Evidence map›Paper›PMID 27091158›Full record

ArticleReproductive health2016

Challenges encountered in providing integrated HIV, antenatal and postnatal care services: a case study of Katakwi and Mubende districts in Uganda.

Sharon Eva Ahumuza, Joseph Rujumba, Abdallah Nkoyooyo, Raymond Byaruhanga, Rhoda K Wanyenze

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Article in Reproductive health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sharon Eva AhumuzaMakSPH-CDC Fellowship Program, Makerere University College of Health Sciences, School of Public Health, P.O. Box 7072, Kampala, Uganda. tashaahumuza@gmail.com.
Joseph RujumbaDepartment of Peadiatrics and Child Health, College of Health Sciences, School of Medicine, Makerere University, P.O. Box 7072, Kampala, Uganda.
Abdallah NkoyooyoAIDS Information Center, Plot 1321 Musaja Alumbwa, Mengo-Kisenyi, Kampala, Uganda.
Raymond ByaruhangaAIDS Information Center, Plot 1321 Musaja Alumbwa, Mengo-Kisenyi, Kampala, Uganda.
Rhoda K WanyenzeDepartment of Disease Control and Environmental Health, Makerere University College of Health Sciences, School of Public Health, P.O. Box 7072, Kampala, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntegration of sexual and reproductive health (SRH), HIV/AIDS and maternal health (MH) services is a critical strategy to confront the HIV/AIDS epidemic, high maternal mortality and the unmet need for contraception. In 2011 the AIDS Information Centre (AIC) in partnership with the Ministry of Health implemented SRH, HIV/AIDS and MH integration services in the districts of Katakwi and Mubende in Uganda. This paper documents challenges encountered in providing these integrated services in the two districts.

methodsThis was a cross-sectional qualitative study conducted in Mubende and Katakwi districts in Uganda. Data were collected using 10 focus group discussions with 89 women attending ANC and postnatal care and 21 key informant interviews with district managers and health workers who were involved in the integrated service delivery. Content thematic approach was used for data analysis.

resultsThe study findings indicate that various challenges were encountered in integrating HIV, ANC and PNC services. Major challenges included inadequate staff, gaps in knowledge of service providers especially with regard to provision of long-term family planning, limited space, shortage of critical supplies such as HIV test kits, drugs and gloves.

conclusionThese findings indicate that the delivery of integrated HIV, SRH and MH services is hampered greatly by health system challenges and depict the need for additional staffing in health facilities, capacity building of health workers and health managers as well as ensuring sufficient supplies to health facilities for smooth implementation of integrated SRH, HIV and MH services.

Indexed as

Delivery of Health Care, IntegratedPostnatal CarePrenatal CareRural HealthAdolescentAdultAnti-HIV AgentsCapacity BuildingCross-Sectional StudiesFemaleFocus GroupsGloves, ProtectiveHealth WorkforceHIV InfectionsHumansOrganizational Case StudiesAnti-HIV AgentsReagent Kits, DiagnosticAntenatal servicesIntegrated HIVPostnatal service and challenges in providing integrated services

Identifiers

PMID27091158
PMCPMC4836081

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.