crossref Citations

1. The HIV epidemic and sexual and reproductive health policy integration: views of South African policymakers
Diane Cooper, Joanne E Mantell, Jennifer Moodley, Sumaya Mall
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doi: 10.1186/s12889-015-1577-9