Dereje Bayissa Demissie1,2* and Rose Mmusi-Phetoe3
1Department of Health Studies, University of South Africa, South Africa
2St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia
3Department of Public Health, College of Human Science, University of South Africa, South Africa
In settings where high, HIV prevalence and unmet need for sexual and reproductive health services is critical to reducing HIV transmission and maternal mortality in a resource-limiting area, integration of these services are very crucial. The study aimed to evaluate the existing ‘integration of sexual reproductive health services with HIV services. Methods: A Health facility-based cross-sectional study design was conducted with multiple data collection approaches was used to collect data from women living with HIV attending ART clinics. Self-administrated interview questionnaires were used to collect data from supervisors, health managers, and healthcare providers by the total census of 16 ART/PMTC services provide, supervisors, and 15 Health offices/Bureau managers, and randomly selected 654 Women Living with HIV (WLHIV) for the study. The collected data were analyzed by SPSS. Result: This study assessed the existing ‘integration of sexual reproductive health services with HIV treatment for women living with HIV and attending ART in Oromia Region, Ethiopia. Such integration ranged from the provision of maternal, family planning, neonatal health services, and health education on sexual reproductive health combined with HIV services for women living with HIV. Almost all respondents (n=635, 97.1%) preferred integrated sexual reproductive health and HIV services at the same facility. Also, most of the providers (n=622, 95%), were in favor of ‘integrated family planning’/HIV services. The current study revealed that the integration of family planning with HIV services includes counseling on available family planning methods in the ART room, to the provision of ‘family planning methods such as condoms, pills, injectable methods, implants in the ART rooms, and referrals for long-acting and permanent methods. Conclusion: These study findings showed considerable disparities between the availability of elements of integrated family planning/HIV services, and the actual delivery of sexual reproductive health services that are fully integrated; where both HIV- and family planning-related elements are incorporated into the visit.
Demissie DB, Mmusi-Phetoe R. Evaluate the Existing Integration of Sexual Reproductive Health Services with HIV Treatment in Oromia Regional State, Ethiopia. Ann Clin Case Rep. 2022; 7: 2244..