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Integration of Family Planning and HIV Services: A Study of the Health Systems Factors Affecting Integration in Public Health Facilities in Lusaka District in Zambia

Received: 11 May 2022     Accepted: 1 June 2022     Published: 16 June 2022
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Abstract

Increased access to contraception by women of child bearing age still remains a global public health challenge. For instance, in 2017, 25% of women who did not intend to get pregnant were not using any form of modern contraceptives. The majority (21%) of the women who were not using modern contraceptives live in Sub-Saharan Africa. We conducted twenty-seven interviews with five policy makers, ten health administrators and twelve Service providers in Lusaka District in Zambia. The interviews were conducted at the Provincial Health Office, Ministry of Health and at three first level hospitals. An interview guide was used to generate data and the data was analyzed using thematic analysis. The factors that were investigated included; leadership and governance, planning, financing for health, service delivery, human resource for health and monitoring and evaluation. Availability of human resource for health and financial support from cooperating partners were identified as enablers to integration of family planning and HIV services. The absence of policy guidance, limited physical space and lack of coordination were recognized as barriers to the integration of family planning and HIV services. In addition, lack of regular training for service providers, lack of donor flexibility on fund utilization and frequent stock-out of long-acting reversible contraceptives were additional barriers to integrating family planning and HIV services. The purpose of this paper is to document the factors which affect integration of family planning and HIV services in public health facilities in Lusaka District in Zambia.

Published in World Journal of Public Health (Volume 7, Issue 2)
DOI 10.11648/j.wjph.20220702.16
Page(s) 70-78
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Family Planning, HIV Services, Integration, Health Systems, Barriers and Facilitators

References
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  • APA Style

    Luka Nkhoma, Doreen Chilolo Sitali, Joseph Mumba Zulu. (2022). Integration of Family Planning and HIV Services: A Study of the Health Systems Factors Affecting Integration in Public Health Facilities in Lusaka District in Zambia. World Journal of Public Health, 7(2), 70-78. https://doi.org/10.11648/j.wjph.20220702.16

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    ACS Style

    Luka Nkhoma; Doreen Chilolo Sitali; Joseph Mumba Zulu. Integration of Family Planning and HIV Services: A Study of the Health Systems Factors Affecting Integration in Public Health Facilities in Lusaka District in Zambia. World J. Public Health 2022, 7(2), 70-78. doi: 10.11648/j.wjph.20220702.16

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    AMA Style

    Luka Nkhoma, Doreen Chilolo Sitali, Joseph Mumba Zulu. Integration of Family Planning and HIV Services: A Study of the Health Systems Factors Affecting Integration in Public Health Facilities in Lusaka District in Zambia. World J Public Health. 2022;7(2):70-78. doi: 10.11648/j.wjph.20220702.16

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  • @article{10.11648/j.wjph.20220702.16,
      author = {Luka Nkhoma and Doreen Chilolo Sitali and Joseph Mumba Zulu},
      title = {Integration of Family Planning and HIV Services: A Study of the Health Systems Factors Affecting Integration in Public Health Facilities in Lusaka District in Zambia},
      journal = {World Journal of Public Health},
      volume = {7},
      number = {2},
      pages = {70-78},
      doi = {10.11648/j.wjph.20220702.16},
      url = {https://doi.org/10.11648/j.wjph.20220702.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20220702.16},
      abstract = {Increased access to contraception by women of child bearing age still remains a global public health challenge. For instance, in 2017, 25% of women who did not intend to get pregnant were not using any form of modern contraceptives. The majority (21%) of the women who were not using modern contraceptives live in Sub-Saharan Africa. We conducted twenty-seven interviews with five policy makers, ten health administrators and twelve Service providers in Lusaka District in Zambia. The interviews were conducted at the Provincial Health Office, Ministry of Health and at three first level hospitals. An interview guide was used to generate data and the data was analyzed using thematic analysis. The factors that were investigated included; leadership and governance, planning, financing for health, service delivery, human resource for health and monitoring and evaluation. Availability of human resource for health and financial support from cooperating partners were identified as enablers to integration of family planning and HIV services. The absence of policy guidance, limited physical space and lack of coordination were recognized as barriers to the integration of family planning and HIV services. In addition, lack of regular training for service providers, lack of donor flexibility on fund utilization and frequent stock-out of long-acting reversible contraceptives were additional barriers to integrating family planning and HIV services. The purpose of this paper is to document the factors which affect integration of family planning and HIV services in public health facilities in Lusaka District in Zambia.},
     year = {2022}
    }
    

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    T1  - Integration of Family Planning and HIV Services: A Study of the Health Systems Factors Affecting Integration in Public Health Facilities in Lusaka District in Zambia
    AU  - Luka Nkhoma
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    AB  - Increased access to contraception by women of child bearing age still remains a global public health challenge. For instance, in 2017, 25% of women who did not intend to get pregnant were not using any form of modern contraceptives. The majority (21%) of the women who were not using modern contraceptives live in Sub-Saharan Africa. We conducted twenty-seven interviews with five policy makers, ten health administrators and twelve Service providers in Lusaka District in Zambia. The interviews were conducted at the Provincial Health Office, Ministry of Health and at three first level hospitals. An interview guide was used to generate data and the data was analyzed using thematic analysis. The factors that were investigated included; leadership and governance, planning, financing for health, service delivery, human resource for health and monitoring and evaluation. Availability of human resource for health and financial support from cooperating partners were identified as enablers to integration of family planning and HIV services. The absence of policy guidance, limited physical space and lack of coordination were recognized as barriers to the integration of family planning and HIV services. In addition, lack of regular training for service providers, lack of donor flexibility on fund utilization and frequent stock-out of long-acting reversible contraceptives were additional barriers to integrating family planning and HIV services. The purpose of this paper is to document the factors which affect integration of family planning and HIV services in public health facilities in Lusaka District in Zambia.
    VL  - 7
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Author Information
  • Institute of Distance Education, University of Zambia, Lusaka, Zambia

  • School of Public Health, University of Zambia, Lusaka, Zambia

  • Institute of Distance Education, University of Zambia, Lusaka, Zambia

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