Healthcare providers' perception about challenges of reproductive health service utilisation.

Background: Reproductive health service maintains optimal health and reduces missed opportunities for seropositive women. But it is reported that the service uptake is not adequately recognised. Aim: This study helped to explore healthcare providers' perceived challenges of reproductive health service utilisation by seropositive women. Setting: This study was conducted in Addis Ababa, June 2021. Methods: Qualitative-exploratory research design was carried out. Human immunodeficiency virus (HIV) programme representative health professionals ( Result: Participants' mean age was 30.14 years; 12 (54.5%) of them were nurses, and 11 (50%) of them worked for 2-4 years. Low reproductive healthcare utilisation was related to the vertical care delivery approach to HIV, lack of clear guidance for providing multidimensional care, technical skill gaps and the low caring attitude of health professionals. Another factor that lessens reproductive health use was seropositive women's fear of status disclosure, interest for only HIV care or demanding additional incentives for newly introduced care. Conclusion: Reproductive health service is inadequately utilised by seropositive women due to several reasons and causes inefficient opportunities to care. Contribution: This study helps for task-shifting and to design reproductive health components integration with HIV care that ensures comprehensive service to these target population.