Integrating Sexual Health Services Into Primary Care: An Overview of Health Systems Issues and Challenges in Developing Countries


Church, K; de Koning, K; Hilber, AM; Ormel, H; Hawkes, S; (2010) Integrating Sexual Health Services Into Primary Care: An Overview of Health Systems Issues and Challenges in Developing Countries. International journal of sexual health, 22 (3). pp. 131-143. ISSN 1931-7611 DOI: https://doi.org/10.1080/19317611003672823

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Abstract

Current attempts to address the high burden of sexual health morbidity and mortality in developing countries remain limited in scale due to a range of health system constraints. We conducted a literature review of the policy and programmatic issues that influence the integration of sexual health into primary care services in developing countries. Forty-seven reports were identified from a search of both peer-reviewed and gray literature. Key issues identified were intersectoral and intergovernmental coordination; management and organizational issues including decentralization, health sector reform, logistics, and referral systems; human resources, including training and support required to increase service scope; relationships between the public and private sectors; and scaling-up and financing issues.

Item Type: Article
Keywords: Sexual health, reproductive health, health systems, primary care, FAMILY-PLANNING-SERVICES, SUB-SAHARAN AFRICA, REPRODUCTIVE HEALTH, SOUTH-AFRICA, PREVENTION, SECTOR, EXPERIENCE, HIV/AIDS, CLINICS, HIV
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Research Centre: Population Studies Group
Web of Science ID: 283319600001
URI: http://researchonline.lshtm.ac.uk/id/eprint/2285

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