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01.12.2016 | Research | Ausgabe 1/2016 Open Access

Reproductive Health 1/2016

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

Zeitschrift:
Reproductive Health > Ausgabe 1/2016
Autoren:
Sharon Eva Ahumuza, Joseph Rujumba, Abdallah Nkoyooyo, Raymond Byaruhanga, Rhoda K. Wanyenze
Wichtige Hinweise

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

SEA: Made substantial contributions to conception, design, data collection, analysis and interpretation of data, wrote the first draft of the paper and was responsible for the final submission of the paper. JR: made substantial contributions to conception, design and interpretation of data, contributed to drafting of the paper, revised the drafted paper for important intellectual content and approved the version to be published. AN made substantial contributions in the design and interpretation of the study, reviewed and approved the final manuscript for submission. RB made substantial contributions in the design and interpretation of the study, data analysis, reviewed and approved the final manuscript for submission. RKW: Made substantial contributions to conception and design, acquisition of data, analysis and interpretation of data, contributed to the drafting of the paper, revised the draft paper for important intellectual content and approved the version to be published. All authors reviewed and approved the final manuscript for submission.

Authors’ information

SEA is a Social Scientist with a Master’s degree in Women and Gender Studies and is a MakSPH-CDC Fellow attached to AIDS Information Center; JR is a Social Worker with a Masters degree Social Sector, Planning and Management, a Doctor of Philosophy degree from the University of Bergen and he is a Lecturer in the Department of Peadiatrics and Child Health, Makerere University College of Health Sciences, School of Medicine, Kampala, Uganda; AN is a Medical Doctor with a Masters in Public Health and is the Director for Planning and Programs AIDS Information Center; RB is a Medical Doctor with a Masters in Health Sciences and is the Executive Director for AIDS Information Center; RKW is a Medical Doctor with a Masters degree in Public Health, a Doctor of Philosophy degree from the University of Antwerp, is an Associate Professor in Department of Disease Control and Environmental Health, Makerere University, Program Director MakSPH-CDC Fellowship Program and Lecturer.

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.
Literatur
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