Limits...
Challenges encountered in providing integrated HIV, antenatal and postnatal care services: a case study of Katakwi and Mubende districts in Uganda.

Ahumuza SE, Rujumba J, Nkoyooyo A, Byaruhanga R, Wanyenze RK - Reprod Health (2016)

Bottom Line: The study findings indicate that various challenges were encountered in integrating HIV, ANC and PNC services.Major challenges included inadequate staff, gaps in knowledge of service providers especially with regard to provision of long-term family planning, limited space, shortage of critical supplies such as HIV test kits, drugs and gloves.These findings indicate that the delivery of integrated HIV, SRH and MH services is hampered greatly by health system challenges and depict the need for additional staffing in health facilities, capacity building of health workers and health managers as well as ensuring sufficient supplies to health facilities for smooth implementation of integrated SRH, HIV and MH services.

View Article: PubMed Central - PubMed

Affiliation: MakSPH-CDC Fellowship Program, Makerere University College of Health Sciences, School of Public Health, P.O. Box 7072, Kampala, Uganda. tashaahumuza@gmail.com.

ABSTRACT

Background: Integration of sexual and reproductive health (SRH), HIV/AIDS and maternal health (MH) services is a critical strategy to confront the HIV/AIDS epidemic, high maternal mortality and the unmet need for contraception. In 2011 the AIDS Information Centre (AIC) in partnership with the Ministry of Health implemented SRH, HIV/AIDS and MH integration services in the districts of Katakwi and Mubende in Uganda. This paper documents challenges encountered in providing these integrated services in the two districts.

Methods: This was a cross-sectional qualitative study conducted in Mubende and Katakwi districts in Uganda. Data were collected using 10 focus group discussions with 89 women attending ANC and postnatal care and 21 key informant interviews with district managers and health workers who were involved in the integrated service delivery. Content thematic approach was used for data analysis.

Results: The study findings indicate that various challenges were encountered in integrating HIV, ANC and PNC services. Major challenges included inadequate staff, gaps in knowledge of service providers especially with regard to provision of long-term family planning, limited space, shortage of critical supplies such as HIV test kits, drugs and gloves.

Conclusion: These findings indicate that the delivery of integrated HIV, SRH and MH services is hampered greatly by health system challenges and depict the need for additional staffing in health facilities, capacity building of health workers and health managers as well as ensuring sufficient supplies to health facilities for smooth implementation of integrated SRH, HIV and MH services.

No MeSH data available.


Related in: MedlinePlus

A simple flow chart to illustrate what was expected to be provided to expectant mothers in integrating HIV into ANC and postnatal care services at district hospitals and health center IVs
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4836081&req=5

Fig1: A simple flow chart to illustrate what was expected to be provided to expectant mothers in integrating HIV into ANC and postnatal care services at district hospitals and health center IVs

Mentions: As shown in Fig. 1, all expectant women who visited ANC clinics, should be given information on ANC, PNC, and HIV prevention including prevention of mother to child transmission (PMTCT). Similarly all mothers should be offered HIV counseling and testing. HIV positive women should be provided with ongoing HIV counseling, ARVs, education messages in relation to ANC, PNC and HIV, visited at home, provided with information and services on prevention of unwanted pregnancies, linked to ART clinics for continuous support and to appropriate peadiatric care for the infants [10]. However, the implementation of this model has not been assessed. The aim of the study was to explore the challenges encountered in providing integrated HIV, antenatal and postnatal care services in Katakwi and Mubende districts. Integration in this paper denotes the provision of comprehensive HIV, ANC and PNC services at the same health facility and through referrals from one service provider to another [11]. In this regard, integration implies that clients receive general health information and HIV, ANC and PNC services based on need across different levels of the health system.Fig. 1


Challenges encountered in providing integrated HIV, antenatal and postnatal care services: a case study of Katakwi and Mubende districts in Uganda.

Ahumuza SE, Rujumba J, Nkoyooyo A, Byaruhanga R, Wanyenze RK - Reprod Health (2016)

A simple flow chart to illustrate what was expected to be provided to expectant mothers in integrating HIV into ANC and postnatal care services at district hospitals and health center IVs
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4836081&req=5

Fig1: A simple flow chart to illustrate what was expected to be provided to expectant mothers in integrating HIV into ANC and postnatal care services at district hospitals and health center IVs
Mentions: As shown in Fig. 1, all expectant women who visited ANC clinics, should be given information on ANC, PNC, and HIV prevention including prevention of mother to child transmission (PMTCT). Similarly all mothers should be offered HIV counseling and testing. HIV positive women should be provided with ongoing HIV counseling, ARVs, education messages in relation to ANC, PNC and HIV, visited at home, provided with information and services on prevention of unwanted pregnancies, linked to ART clinics for continuous support and to appropriate peadiatric care for the infants [10]. However, the implementation of this model has not been assessed. The aim of the study was to explore the challenges encountered in providing integrated HIV, antenatal and postnatal care services in Katakwi and Mubende districts. Integration in this paper denotes the provision of comprehensive HIV, ANC and PNC services at the same health facility and through referrals from one service provider to another [11]. In this regard, integration implies that clients receive general health information and HIV, ANC and PNC services based on need across different levels of the health system.Fig. 1

Bottom Line: The study findings indicate that various challenges were encountered in integrating HIV, ANC and PNC services.Major challenges included inadequate staff, gaps in knowledge of service providers especially with regard to provision of long-term family planning, limited space, shortage of critical supplies such as HIV test kits, drugs and gloves.These findings indicate that the delivery of integrated HIV, SRH and MH services is hampered greatly by health system challenges and depict the need for additional staffing in health facilities, capacity building of health workers and health managers as well as ensuring sufficient supplies to health facilities for smooth implementation of integrated SRH, HIV and MH services.

View Article: PubMed Central - PubMed

Affiliation: MakSPH-CDC Fellowship Program, Makerere University College of Health Sciences, School of Public Health, P.O. Box 7072, Kampala, Uganda. tashaahumuza@gmail.com.

ABSTRACT

Background: Integration of sexual and reproductive health (SRH), HIV/AIDS and maternal health (MH) services is a critical strategy to confront the HIV/AIDS epidemic, high maternal mortality and the unmet need for contraception. In 2011 the AIDS Information Centre (AIC) in partnership with the Ministry of Health implemented SRH, HIV/AIDS and MH integration services in the districts of Katakwi and Mubende in Uganda. This paper documents challenges encountered in providing these integrated services in the two districts.

Methods: This was a cross-sectional qualitative study conducted in Mubende and Katakwi districts in Uganda. Data were collected using 10 focus group discussions with 89 women attending ANC and postnatal care and 21 key informant interviews with district managers and health workers who were involved in the integrated service delivery. Content thematic approach was used for data analysis.

Results: The study findings indicate that various challenges were encountered in integrating HIV, ANC and PNC services. Major challenges included inadequate staff, gaps in knowledge of service providers especially with regard to provision of long-term family planning, limited space, shortage of critical supplies such as HIV test kits, drugs and gloves.

Conclusion: These findings indicate that the delivery of integrated HIV, SRH and MH services is hampered greatly by health system challenges and depict the need for additional staffing in health facilities, capacity building of health workers and health managers as well as ensuring sufficient supplies to health facilities for smooth implementation of integrated SRH, HIV and MH services.

No MeSH data available.


Related in: MedlinePlus