Integration of sexual and reproductive health services in KwaZulu-Natal, South Africa

Maharaj, Pranitha; Cleland, John

doi:10.1093/heapol/czi038

Cited by 65 publications

(61 citation statements)

References 26 publications

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“…Incorporating principles of Aboriginal culture into HIV testing and prevention services, which has been strongly advocated in order to improve program effectiveness and efficiency, may also explain the testing patterns among those at higher risk (12)(13)(14).…”

Section: Discussionmentioning

confidence: 99%

HIV/AIDS: Testing and risk behaviors among Britsh Columbia’s rural Aboriginal population

Wardman

Quantz²,

Clement³

2006

International Journal of Circumpolar Health

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Objectives. Over the last decade, there has been growing concern in the public health sector over the spread of Human Immunodeficiency Virus (HIV) in Canada's Aboriginal population. However, there continues to be a general lack of HIV awareness and its risk factors in Aboriginal communities. Study design and methods. This study investigated HIV testing patterns, perceptions and risk factors within 7 community organizations through the use of face-to-face interviews. The objectives of this research project were to 1) describe the prevalence of HIV testing; 2) describe issues concerning confidentiality related to the HIV testing; 3) identify the prevalence of risk factors for HIV transmission; and, 4) build research capacity in the Aboriginal community. Results. Two hundred and nineteen Aboriginal persons participated in interviews. Off-reserve residents (pOR: 0.48, 95% CI: 0.29 -0.80) were significantly more likely to use illicit drugs than reserve residents. Sixty percent of participants had reported undergoing HIV testing at some point. Two-spirited participants (pOR: 16.1, 95% CI: 2.13-121.06), those who previously tested for a Sexually Transmitted Disease (pOR: 2.94, 95% CI: 1.73-4.98), those currently using cocaine (pOR: 3.88, 95% CI: 1.25 -12.0), and those who reported to "never", or "some of the time" use clean needles (pOR: 11.0, 95% CI: 1.36-88.66) were significantly more likely to undergoing HIV testing. On-reserve residents (pOR: 0.55, 95% CI: 0.35-0.87) and respondents older than 40 years of age (pOR: 0.40, 95% CI: 0.19 -0.86) were less likely to undergo HIV testing. Conclusions. Participants with HIV risk factors are more likely to be tested for HIV in rural areas and confidentiality issues were not a barrier to testing for most participants. Off-reserve residents were more likely to undergo HIV testing, the reasons for which require additional research. Finally, public health units are often under-utilized as locations to seek testing. (Int J Circumpolar Health 2006: 65(4): 313-321.)

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Section: Discussionmentioning

confidence: 99%

HIV/AIDS: Testing and risk behaviors among Britsh Columbia’s rural Aboriginal population

Wardman

Quantz²,

Clement³

2006

International Journal of Circumpolar Health

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“…This common target clientele for HIV and contraceptive services has prompted many policy-makers to endorse HIV and family planning service integration (Strachan et al, 2004;United Nations Population Fund [UN-FPA], 2004;WHO, 2004). Both service types target sexual risk behavior for either prevention of unintended pregnancies or infection transmission; thus, offering these services jointly may increase client access while maximizing scarce health care resources (Berer, 2003;Dehne, Snow, & O'Reilly, 2000;Duerr, Hurst, Kourtis, Rutenberg & Jamieson, 2005;Maggwa & Askew, 1997;Maharaj & Cleland, 2005; O'Reilly, Dehne, & Snow, 1999;Reynolds, Beaston-Blaakman, 2006a).…”

Section: Introductionmentioning

confidence: 99%

HIV infection and contraceptive need among female Ethiopian voluntary HIV counseling and testing clients

et al. 2010

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Despite political endorsement of voluntary HIV counseling and testing (VCT), and family planning integration in Ethiopia, little is known about the reproductive health needs of VCT clients. We estimated contraceptive prevalence and need among 646 Ethiopian female VCT clients. We compared socio-demographic characteristics of contracepting VCT clients to those with unmet need and examined how these characteristics are associated with having unmet contraceptive need and being HIV-positive using multinomial logistic regression. We also assessed the quality of VCT services from clients' reports of reproductive health topics discussed in VCT sessions. Nearly 34% of female VCT clients have unmet contraceptive need. Three socio-demographic characteristics are consistently associated with both risk for unintended pregnancy and HIV: older age, marriage, and lower education. In the multivariate analysis, older age, marriage, and belonging to a minority ethnic group are significantly associated with being both HIV-positive and having unmet contraceptive need. Conversely, higher education, larger families, and frequent sexual activity are associated with reduced likelihood of experiencing these two adverse health outcomes. VCT clients report infrequent reproductive health counseling, although HIV-positive women are more likely than HIV-negative women to have discussions about contraception with VCT counselors. At the time of this study, family planning was not offered as part of VCT programs, although VCT clients demonstrate considerable need for contraceptive services.

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“…This reason could explain why most health staff have not been equipped and trained appropriately to provide other broad reproductive services such as fertility counselling and treatments and abortion care. Our finding on stakeholder's positivity in delivering integrated reproductive services, and its associated barriers is consistent with other studies in Africa (Dehne & Snow, 1999;Maharaj & Cleland, 2005;Mutemwa et al, 2013).…”

Section: Expectations On Reproductive Care Needssupporting

confidence: 92%

Unmet reproductive health care needs among rural Ghanaian women

Ayanore¹

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Document Version:Publisher's PDF, also known as Version of record Please check the document version of this publication:• A submitted manuscript is the version of the article upon submission and before peer-review. There can be important differences between the submitted version and the official published version of record. People interested in the research are advised to contact the author for the final version of the publication, or visit the DOI to the publisher's website.• The final author version and the galley proof are versions of the publication after peer review.• The final published version features the final layout of the paper including the volume, issue and page numbers. Link to publication General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal.If the publication is distributed under the terms of Article 25fa of the Dutch Copyright Act, indicated by the "Taverne" license above, please follow below link for the End User Agreement:www.umlib.nl/taverne-license Take down policyIf you believe that this document breaches copyright please contact us at:repository@maastrichtuniversity.nl providing details and we will investigate your claim. Unmet reproductive health care needs among rural Ghanaian women © Martin Amogre Ayanore, 2017Cover page and layout designed by BRANDHAUZ ADS Ghana +2330244053131Printed by Datawyse All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the written permission from the author. Unmet reproductive health care needs among rural Ghanaian womenDissertation to obtain the degree of Doctor at Maastricht University, on the authority of the Rector Magnificus, Prof. dr. Rianne M. Letschert in accordance with the decision of the board of the Deans, to be defended in public on Friday 7 July, 2017, at 10:00 hours Acknowledgement of fundingThe research presented in this dissertation is made possible through sponsorship from the Ministry of Energy capacity building scholarship scheme, Ghana for Martin Amogre Ayanore PhD studies with University of Maastricht, Netherlands. Additional budgetary support from the Centre for Health Policy Advocacy, Innovation & Research in Africa (CHPAIR-Africa), Accra, Ghana provided additinal research funding to make this work possible. All views presented in this dissertation represent solely that of the author, and do not reflect in any way views from any of ...

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Integration of sexual and reproductive health services in KwaZulu-Natal, South Africa

Cited by 65 publications

References 26 publications

HIV/AIDS: Testing and risk behaviors among Britsh Columbia’s rural Aboriginal population

HIV/AIDS: Testing and risk behaviors among Britsh Columbia’s rural Aboriginal population

HIV infection and contraceptive need among female Ethiopian voluntary HIV counseling and testing clients

Unmet reproductive health care needs among rural Ghanaian women

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