Integrating HIV prevention with family planning services for adolescent girls and young women in Uganda: perspectives of adolescent girls and young women, health care providers, and policymakers
IntroductionPersistently high HIV incidence among women, especially adolescent girls and young women (AGYW), have drawn the attention of national policymakers, donors, and implementers in Sub-Saharan Africa to the integration of HIV and family planning (FP) programs. According to several research st...
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Reproductive Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/frph.2025.1441829/full |
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| author | Justine K. Tumusiime Davina Canagasabey Peter Mudiope Sabrina Kitaka Allen Namagembe Fiona Walugembe Bridget Nakankaka Josephine Nabuuma Jesca Nasunku Jane Cover Betty Mirembe Ashley Jackson Kimberly Green |
| author_facet | Justine K. Tumusiime Davina Canagasabey Peter Mudiope Sabrina Kitaka Allen Namagembe Fiona Walugembe Bridget Nakankaka Josephine Nabuuma Jesca Nasunku Jane Cover Betty Mirembe Ashley Jackson Kimberly Green |
| author_sort | Justine K. Tumusiime |
| collection | DOAJ |
| description | IntroductionPersistently high HIV incidence among women, especially adolescent girls and young women (AGYW), have drawn the attention of national policymakers, donors, and implementers in Sub-Saharan Africa to the integration of HIV and family planning (FP) programs. According to several research studies, FP services could offer a holistic strategy to address the HIV and FP needs of this demographic by including HIV prevention approaches, particularly HIV pre-exposure prophylaxis. Our study set out to explore the obstacles and opportunities that AGYW faced in accessing, using, and continuing HIV prevention and contraceptive services; to develop ideas for novel service models that would allow AGYW to receive integrated, HIV prevention and contraception services; and to evaluate the viability, scalability, and acceptability of these models through dialogues with stakeholders using a human-centered design approach.MethodsWe conducted 128 in-depth interviews with 60 AGYW, 24 public and private health care providers, 10 community leaders, and 10 policymakers). We also conducted two co-creation workshops with 50 AGYW and 10 health care providers in Masaka and Nakasongola districts to generate service delivery models.ResultsOur findings reveal various enablers and barriers to the successful integration of HIV prevention into FP services in the areas of policy, human resources and infrastructure, resource management, service delivery, community involvement, supply chain management, and monitoring and reporting.DiscussionSuccessful integration will require addressing key concerns raised by participants in human resource and infrastructure, resource management, service delivery, demand creation, male involvement, supply chain management and monitoring and reporting. |
| format | Article |
| id | doaj-art-e710682d3c9a452d862e72f8bc9f69ce |
| institution | DOAJ |
| issn | 2673-3153 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Reproductive Health |
| spelling | doaj-art-e710682d3c9a452d862e72f8bc9f69ce2025-08-20T02:45:08ZengFrontiers Media S.A.Frontiers in Reproductive Health2673-31532025-02-01710.3389/frph.2025.14418291441829Integrating HIV prevention with family planning services for adolescent girls and young women in Uganda: perspectives of adolescent girls and young women, health care providers, and policymakersJustine K. Tumusiime0Davina Canagasabey1Peter Mudiope2Sabrina Kitaka3Allen Namagembe4Fiona Walugembe5Bridget Nakankaka6Josephine Nabuuma7Jesca Nasunku8Jane Cover9Betty Mirembe10Ashley Jackson11Kimberly Green12PATH, Uganda Country Program, Kampala, UgandaPATH, Primary Health Care, Washington, DC, United StatesAIDS Control Program, Ministry of Health, Kampala, UgandaPediatrics and Child Health Kampala, Makerere University College of Health Sciences, Kampala, UgandaPATH, Uganda Country Program, Kampala, UgandaPATH, Uganda Country Program, Kampala, UgandaAGYW Peer Researcher, Masaka, UgandaAGYW Peer Researcher, Masaka, UgandaAGYW Peer Researcher, Nakasongola, UgandaPATH, Primary Health Care, Seattle, WA, United StatesPATH, Uganda Country Program, Kampala, UgandaPATH, Primary Health Care, Seattle, WA, United StatesPATH, Primary Health Care, Geneva, SwitzerlandIntroductionPersistently high HIV incidence among women, especially adolescent girls and young women (AGYW), have drawn the attention of national policymakers, donors, and implementers in Sub-Saharan Africa to the integration of HIV and family planning (FP) programs. According to several research studies, FP services could offer a holistic strategy to address the HIV and FP needs of this demographic by including HIV prevention approaches, particularly HIV pre-exposure prophylaxis. Our study set out to explore the obstacles and opportunities that AGYW faced in accessing, using, and continuing HIV prevention and contraceptive services; to develop ideas for novel service models that would allow AGYW to receive integrated, HIV prevention and contraception services; and to evaluate the viability, scalability, and acceptability of these models through dialogues with stakeholders using a human-centered design approach.MethodsWe conducted 128 in-depth interviews with 60 AGYW, 24 public and private health care providers, 10 community leaders, and 10 policymakers). We also conducted two co-creation workshops with 50 AGYW and 10 health care providers in Masaka and Nakasongola districts to generate service delivery models.ResultsOur findings reveal various enablers and barriers to the successful integration of HIV prevention into FP services in the areas of policy, human resources and infrastructure, resource management, service delivery, community involvement, supply chain management, and monitoring and reporting.DiscussionSuccessful integration will require addressing key concerns raised by participants in human resource and infrastructure, resource management, service delivery, demand creation, male involvement, supply chain management and monitoring and reporting.https://www.frontiersin.org/articles/10.3389/frph.2025.1441829/fullHIVfamily planningAGYWPrEPintegrationprevention |
| spellingShingle | Justine K. Tumusiime Davina Canagasabey Peter Mudiope Sabrina Kitaka Allen Namagembe Fiona Walugembe Bridget Nakankaka Josephine Nabuuma Jesca Nasunku Jane Cover Betty Mirembe Ashley Jackson Kimberly Green Integrating HIV prevention with family planning services for adolescent girls and young women in Uganda: perspectives of adolescent girls and young women, health care providers, and policymakers Frontiers in Reproductive Health HIV family planning AGYW PrEP integration prevention |
| title | Integrating HIV prevention with family planning services for adolescent girls and young women in Uganda: perspectives of adolescent girls and young women, health care providers, and policymakers |
| title_full | Integrating HIV prevention with family planning services for adolescent girls and young women in Uganda: perspectives of adolescent girls and young women, health care providers, and policymakers |
| title_fullStr | Integrating HIV prevention with family planning services for adolescent girls and young women in Uganda: perspectives of adolescent girls and young women, health care providers, and policymakers |
| title_full_unstemmed | Integrating HIV prevention with family planning services for adolescent girls and young women in Uganda: perspectives of adolescent girls and young women, health care providers, and policymakers |
| title_short | Integrating HIV prevention with family planning services for adolescent girls and young women in Uganda: perspectives of adolescent girls and young women, health care providers, and policymakers |
| title_sort | integrating hiv prevention with family planning services for adolescent girls and young women in uganda perspectives of adolescent girls and young women health care providers and policymakers |
| topic | HIV family planning AGYW PrEP integration prevention |
| url | https://www.frontiersin.org/articles/10.3389/frph.2025.1441829/full |
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