The perceptions and experiences of facility managers in the implementation of safer conception services in public health care facilities

Safer Conception Services (SCS) refers to the provision of a package of care for individuals of reproductive age who are affected with HIV to have safe and healthy pregnancies. South Africa has one of the highest HIV burdens in the world, yet limited availability of SCS. Therefore, this study investigated healthcare managers' response to an implementation project piloting SCS integration into primary healthcare services in Johannesburg. As part of the implementation study, data was collected from six facility healthcare managers using In-Depth interviews between November 2017 - September 2018. Data were analyzed using thematic analysis. The following four (4) themes emerged: positive response to the implementation of SCS, capacity building, the impact of SCS, and the need to scale up SCS. The results suggested that providers engaged saw value in the implementation of SCS. The results further suggest that there was an openness, willingness, cheerful outlook, and support to make SCS more widely available; however, streamlined processes are important to ensure feasibility. Continuous training is necessary to routinize implementation and ensure adequate coverage of services. Available guidelines should be translated into training programs and more initiative-taking policies to support the scale-up of this essential service

Business · Computer security · Health care · Perception · Political science · Public health · Public relations · SAFER · Sociology · Computer Science · Elder Abuse and Neglect · Geriatric Care and Nursing Homes · Medicine · Nursing · Psychology

• HIV Care Providers’ Communication with Patients About Safer Conception for People Living with HIV in Tanzania

  Saleem Saleem, Surkan Surkan et al.•International Perspectives on…•2016

  Incluir item

• Benefits and Challenges of Safer-Conception Counseling for HIV Serodiscordant Couples in Uganda

  D Mindry, Mindry Mindry et al.•International Perspectives on…•2018

  Incluir item

• “I don't know if this is right … but this is what I'm offering”

  Nora S West, Nora West et al.•AIDS Care•2016

  Incluir item

• “If I don’t use a condom … I would be stressed in my heart that I’ve done something wrong”

  Open Access•Lynn T Matthews, Lizzie Moore et al.•AIDS and Behavior•2015

  Incluir item

• Integrating safer conception services into primary care

  Open Access•Mariya C Patwa, Jean Bassett et al.•BMC Public Health•2019

  Incluir item

• Strategies for Harm Reduction Among HIV-Affected Couples Who Want to Conceive

  Open Access•Lynn T Matthews, Joia S Mukherjee•AIDS and Behavior•2009

  Incluir item

• Gender, HIV Testing and Stigma

  Open Access•Sarah Treves-Kagan, Alison M El Ayadi et al.•AIDS and Behavior•2017

  Incluir item

• Consensus statement

  Open Access•Lynn T Matthews, Jolly Beyeza‐Kashesya et al.•AIDS and Behavior•2017

  Incluir item

• I May Not Say We Really Have a Method, It Is Gambling Work”

  Sarah Finocchario-Kessler, Rhoda Wanyenze et al.•Health Care For Women International•2014

  Incluir item

• Our Hands Are Tied Up”

  Kathy Goggin, D Mindry et al.•Health Care For Women International•2014

  Incluir item

• Data Analysis Methods for Qualitative Research

  Open Access•Michael Belotto•Qualitative Report•2018

  Incluir item

• Ensuring Sexual and Reproductive Health for People Living with HIV

  Sofia Gruskin, Laura Ferguson et al.•Reproductive Health Matters•2007

  Incluir item

• Thematic Analysis

  Open Access•Lorelli Nowell, Jill M Norris et al.•International Journal of…•2017

  Incluir item