Addressing the postnatal needs of new mothers is a neglected area of care throughout sub-Saharan Africa. Unintended pregnancies during the first 12 months following delivery, and vertical transmission of HIV during labor and delivery, are some of the challenges faced by women during the extended postpartum period. Many women want to delay or avoid another pregnancy, but are not using a modern contraceptive method. Few developing countries ensure that mothers and newborns are assessed early and monitored during the initial six-week period as recommended by WHO, which contributes to discontinuity of services received during pregnancy and delivery and limits linkages to other key services, including family planning, HIV testing and counseling, and HIV care for women and infants. The “Steps to Integration” series provides a guide on how to integrate HIV and SRH services based on findings from the Integra Initiative, managed by the International Planned Parenthood Federation in partnership with the London School of Hygiene & Tropical Medicine and the Population Council. Issue 5 of the series focuses on the effect of integrating HIV services on quality of postnatal care in Kenya and Swaziland.
"The effect of integrating HIV services on quality of postnatal care," Steps to Integration, Issue 5. Washington, DC: Integra Initiative, 2015.
Assessing the Benefits of Integrated HIV and Reproductive Health Services: The Integra Initiative
Kushughulikia mahitaji ya baada ya kuzaliwa ya akina mama wapya ni eneo la utunzaji lililopuuzwa kote Afrika kusini mwa Jangwa la Sahara. Mimba isiyo ya kawaida katika miezi 12 ya kwanza baada ya kujifungua, na maambukizi ya HIV wakati wa kuzaa na kujifungua, ni baadhi ya changamoto zinazokabili wanawake katika kipindi kirefu cha baada ya kujifungua. Wanawake wengi wanataka kuchelewesha au kuepuka mimba nyingine, lakini hawatumii njia ya kisasa ya kuzuia mimba. Nchi chache zinazoendelea zinahakikisha kwamba mama na watoto wachanga wanathaminiwa mapema na kufuatiliwa katika kipindi cha kwanza cha wiki sita kama inavyopendekezwa na WHO, ambayo inachangia kutokuwa na huduma zilizopokelewa wakati wa ujauzito na kuzaa na kupunguza uhusiano na huduma zingine muhimu, ikiwa ni pamoja na mipango ya familia, upimaji wa HIV na ushauri, na huduma ya HIV kwa wanawake na watoto wachanga. "Mfululizo wa ""Hatua za Kuunganisha"" hutoa mwongozo juu ya jinsi ya kuunganisha huduma za VVU na afya ya kijinsia na kijinsia kulingana na matokeo kutoka kwa mpango wa Integra, unaosimamiwa na Shirikisho la Kimataifa la Mpango wa Wazazi kwa kushirikiana na Shule ya London ya Usafi na Tiba ya Tropiki na Baraza la Idadi." Toleo la tano la mfululizo huo linazingatia athari ya kuunganisha huduma za HIV kwenye ubora wa huduma ya baada ya kuzaliwa nchini Kenya na Swaziland. "Utekelezaji wa huduma za HIV kwa ubora wa huduma ya baada ya kuzaliwa,"" Hatua za Kuunganisha, Toleo la 5. "Wachina: ""Integral"" (Integral) ni mpango wa kimataifa wa kimataifa wa maendeleo ya kimataifa ulioanzishwa mwaka 2015 na Umoja wa Mataifa." Tathmini ya Faida za Huduma za Pamoja za Ukimwi na Afya ya Uzazi: Mpango wa Integra