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

Luka Nkhoma; Doreen Chilolo Sitali; Joseph Mumba Zulu

doi:doi:10.11648/j.wjph.20220702.16

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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

Luka Nkhoma, Doreen Chilolo Sitali, Joseph Mumba Zulu

Published in World Journal of Public Health (Volume 7, Issue 2)

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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TY  - JOUR
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
AU  - Doreen Chilolo Sitali
AU  - Joseph Mumba Zulu
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DO  - 10.11648/j.wjph.20220702.16
T2  - World Journal of Public Health
JF  - World Journal of Public Health
JO  - World Journal of Public Health
SP  - 70
EP  - 78
PB  - Science Publishing Group
SN  - 2637-6059
UR  - https://doi.org/10.11648/j.wjph.20220702.16
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
IS  - 2
ER  -

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Author Information

Luka Nkhoma

Institute of Distance Education, University of Zambia, Lusaka, Zambia
Doreen Chilolo Sitali

School of Public Health, University of Zambia, Lusaka, Zambia
Joseph Mumba Zulu

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

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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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TY  - JOUR
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
AU  - Doreen Chilolo Sitali
AU  - Joseph Mumba Zulu
Y1  - 2022/06/16
PY  - 2022
N1  - https://doi.org/10.11648/j.wjph.20220702.16
DO  - 10.11648/j.wjph.20220702.16
T2  - World Journal of Public Health
JF  - World Journal of Public Health
JO  - World Journal of Public Health
SP  - 70
EP  - 78
PB  - Science Publishing Group
SN  - 2637-6059
UR  - https://doi.org/10.11648/j.wjph.20220702.16
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
IS  - 2
ER  -

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