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Rwandan stakeholder perspectives of integrated family planning and HIV services
Author(s) -
Wall Kristin M.,
Bayingana Roger,
Ingabire Rosine,
Ahlschlager Lauren,
Tichacek Amanda,
Allen Susan,
Karita Etienne
Publication year - 2018
Publication title -
the international journal of health planning and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.672
H-Index - 41
eISSN - 1099-1751
pISSN - 0749-6753
DOI - 10.1002/hpm.2586
Subject(s) - stakeholder , human immunodeficiency virus (hiv) , family planning , service provider , public relations , service (business) , service delivery framework , medicine , business , psychology , political science , family medicine , population , marketing , research methodology , environmental health
Summary 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.