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. 2018 Oct;33(4):e1037-e1049.
doi: 10.1002/hpm.2586. Epub 2018 Jul 26.

Rwandan stakeholder perspectives of integrated family planning and HIV services

Kristin M Wall  1   2 , Roger Bayingana  3 , Rosine Ingabire  3 , Lauren Ahlschlager  1 , Amanda Tichacek  1 , Susan Allen  1 , Etienne Karita  3
Affiliations

Rwandan stakeholder perspectives of integrated family planning and HIV services

Kristin M Wall et al. Int J Health Plann Manage. 2018 Oct.

Abstract

The purpose of this qualitative study was to understand the knowledge, attitudes, and practices among key Rwandan policymakers and stakeholders related to family planning (FP) and integrated HIV/FP services. Motivational in-depth interview format and content was developed after an extensive policy review. A convenience sample of 10 high-level HIV and FP Rwandan policymakers and stakeholders completed the interview. Stakeholders demonstrated strong foundational knowledge of HIV and FP. Given the choice, stakeholders would allocate more monies to FP and less to HIV than currently distributed. Respondents felt that improved FP method knowledge, especially long-acting reversible contraception, among clients/couples and providers, was needed to address myths, misconceptions, and biases. The most often cited way to integrate HIV/FP services was development of integrated tools (eg, training materials, data collection tools, and advocacy and policy guidance). We recommend strategies for policy advancement supportive of HIV/FP service integration inclusive of couples and long-acting reversible contraception methods.

Keywords: HIV; Rwanda; family planning; policy change; service integration.

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Conflict of interest statement

The coauthors have no conflicts of interest.

Figures

Figure 1
Figure 1
Stakeholder opinions on HIV resource allocation. ART: antiretroviral treatment; CVCT: couples' voluntary HIV counseling and testing; PMTCT: prevention of mother‐to‐child transmission; FSW: female sex worker; MSM: men who have sex with men
See this image and copyright information in PMC

References

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    1. National Institute of Statistics of Rwanda (NISR) [Rwanda], Ministry of Health (MOH) [Rwanda], ICF International. Rwanda Demographic and Health Survey. 2012; https://dhsprogram.com/pubs/pdf/FR259/FR259.pdf. Accessed Nov 14, 2017.
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    1. United Nations, Department of Economic and Social Affairs, Population Division . Trends in Contraceptive Use Worldwide 2015.2015;ST/ESA/SERA/349.
    1. USAID . Promoting integration of family planning into HIV and AIDS programming. 2016; https://www.usaid.gov/what‐we‐do/global‐health/hiv‐and‐aids/technical‐ar.... Accessed April 17, 2017.

MeSH terms