Pattern of HIV and Reproductive Health Service Integration among PMTCT Clients in Addis Ababa, Ethiopia; 2022
Keywords:HIV, indepth interview, integration, mentor mothers, reproductive health
Background: Human immuno-deficiency virus (HIV) and reproductive health (RH) care packages shared common bottlenecks of service inadequacy related to economy, limited access, gender inequality, and social discrimination among vulnerable women. RH-HIV integration help to cover a wide spectrum of health care to specific client and reduce missed opportunities for key amenities. Some of components for care amalgamation are ART provision and adherence, ANC, PMTCT services, family planning (FP) counseling, gender based violence (GBV), as well as STI and cervical cancer screening and treatment, safe abortion and post abortion care. Objective: The purpose of this study was to investigate the pattern of HIV and reproductive health services integration for HIV-positive women in Addis Ababa, Ethiopia. Method: Cross sectional exploratory qualitative study design was utilized in Addis Ababa city in May to August 2020. Information was gathered through an in-depth/ key-informant interview and 14 mentor mothers were selected from different health centers through snowball sampling technique. Result: Twelve mentor mothers were participated in in-depth interview with a mean age of 31.25 years with SD of ± 3.86. About half of mentor mother served MSG/ PMTCT for 2-4 years. They clarified that PMTCT service was an entry point for HIV care and support to most women and infants. Components mentioned for RH and HIV care were HIV testing and counseling (HTC), provision of ART and adherence counselling, family planning, sexually transmitted illnesses (STIs) and cervical cancer screening and treatment. But some of barriers that blocked integration of services were imbalance of client and care provider ration, long waiting time, skill gaps, unaffordable cost, and lack of clear guideline. Conclusion: According to this study, integration of RH and HIV is not well established and integration constraints that related to client and health care provider side needs to be eliminated.
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