English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Ending AIDS as a public health threat while aiming for universal access to Sexual Reproductive Health (SRH) remains a dual strategic goal of both HIV/AIDS and SRH programming. Advancing this goal across the two programming areas will require deliberate interventions to connect implementation at policy, systems, funding, coordination, management, service delivery and monitoring levels. In 2017, Sub-Saharan Africa was home to 25.6 million people living with HIV [4]. This represents 69.6% of the people living with HIV in the world. The level of new infections among children remains high with 159,000 new infections in 2017, despite the progress made during the past two decades to eliminate mother-to-child HIV transmission [4, 6, 7]. The global community survey carried out in 2014 on SRH priorities among women living with HIV to inform WHO guidelines, revealed 56.7% rate of unplanned pregnancy, with only 55.3% of women living with HIV having benefited from practical support for safe methods of conception. At three large maternity centers in the Eastern Cape, South Africa, the prevalence of unplanned pregnancy among women living with HIV was 71% (Oladele Adeniyi et al.) [8]. Additionally, sub-Saharan Africa has a low modern contraceptive prevalence rate estimated at 28% [2] and continued high unmet need for family planning (FP) at 22%, almost double the global average [3]. The journey to ending AIDS and ensuring universal access to SRH including FP by 2030 will require strategic investment choices and smart integration models. Since the 2004 Glion Call to Action on the linkage between FP and Prevention of Mother-to-Child Transmission of HIV (PMTCT), several initiatives and policies have been put in place to facilitate SRH and HIV integration [5]. What constitutes service integration has long been a subject of debate. Johnson, Varallyay & Ametepi (2018) have tackled it with a literature review that revealed how the lexicon of terms referring to concepts related to “integration” is varied, and its definition is not uniformly understood. The related term most commonly used, sometimes interchangeably, is the concept of “linkages”. The World Health Organization made an attempt to distinguish between these two terms, defining “linkages” as a concept that encompasses more broadly the synergies that exist between sexual and reproductive health and HIV policies, programs, services, and advocacy efforts while defining “integration” as one level more specifically focused on targeted services and/or programs that can be joined together to ensure and maximize collective outcomes by offering more comprehensive services. Such definition requires specific organizational structures and management procedures to support such enhanced service delivery [1]. Despite insufficient data to fully evaluate the effect of SRH and Rights (SRHR)/HIV integration on unplanned pregnancies comparing outcomes from integrated to non-integrated sites, several studies demonstrated reduction in costs for service delivery, increased client knowledge, and increased use of modern contraceptive methods (Haberlen, Narasimhan, Beres & Kennedy, 2017) [23]. To realize higher levels of operational efficiencies, project

reproductive health

Effective integration of sexual reproductive health and HIV prevention, treatment, and care services across sub-Saharan Africa: where is the evidence for program implementation?