Rwandan stakeholder perspectives of integrated family planning and HIV services

• Authors: Kristin Wall, Emory University; Roger Bayingana, Emory University; Rosine Ingabire, Emory University; Lauren Ahlschlager, Emory University; Amanda Tichacek, Emory University; Susan Allen, Emory University; Etienne Karita, Emory University
• Journal Title: International Journal of Health Planning and Management
• Volume: Volume 33, Number 4
• Publisher: Wiley: 12 months | 2018-10-01, Pages E1037-E1049
• Type of Work: Article | Final Publisher PDF
• Publisher DOI: http://doi.org/10.1002/hpm.2586
• Subjects: Health Sciences, Public Health
• Keywords: Science & Technology; Life Sciences & Biomedicine; Health Policy & Services; Public, Environmental & Occupational Health; Health Care Sciences & Services; family planning; HIV; policy change; Rwanda; service integration; REPRODUCTIVE HEALTH; PERFORMANCE; DISTRICT; DELIVERY; COUPLES; CARE

Abstract

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.