Reproductive health service integration in south africa

Magwaza, Sphindile; Cooper, Diane

doi:10.7748/ns.16.23.33.s1

Cited by 5 publications

(1 citation statement)

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“… 5 The integration of RH services has many other benefits, including improvement of availability of services and supporting staff training that can improve opportunities for early identification and treatment of health problems. 14 Most importantly, integrated services lead to fulfilment of client needs. 15 Accordingly, there are considerable efforts made to integrate RH services in SSA.…”

Section: Introductionmentioning

confidence: 99%

Inter-relationships among key reproductive health indicators in sub-Saharan Africa focusing on the central role of maternal literacy

Woldegiorgis

Meyer

Hiller

et al. 2020

International Health

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Background Indicators of reproductive health (RH) are expected to be both inter-related and associated with key social determinants. As the provision of RH services is usually integrated, the effort to improve one RH component should influence the other components. However, there is a lack of evidence-based models demonstrating the inter-relationships. The purpose of this study was to examine the inter-relationships among key RH indicators and their relationship with women’s literacy in sub-Saharan Africa (SSA). Methods Data were sourced from the most recent demographic and health survey conducted between 2010 and 2016 in 391 provinces of 29 SSA countries. We examined seven RH indicators along with women’s literacy. The unit of analysis was at the provincial level. Structural equation modelling was used to examine the strength of relationships among these indicators and with women’s literacy, using the total standardized effect sizes. Significance tests and 95% confidence intervals (CIs) for these effects were calculated using a bias-corrected bootstrap method. Results RH indicators are strongly interrelated and are associated with women’s literacy. The strongest relationship is observed between women’s literacy rate and the contraception prevalence rate, with a total standardized effect size of 0.79 (95% CI 0.74–0.83). The model of inter-relationships developed in this study may guide the design, implementation and evaluation of RH policies and programmes. Conclusions The key challenge in reducing fertility in SSA is to reduce people fertility desire. This could mainly be addressed by enhancing integrated approaches especially between the education and health sectors.

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Section: Introductionmentioning

confidence: 99%

Inter-relationships among key reproductive health indicators in sub-Saharan Africa focusing on the central role of maternal literacy

Woldegiorgis

Meyer

Hiller

et al. 2020

International Health

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

Maharaj¹,

Cleland²

2005

Health Policy and Planning

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An integrated sexual and reproductive health package is widely regarded as essential for meeting the needs of both men and women. The practical realities of integration in KwaZulu-Natal, South Africa, were examined from the perspective of both providers and clients. Only minorities of clients received any assessment of reproductive and sexual health needs over and above their main presenting need or problem. The majority would have welcomed such assessments and many were classified as being in need, particularly for advice and services with regard to sexually transmitted infections, including HIV. Most providers were positive about integration, but their ability to practice an active form of integration was limited by inadequate training and time constraints. While training defects can be remedied, the time constraints posed by heavy patient loads are less tractable. More skillful use of booking clerks or the introduction of lay counsellors are also possible solutions.

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Interrelationships among key Reproductive Health indicators in Sub-Saharan Africa

Woldegiorgis

Meyer

Mekonnen

et al. 2018

Preprint

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Introduction: Indicators of reproductive health (RH) services, outputs, outcomes and impacts are expected to be related with each other and with key social determinants. As the provision of RH services is usually integrated, the effort expended to improve one component is also expected to affect the other components. There is a lack of evidence-based models demonstrating the interrelationships among these indicators and between RH indicators and social determinants. Objective: To examine interrelationships among key RH indicators and their relationship with key social determinants in Sub-Saharan Africa (SSA). Method: This study used data from the most recent demographic and health survey conducted during the period from 2010 to 2016 in 391 provinces of 29 SSA countries. We focused on seven RH indicatorantenatal care, skilled birth attendance, postnatal care, contraceptive prevalence rate (CPR), ideal number of children, birth interval and total fertility rate (TFR), along with selected socio-demographic indicators. The unit of analysis was sub-national, at provincial level. Structural equation modelling was used to examine the strength of interrelationships among the indicators based on the total standardized effect sizes.Significance tests and 95% confidence intervals for the total effects were presented using a bias-corrected bootstrap method. Results: Women's literacy rate, at the centre of the model, has direct connections with all the RH indicators included in the final model. The strongest relationship was observed between women's literacy rate and CPR with a total standardized (std.) effect size of 0.79 (95% CI: 0.74, 0.83). RH indicators are interrelated directly and/or indirectly. A strong direct effect was also observed in the relationship between CPR and birth interval (β=0.63, 95%: 0.50, 0.77) and the model suggests that the reported ideal number of children is a key predictor of birth interval (Std. effect size=-0.58, 95% CI: -0.69, -0.48) and TFR (Std. effect size=0.52, 95% CI: 0.38, 0.62). Conclusion: RH indicators are strongly interrelated and are all associated with women's literacy. The model of interrelationships developed in this study may guide the design, implementation and evaluation of RH policies and programs.Reviewers Please provide the names and email addresses of 3 potential reviewers and state the reason for each suggestion. Colleagues within the same institution and co-authors within the last 5 years should not be included in the suggestions. Note that the editor retains the sole right to decide whether or not the suggested reviewers are used.

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Reproductive health service integration in south africa

Cited by 5 publications

References 0 publications

Inter-relationships among key reproductive health indicators in sub-Saharan Africa focusing on the central role of maternal literacy

Inter-relationships among key reproductive health indicators in sub-Saharan Africa focusing on the central role of maternal literacy

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

Interrelationships among key Reproductive Health indicators in Sub-Saharan Africa

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