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Integration of Family Planning in HIV/AIDS Program in Solwezi District, Northwestern Zambia: Status and Perspectives
Former Senior HIV Clinical Care Officer, Family Health International, ZPCTII Project, Solwezi, Zambia.
Ministry of Community Development,Mother and Child Health, Solwezi, Zambia.
Family Health International, ZPCTII Project, Solwezi, Zambia.
School of Public Health, University of Lorraine, Nancy, France.
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2015 (English)In: Public Health Research, ISSN 2167-7263, E-ISSN 2167-7247, Vol. 5, no 4, 103-108 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to assess the status of Family Planning (FP) service uptake through its integration in HIV program for identification of determinants of its low use in Solwezi district of Zambia. Comparative quantitative FP/HIV data was gathered during quality improvement process from database at Zambia Prevention Care and TreatmentPartnership (ZPCT) Consortium for 2012 and 2013. Qualitative data was collected using semi-structured interviews with 29professionals, at the main urban clinic in the district, from January to June 2013. Two key indicators were assessed: HIV/FPreferrals at facility level and male partners’ involvement in seeking HIV/FP services. Referrals between HIV and FP servicesduring the first semester of 2013 increased by 1.0% compared to 2012, whilst male involvement in integrated FP/HIV services remained stagnant at 11%. Low male involvement in FP/HIV service was linked to busy spouses’ work schedules(74%), and lack of knowledge (16%). FP/HIV couple counseling was offered on selected clinic days in 74%, whilst lackof policy implementation encouraging male involvement was noted in 58% of responses. Fear of FP side effects (89%), longdistances to the clinic (74%), lack of adequate health information on FP (17%) and unavailability of the preferred FP method(11%) were essential obstacles to service accessibility. Internal systems improvement indicated slight progress incross-referrals reported. Interventions on the demand side are required, such as in strengthening male involvement in FP/HIVservice. FP services in the district would also benefit from increased variety of accessible FP methods.

Place, publisher, year, edition, pages
Rosemead, USA: Scientific and Academic Publishing Co. , 2015. Vol. 5, no 4, 103-108 p.
Keyword [en]
Family planning, HIV, Integrated services, Solwezi, Zambia
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health
URN: urn:nbn:se:oru:diva-45680OAI: diva2:850044
Available from: 2015-08-31 Created: 2015-08-31 Last updated: 2016-12-19Bibliographically approved

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