Integrating Reproductive Health and HIV Indicators into the Nigerian Health System – Building an Evidence Base for Action
), Nzapfurundi Otto Chabikuli(2), Mike Merrigan(3), Dorka Awi(4), Christoph Hamelmann(5),
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(2)
(3)
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(5)
Corresponding Author
Abstract
The lack of integrated M&E system makes it difficult to assess the effectiveness of HIV and family planning (FP) service integration. Since 2007, Nigeria integrated FP and HIV M&E systems. A pre-post survey compared the availability and use of FP-HIV integration M&E tools six months pre- and 12-months post-integration in 71 health facilities supported by the Global HIV/AIDS Initiative Nigeria (GHAIN). Pre-integration, four facilities (6%) had national FP registers, 32 (45%) had monthly aggregated FP data and 33 (46%) reported data up to national level. Post-integration, all (100%) facilities used national FP register with FP-HIV integration indicators, and reported data up to national level. Sixty six facilities (93%) had at least one monthly supervisory visit. Average number of FP clients per facility referred for HIV testing increased from five in the first month to 15 by month 12 postintegration. Leveraging resources of HIV programs improved significantly the monitoring of FP-HIV services integration (Afr J Reprod Health 2010; 14[1]:109-116).
RĖSUMĖ
Integration de la sante de la reproduction et les indices du vih dans le systeme de la sante publique: L’etablissement d’une base d’evidence pour l’action. Le manque de système de la S & E intègre, le rend difficile à évaluer l’efficacité de l’intégration du service du VIH et de la planification familiale (PF) Depuis 2007, le Nigéria a intégré la PF et le les systèmes de surveillance et d’évaluation (S & E). Une enquête faite avant et après l’intégration a comparé la disponibilité et l’emploi des outils de l’intégration de la S & E et de la PF – VIH six mois avant et 12 mois après l’intégration dans 71 établissements de santé soutenus par Global HIV/AIDS Initiative Nigéria (GHAIN). En ce qui concerne pre-intégration, quatre établissements (6%) avaient des registres de la PF nationale, 32 (45%) avaient des données mensuelles totales de la PF et 33 (46%) ont signalé les données jusqu’au niveau national. Pour ce qui est de la post-intégration, tous les établissements (100%) se sont servis du registre de la PF nationale avec les indices de l’intégration PF – VIH et ont signalé les données jusqu’au niveau national. Soixante-six établissements (93%) avaient au moins une visite de surveillance par mois. Le nombre moyen des clients de la PF dans chaque établissement qui ont été orientes vers des établissements pour le test pour le VIH a augmente de 5 le premier mois jusq’au 15 dans le 12ième mois de la post intégration. Les ressources destinées aux programmes du VIH ont amélioré de manière importante les services de la moniteur et de la PF – VIH intégration (Afr J Reprod Health 2010; 14[1]:109-116).
KEYWORDS: Family planning, HIV, integration, monitoring and evaluation
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