The Linked Response: Lessons Emerging from Integration of HIV and Reproductive Health Services in Cambodia
A qualitative assessment was made of service provider and user perceptions of the quality of integrated reproductive health services established through a pilot intervention in Cambodia. The intervention aimed to promote pregnant women's HIV testing and general utilization of reproductive healt...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | AIDS Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2013/504792 |
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| _version_ | 1832548210793512960 |
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| author | Joanna White Thérèse Delvaux Chhorvann Chhea Sarun Saramony Vichea Ouk Vonthanak Saphonn |
| author_facet | Joanna White Thérèse Delvaux Chhorvann Chhea Sarun Saramony Vichea Ouk Vonthanak Saphonn |
| author_sort | Joanna White |
| collection | DOAJ |
| description | A qualitative assessment was made of service provider and user perceptions of the quality of integrated reproductive health services established through a pilot intervention in Cambodia. The intervention aimed to promote pregnant women's HIV testing and general utilization of reproductive health facilities as well as improve the follow-up of HIV-positive women and exposed infants through strengthened referral and operational linkages amongst health facilities/services and community-based support interventions for PLHIV. The study was conducted in one operational district where the intervention was piloted and for comparative purposes in a district where integrated services had yet to be implemented. Service providers in the pilot district reported improved collaboration and coordination of services, more effective referral, and the positive impact of improved proximity of HIV testing through integrated local level facilities. Community-based support teams for PLHIV embraced their expanded role, were valued by families receiving their assistance, and were understood to have had an important role in referral, PMTCT follow-up and countering PLHIV stigmatization; findings which underscore the potential role of community support in integrated service provision. Challenges identified included stigmatization of PLHIV by health staff at district hospital level and a lack of confidence amongst non-specialized health staff when managing deliveries by HIV-positive women, partly due to fear of HIV transmission. |
| format | Article |
| id | doaj-art-ad9d1380aa324859a46a4876320626b7 |
| institution | Kabale University |
| issn | 2090-1240 2090-1259 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | AIDS Research and Treatment |
| spelling | doaj-art-ad9d1380aa324859a46a4876320626b72025-02-03T06:41:57ZengWileyAIDS Research and Treatment2090-12402090-12592013-01-01201310.1155/2013/504792504792The Linked Response: Lessons Emerging from Integration of HIV and Reproductive Health Services in CambodiaJoanna White0Thérèse Delvaux1Chhorvann Chhea2Sarun Saramony3Vichea Ouk4Vonthanak Saphonn5Department of Public Health, Institute of Tropical Medicine, 155, Nationalestraat, 2000 Antwerp, BelgiumDepartment of Public Health, Institute of Tropical Medicine, 155, Nationalestraat, 2000 Antwerp, BelgiumSurveillance Unit, National Center for HIV/AIDS, Dermatology and STD, 855 Phnom Penh, CambodiaResarch Unit, National Center for HIV/AIDS, Dermatology and STD, 855 Phnom Penh, CambodiaTechnical Bureau, National Center for HIV/AIDS, Dermatology and STD, 855 Phnom Penh, CambodiaResarch Unit, National Center for HIV/AIDS, Dermatology and STD, 855 Phnom Penh, CambodiaA qualitative assessment was made of service provider and user perceptions of the quality of integrated reproductive health services established through a pilot intervention in Cambodia. The intervention aimed to promote pregnant women's HIV testing and general utilization of reproductive health facilities as well as improve the follow-up of HIV-positive women and exposed infants through strengthened referral and operational linkages amongst health facilities/services and community-based support interventions for PLHIV. The study was conducted in one operational district where the intervention was piloted and for comparative purposes in a district where integrated services had yet to be implemented. Service providers in the pilot district reported improved collaboration and coordination of services, more effective referral, and the positive impact of improved proximity of HIV testing through integrated local level facilities. Community-based support teams for PLHIV embraced their expanded role, were valued by families receiving their assistance, and were understood to have had an important role in referral, PMTCT follow-up and countering PLHIV stigmatization; findings which underscore the potential role of community support in integrated service provision. Challenges identified included stigmatization of PLHIV by health staff at district hospital level and a lack of confidence amongst non-specialized health staff when managing deliveries by HIV-positive women, partly due to fear of HIV transmission.http://dx.doi.org/10.1155/2013/504792 |
| spellingShingle | Joanna White Thérèse Delvaux Chhorvann Chhea Sarun Saramony Vichea Ouk Vonthanak Saphonn The Linked Response: Lessons Emerging from Integration of HIV and Reproductive Health Services in Cambodia AIDS Research and Treatment |
| title | The Linked Response: Lessons Emerging from Integration of HIV and Reproductive Health Services in Cambodia |
| title_full | The Linked Response: Lessons Emerging from Integration of HIV and Reproductive Health Services in Cambodia |
| title_fullStr | The Linked Response: Lessons Emerging from Integration of HIV and Reproductive Health Services in Cambodia |
| title_full_unstemmed | The Linked Response: Lessons Emerging from Integration of HIV and Reproductive Health Services in Cambodia |
| title_short | The Linked Response: Lessons Emerging from Integration of HIV and Reproductive Health Services in Cambodia |
| title_sort | linked response lessons emerging from integration of hiv and reproductive health services in cambodia |
| url | http://dx.doi.org/10.1155/2013/504792 |
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