Integration of sexual and reproductive health services in KwaZulu-Natal, South Africa.


Maharaj, P; Cleland, J; (2005) Integration of sexual and reproductive health services in KwaZulu-Natal, South Africa. Health policy and planning, 20 (5). pp. 310-8. ISSN 0268-1080 DOI: https://doi.org/10.1093/heapol/czi038

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Abstract

An integrated sexual and reproductive health package is widely regarded as essential for meeting the needs of both men and women. The practical realities of integration in KwaZulu-Natal, South Africa, were examined from the perspective of both providers and clients. Only minorities of clients received any assessment of reproductive and sexual health needs over and above their main presenting need or problem. The majority would have welcomed such assessments and many were classified as being in need, particularly for advice and services with regard to sexually transmitted infections, including HIV. Most providers were positive about integration, but their ability to practice an active form of integration was limited by inadequate training and time constraints. While training defects can be remedied, the time constraints posed by heavy patient loads are less tractable. More skillful use of booking clerks or the introduction of lay counsellors are also possible solutions.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Population Studies (1974-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Research Centre: Centre for Maternal, Reproductive and Child Health (MARCH)
Population Studies Group
PubMed ID: 16113402
Web of Science ID: 231473100006
URI: http://researchonline.lshtm.ac.uk/id/eprint/12252

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