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Title: Status of family planning service Integration in Chronic HIV Care Clinics for Women on Reproductive Age group in selected health facilities in Dessie town, North East Ethiopia
???metadata.dc.contributor.*???: Ayele Belachew (MD, MPH)
Wassye Yitagess
Keywords: Family planning is a powerful and cost effective HIV prevention approach, enabling HIV-infected women to prevent unintended pregnancies
Issue Date: Jul-2011
Publisher: AAU
Abstract: Abstract Introduction: Family planning is an important instrument to prevent unintended pregnancy. Integrating FP service in chronic HIV care clinics is facilitative intervention to preventing newborn from HIV by enabling interested women to prevent pregnancies. Objective: The objective of this study was to assess the level of family planning service integration for women on reproductive age group in chronic HIV care clinics Methodology: A cross sectional study was carried out from October 2010 to January 2011 in selected health facilities in Dessie town, North East Ethiopia. Women of reproductive age group that attended chronic HIV care were the study population. Single population proportion formula was employed to determine sample size. A total of 401 women attending the chronic HIV care were selected as study participants. Furthermore, nine chronic HIV care providers, facility HIV care service focal persons, and program managers at town and zonal level were included to provide qualitative information. Data were collected using clients exit interview by using case managers, and provider‟s interview and document review by the principal investigator. Result: Four hundred one female clients who were attending chronic HIV care were interviewed. Of the total respondents, 393 (98 %) had ever heard about any family planning methods. From these ever heard, 238 (60.5%) of respondents reported as they have got counseling about FP in chronic HIV care clinics. Condom was the only FP method which is provided in chronic HIV care clinics. Thus, one hundred sixty eight (42.7%) respondents have been provided condom in the clinics. Among respondents who were provided condom, 108(64.3%) received condom after counseling. Whereas, referral linkage between chronic HIV care clinics and FP units was not encouraging. In this study FP service integration was not satisfactory. Hence, Only 110 (27.98%) of respondents was provided with an integrated manner. Among respondents who ever heard about FP, 248 (63.1%) and 130(33.1%) clients were strongly support or support FP service integration in chronic HIV care clinics respectively. Different factors may affect service integration, provider‟s work load, and FP training gaps, shortage of space and supplies might be some of the factors. Conclusion: Although, clients had demand for service integration, the level of integration was not encouraging. Training of health workers and supplies of logistics should be considered for better integration of FP service within the chronic HIV care clinics
Description: A thesis submitted to school of graduate studies, Addis Ababa University in partial fulfillment of the requirements for the Degree of Master of Public Health
Appears in Collections:Thesis - Public Health

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